Project Crossfoot
Hospital · CCN 180105

Monroe County Medical Center

529 Capp Harlan Road, Tompkinsville, KY 42167 · Monroe County
Rural areas: primary flow to a tract outside a urbanized area of 50,000 and greater or UC

10 admission types 1 outpatient services
Billed per dollar paid, all admissions
2.15×
$2.9M billed against $1.3M paid across 216 Medicare discharges; the national figure is 5.03×.
4.5%
of adults in Monroe County have medical debt in collections
8.1%
uninsured in the county · state 6.6%
$45K
median household income
2.2×
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
690
Kidney and urinary tract infections without mcc
34
$10,870
$6,344
1.7× st 4.3×
194
Simple pneumonia and pleurisy with cc
33
$14,153
$6,269
2.3× st 4.7×
195
Simple pneumonia and pleurisy without cc/mcc
26
$14,712
$4,928
3.0× st 4.4×
948
Signs and symptoms without mcc
24
$11,048
$6,122
1.8× st 4.7×
192
Chronic obstructive pulmonary disease without cc/mcc
21
$14,721
$4,855
3.0× st 3.0×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
19
$8,683
$5,655
1.5× st 4.8×
190
Chronic obstructive pulmonary disease with mcc
17
$22,882
$8,226
2.8× st 4.6×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
16
$10,015
$5,931
1.7× st 4.6×
291
Heart failure and shock with mcc
15
$16,928
$9,438
1.8× st 4.3×
293
Heart failure and shock without cc/mcc
11
$8,677
$4,072
2.1× st 2.1×
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
113
$7,012
$2,442
2.9×

Sources for this hospital

the files read, as fetched — not our copy of them
  1. Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
    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. Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
    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. AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
    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.