C

Pineville Community Health Center, Inc

850 Riverview Avenue · Pineville, KY 40977

🤖AI Overview

This hospital markup of 3.3x is near the national average. Patients without insurance may still face significantly higher bills.

Total Charges
$1.3M
Medicare Payments
$378,659
Discharges
83
Avg Length of Stay
3.4 days
Markup Ratio
3.3x
Risk Score
1.60

Fairness Grade: C

Average — charges 3–4x what Medicare pays

Pineville Community Health Center, Inc charges an average of $15,181 per discharge, but Medicare only pays $4,562 — a markup of 3.3x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio
This Hospital
3.3x
State Avg
5.7x
National Avg
5.3x
Avg Charge per Discharge
This Hospital
$15,181
State Avg
$68,838
National Avg
$69,838
Avg Length of Stay
This Hospital
3.4 days
State Avg
5.2 days
National Avg
4.8 days

Patient Demographics

Age Distribution

Under 65
0.0%
65–74
38.5%
75–84
33.8%
85+
0.0%

Gender

60.0%
Female
40.0%
Male

Dual Eligibility

49.2%
Dual Eligible
50.8%
Non-Dual

Race & Ethnicity

White
96.9%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension
75.0%
COPD
75.0%
High Cholesterol
67.7%
Heart Failure
58.5%
Arthritis
56.9%
Anxiety
56.9%
Ischemic Heart Disease
52.3%
Diabetes
50.8%
Chronic Kidney Disease
47.7%
Depression
47.7%
Mood Disorders
47.7%
Alzheimer's/Dementia
35.4%
Atrial Fibrillation
30.8%
Tobacco Use
30.8%
Stroke/TIA
21.5%
Osteoporosis
18.5%
Cancer
12.3%
Asthma
9.2%
Substance Use
9.2%
Bipolar Disorder
7.7%
Parkinson's
6.2%
Schizophrenia/Psychosis
4.6%
ADHD/Conduct Disorders
3.1%
PTSD
1.5%
Personality Disorders
1.5%
Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.