Kentucky / Tug Valley Arh Regional Medical Center
CMS certification 180069 · South Williamson, KY
Tug Valley Arh Regional Medical Center: charges and Medicare payments
Tug Valley Arh Regional Medical Center reported 241 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 3.96 times what it was paid — mid-range in Kentucky, number 27 of 51 hospitals with at least 100 stays (state median 4.06×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 53 stays at an average charge of $50,810, 44% below the national average. It also billed 130 outpatient services, charging 11.54 times what Medicare paid.
- 1Medicare inpatient stays 241
- 2Charge ÷ paid, inpatient 3.96×
- 3Rank in KY (highest ratio = 1) 27 of 51
- 4CMS price-transparency actions 0
Inpatient stays
For the 12 DRGs that can be compared with the national average, Tug Valley Arh Regional Medical Center charged more than the national average in 1 (8%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 53 | $50,810 | -44% | $14,118 |
| 193 Simple Pneumonia and Pleurisy with MCC | 33 | $43,277 | -28% | $10,310 |
| 690 Kidney and Urinary Tract Infections without MCC | 25 | $24,301 | -36% | $6,450 |
| 194 Simple Pneumonia and Pleurisy with CC | 20 | $38,952 | +1% | $6,521 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 19 | $36,320 | -28% | $8,405 |
| 291 Heart Failure and Shock with MCC | 19 | $33,769 | -40% | $9,919 |
| 689 Kidney and Urinary Tract Infections with MCC | 15 | $32,210 | -37% | $8,939 |
| 683 Renal Failure with CC | 13 | $34,307 | -16% | $7,257 |
| 177 Respiratory Infections and Inflammations with MCC | 11 | $53,579 | -24% | $13,016 |
| 189 Pulmonary Edema and Respiratory Failure | 11 | $35,490 | -38% | $9,596 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $27,595 | -26% | $6,210 |
| 682 Renal Failure with MCC | 11 | $41,293 | -37% | $11,676 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 93 | $22,193 | $2,282 |
| Level 1 Intraocular Procedures | 37 | $14,287 | $1,934 |
Against the Kentucky average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Tug Valley Arh Regional Medical Center charged $50,810 on average, 20% less than the Kentucky average of $63,454, and was paid $14,118 against a state average of $14,765. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Tug Valley Arh Regional Medical Center charged $43,277 on average, 1% less than the Kentucky average of $43,745, and was paid $10,310 against a state average of $9,962. For Kidney and Urinary Tract Infections without MCC (DRG 690), Tug Valley Arh Regional Medical Center charged $24,301 on average, 9% less than the Kentucky average of $26,795, and was paid $6,450 against a state average of $6,224. For Simple Pneumonia and Pleurisy with CC (DRG 194), Tug Valley Arh Regional Medical Center charged $38,952 on average, 26% more than the Kentucky average of $30,875, and was paid $6,521 against a state average of $6,356. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,193 was 9% above the state average of $20,333. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $14,287 was 29% above the state average of $11,097.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.