C

St Claire Regional Medical Center

222 Medical Circle · Morehead, KY 40351

🤖AI Overview

This hospital markup of 3.1x is near the national average. Patients without insurance may still face significantly higher bills.

Total Charges
$29.6M
Medicare Payments
$9.5M
Discharges
868
Avg Length of Stay
4.2 days
Markup Ratio
3.1x
Risk Score
2.09

Fairness Grade: C

Average — charges 3–4x what Medicare pays

St Claire Regional Medical Center charges an average of $34,059 per discharge, but Medicare only pays $10,961 — a markup of 3.1x. 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
3.1x
State Avg
5.7x
National Avg
5.3x
Avg Charge per Discharge
This Hospital
$34,059
State Avg
$68,838
National Avg
$69,838
Avg Length of Stay
This Hospital
4.2 days
State Avg
5.2 days
National Avg
4.8 days

Patient Demographics

Age Distribution

Under 65
19.6%
65–74
31.2%
75–84
30.2%
85+
19.0%

Gender

49.9%
Female
50.1%
Male

Dual Eligibility

42.2%
Dual Eligible
57.8%
Non-Dual

Race & Ethnicity

White
98.6%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension
75.0%
High Cholesterol
75.0%
Arthritis
61.9%
Ischemic Heart Disease
55.4%
Heart Failure
51.3%
Anxiety
50.3%
Diabetes
49.6%
COPD
48.2%
Mood Disorders
46.7%
Depression
44.4%
Atrial Fibrillation
41.0%
Chronic Kidney Disease
40.8%
Tobacco Use
38.1%
Alzheimer's/Dementia
25.9%
Stroke/TIA
19.4%
Cancer
18.2%
Substance Use
15.9%
Asthma
12.9%
Osteoporosis
11.3%
Bipolar Disorder
8.9%
Schizophrenia/Psychosis
7.9%
Parkinson's
4.1%
PTSD
2.2%
Personality Disorders
1.4%
ADHD/Conduct Disorders
1.2%
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.