Hospital · CCN 180093

Baptist Health Deaconess Madisonville

900 Hospital Drive, Madisonville, KY 42431 · Hopkins County
Part of Baptist Healthcare System · 154 beds · 1
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999

34 admission types 46 outpatient services 3 Medicare-file findings
Billed per dollar paid, all admissions
5.84×
$72.4M billed against $12.4M paid across 923 Medicare discharges; the national figure is 5.03×.
4.0%
of adults in Hopkins County have medical debt in collections
6.8%
uninsured in the county · state 6.6%
$55K
median household income
5.8×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
157
$73,028
$15,000
4.9× st 4.3×
291
Heart failure and shock with mcc
80
$58,211
$9,685
6.0× st 4.3×
177
Respiratory infections and inflammations with mcc
53
$58,776
$12,694
4.6× st 4.5×
193
Simple pneumonia and pleurisy with mcc
51
$48,976
$10,022
4.9× st 4.4×
189
Pulmonary edema and respiratory failure
48
$43,413
$9,381
4.6× st 4.5×
280
Acute myocardial infarction, discharged alive with mcc
38
$88,351
$12,632
7.0× st 4.7×
683
Renal failure with cc
31
$39,592
$6,746
5.9× st 4.4×
885
Psychoses
31
$27,095
$10,337
2.6× st 2.3×
698
Other kidney and urinary tract diagnoses with mcc
30
$54,162
$12,521
4.3× st 4.1×
682
Renal failure with mcc
29
$64,699
$11,505
5.6× st 4.2×
036
Carotid artery stent procedures without cc/mcc
29
$127,421
$13,371
9.5× st 8.7×
689
Kidney and urinary tract infections with mcc
24
$52,688
$8,965
5.9× st 4.3×
853
Infectious and parasitic diseases with o.r. procedures with mcc
22
$225,255
$35,947
6.3× st 4.4×
660
Kidney and ureter procedures for non-neoplasm with cc
21
$68,582
$10,622
6.5× st 4.5×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
19
$219,386
$21,008
10.4× st 7.0×
872
Septicemia or severe sepsis without mv >96 hours without mcc
19
$43,301
$7,935
5.5× st 4.4×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
19
$47,169
$10,106
4.7× st 4.2×
308
Cardiac arrhythmia and conduction disorders with mcc
17
$50,280
$9,175
5.5× st 5.0×
378
Gastrointestinal hemorrhage with cc
16
$52,611
$7,533
7.0× st 5.3×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
15
$107,508
$16,477
6.5× st 4.8×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
14
$196,509
$14,358
13.7× st 8.2×
522
Hip replacement with principal diagnosis of hip fracture without mcc
14
$169,085
$15,897
10.6× st 6.3×
194
Simple pneumonia and pleurisy with cc
14
$38,508
$6,848
5.6× st 4.7×
330
Major small and large bowel procedures with cc
14
$104,236
$18,865
5.5× st 4.9×
064
Intracranial hemorrhage or cerebral infarction with mcc
13
$71,920
$13,862
5.2× st 4.9×
690
Kidney and urinary tract infections without mcc
13
$39,277
$6,822
5.8× st 4.3×
208
Respiratory system diagnosis with ventilator support <=96 hours
12
$102,802
$20,223
5.1× st 4.6×
699
Other kidney and urinary tract diagnoses with cc
12
$53,402
$7,914
6.7× st 3.9×
329
Major small and large bowel procedures with mcc
12
$171,608
$34,703
4.9× st 4.3×
377
Gastrointestinal hemorrhage with mcc
12
$83,311
$13,630
6.1× st 4.7×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
11
$55,671
$7,873
7.1× st 5.8×
870
Septicemia or severe sepsis with mv >96 hours
11
$144,371
$51,031
2.8× st 4.3×
521
Hip replacement with principal diagnosis of hip fracture with mcc
11
$177,318
$22,084
8.0× st 6.3×
481
Hip and femur procedures except major joint with cc
11
$128,530
$15,512
8.3× st 5.5×
02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
499
$27,899
$2,507
11.1×
5191
Level 1 Endovascular Procedures
111
$54,720
$2,981
18.4×
5115
Level 5 Musculoskeletal Procedures
100
$185,353
$12,054
15.4×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
73
$16,480
$1,484
11.1×
5193
Level 3 Endovascular Procedures
70
$178,572
$10,047
17.8×
5302
Level 2 Upper GI Procedures
59
$17,294
$1,760
9.8×
5361
Level 1 Laparoscopy and Related Services
52
$60,675
$5,257
11.5×
5183
Level 3 Vascular Procedures
45
$33,766
$2,949
11.5×
5374
Level 4 Urology and Related Services
45
$23,941
$3,225
7.4×
5113
Level 3 Musculoskeletal Procedures
38
$26,081
$2,862
9.1×
5114
Level 4 Musculoskeletal Procedures
36
$69,180
$6,144
11.3×
5192
Level 2 Endovascular Procedures
36
$90,990
$5,288
17.2×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
34
$21,173
$2,552
8.3×
5373
Level 3 Urology and Related Services
31
$15,909
$1,884
8.4×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
26
$50,132
$3,201
15.7×
5155
Level 5 Airway Endoscopy
26
$52,032
$6,332
8.2×
5375
Level 5 Urology and Related Services
25
$32,925
$4,787
6.9×
5223
Level 3 Pacemaker and Similar Procedures
24
$151,219
$9,872
15.3×
5213
Level 3 Electrophysiologic Procedures
18
$298,764
$21,917
13.6×
5431
Level 1 Nerve Procedures
18
$17,980
$1,707
10.5×
5116
Level 6 Musculoskeletal Procedures
18
$204,580
$17,204
11.9×
5372
Level 2 Urology and Related Services
17
$11,145
$632
17.6×
5154
Level 4 Airway Endoscopy
13
$38,862
$3,465
11.2×
5313
Level 3 Lower GI Procedures
12
$25,286
$2,598
9.7×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
12
$33,944
$3,527
9.6×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
11
$56,318
$6,033
9.3×
5194
Level 4 Endovascular Procedures
11
$232,579
$16,190
14.4×
5376
Level 6 Urology and Related Services
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5112
Level 2 Musculoskeletal Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
03 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 321
info
inp_charge_10x_payment
average charge $219,386 is 10.4× the total payment
MS-DRG 322
info
inp_charge_10x_payment
average charge $196,509 is 13.7× the total payment
MS-DRG 522
info
inp_charge_10x_payment
average charge $169,085 is 10.6× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)

Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.

Source rows for this hospital as JSON: inpatient · outpatient. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.