Monroe County Medical Center is a nonprofit short-term acute care hospital in Tompkinsville, Kentucky. Its CMS Certification Number (CCN) is 180105 and its NPI is 1053499350.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Tompkinsville, KY
Negotiated rates
In-network rates for clinicians billing at this hospital, from each insurer's price transparency files. Median rate, with the range when more than one contract applies.
| Service | Code | Physician rate | vs. Kentucky hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $1651 rate | 30th percentile · state median $214, mean $202 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $3403 rates, all the same | 62nd percentile · state median $337, mean $360 |
| MRI, brain, with and without contrast | 70553 | $8423 rates, all the same | 79th percentile · state median $746, mean $686 |
| Colonoscopy, diagnostic | 45378 | $5001 rate | 79th percentile · state median $455, mean $451 |
See UnitedHealthcare rates for every billing code at Monroe County Medical Center
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Every billing code
CPT, HCPCS, MS-DRG and revenue codes, not just the four shown here.
Institutional rates
What each insurer pays the hospital itself, its facility fees.
Professional rates
What insurers pay physicians and clinicians billing here.
Inpatient and outpatient
Per-stay rates for admissions and per-visit rates for outpatient care.
The table above shows physician rates: what the insurer pays clinicians for the service. Facility rates are in the full data. Source: insurer Transparency in Coverage files.
From the hospital's Medicare enrollment record.
From CMS Care Compare. Each measure is compared with the national rate.
CMS overall rating
1 out of 5 stars
0 better4 no different0 worsethan national
0 better1 no different0 worsethan national
0 better2 no different2 worsethan national
Units Medicare certifies separately, each with its own CCN.
Swing-bed unit
Monroe County Medical Center
CCN 18U105
Rivendell Behavioral Health Services of Kentucky
Bowling Green, KY
Southern Kentucky Rehabilitation Hospital
Bowling Green, KY
T J Samson Community Hospital
Glasgow, KY
The Medical Center
Bowling Green, KY
The Medical Center at Franklin
Franklin, KY
The Medical Center at Scottsville
Scottsville, KY
Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about Monroe County Medical Center.
Monroe County Medical Center's CMS Certification Number (CCN) is 180105. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Monroe County Medical Center bills under National Provider Identifier (NPI) 1053499350.
Monroe County Medical Center bills insurers under tax ID (EIN) 31-0949874, held by MONROE MEDICAL FOUNDATION INC. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Monroe County Medical Center is enrolled in Medicare as a short-term acute care hospital with nonprofit ownership. Its legal business name is Monroe Medical Foundation, Inc..
Monroe County Medical Center is at 529 Capp Harlan Rd, Tompkinsville, KY 42167.
Monroe County Medical Center has a CMS overall star rating of 1 out of 5. CMS bases the rating on mortality, safety, readmission, patient experience and timely care measures.
Yes. Monroe County Medical Center reports emergency services to CMS.
Yes. Monroe County Medical Center has 1 Medicare-certified unit: swing-bed unit.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.