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Acute Care Hospital

Baptist Health Deaconess Madisonville

Madisonville, Kentucky · Hopkins County · Emergency services listed

Summary

Baptist Health Deaconess Madisonville is an acute care hospital in Madisonville, Kentucky. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 39 services, specialties and programs. Medicare lists 395 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(270) 825‑5100 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-11-02). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
395Doctors and clinicians
39Services listed

Quick answers

Does Baptist Health Deaconess Madisonville have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Baptist Health Deaconess Madisonville. In a medical emergency, call 911.
Where is Baptist Health Deaconess Madisonville?
900 Hospital Drive, Madisonville, KY 42431, in Hopkins County, Kentucky.
What is the phone number of Baptist Health Deaconess Madisonville?
(270) 825-5100, as listed by Medicare (CMS).
What is the Medicare star rating of Baptist Health Deaconess Madisonville?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5][7]

Procedures[7]

  • Emergency surgery
  • Chest pain emergency care

Programs and centers[4][5][7]

  • Merle M. Mahr Cancer Center
  • Jack L. Hamman Heart & Vascular Center
  • Sexual Assault Nurse Examiners (SANE)
  • Family Medicine Residency

Emergency care (hospital website)[7]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingVisitors welcome; limit visitors at once; children under 14 need an adult; overnight stays limited in med/surg and pediatrics. No hours listed[8]
Patient portalMyChart

Doctors and clinicians (395)

395 doctors and other clinicians list Baptist Health Deaconess Madisonville as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (395)

And 371 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Baptist Health Deaconess Madisonville reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1065%National average: 72%
Would definitely recommend the hospital63%National average: 71%
Nurses “always” communicated well79%National average: 80%
Doctors “always” communicated well77%National average: 80%
Staff “always” explained medicines before giving them59%National average: 62%
Were given information about recovery at home85%National average: 86%
Room and bathroom “always” clean70%National average: 74%
Area around the room “always” quiet at night56%National average: 60%
Completed surveys539Response rate: 17%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)1.646No different from the national benchmark
Surgical site infections after colon surgery0.859No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.976No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.129Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients13%
Deaths within 30 days: heart failure patients19.7%
Deaths within 30 days: pneumonia patients18.9%
Deaths within 30 days: COPD patients8.5%
Deaths within 30 days: stroke patients10.9%
Deaths within 30 days: coronary bypass surgery (CABG)Too few cases to report
Serious complications (patient safety indicator PSI-90)1.04No different from the national rate
Complications after hip or knee replacementToo few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack14.5%
Readmitted within 30 days: heart failure21.9%
Readmitted within 30 days: pneumonia17.7%
Readmitted within 30 days: COPD20.1%
Readmitted within 30 days: coronary bypass surgery10.4%
Readmitted within 30 days: hip or knee replacementToo few cases to report

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)190 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)49%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in KentuckyBest hospitals in Kentucky

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Baptist Health Deaconess Madisonville lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99205= RVU --> BILL 99203 $212 $99.64 $74.03 – $99.64
New patient office visit (about 30–44 minutes): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $74.03
  • Aetna Better Health of Kentucky — Managed Medicaid: $79.04
  • Anthem — Managed Medicaid: $79.04
  • Anthem — Medicare Advantage: $74.03
  • Anthem — Medicare Select: $74.03
  • Anthem Baptist Health System Corporate Employees — Commercial: $90.93
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $90.93
  • Anthem Blue Traditional — Commercial (Traditional): $90.93
  • Anthem Pathway of Kentucky — HMO/HPN: $90.93
  • Center Care — Commercial: $88.17
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99204= RVU --> BILL 99203 $212 $99.64 $74.03 – $99.64
New patient office visit (about 30–44 minutes): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $74.03
  • Aetna Better Health of Kentucky — Managed Medicaid: $79.04
  • Anthem — Managed Medicaid: $79.04
  • Anthem — Medicare Advantage: $74.03
  • Anthem — Medicare Select: $74.03
  • Anthem Baptist Health System Corporate Employees — Commercial: $90.93
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $90.93
  • Anthem Blue Traditional — Commercial (Traditional): $90.93
  • Anthem Pathway of Kentucky — HMO/HPN: $90.93
  • Center Care — Commercial: $88.17
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES $212 $99.64 $74.03 – $99.64
New patient office visit (about 30–44 minutes): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $74.03
  • Aetna Better Health of Kentucky — Managed Medicaid: $79.04
  • Anthem — Managed Medicaid: $79.04
  • Anthem — Medicare Advantage: $74.03
  • Anthem — Medicare Select: $74.03
  • Anthem Baptist Health System Corporate Employees — Commercial: $90.93
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $90.93
  • Anthem Blue Traditional — Commercial (Traditional): $90.93
  • Anthem Pathway of Kentucky — HMO/HPN: $90.93
  • Center Care — Commercial: $88.17
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES $318 $149.46 $112.27 – $154.06
New patient office visit (about 45–59 minutes): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $120.53
  • Aetna Better Health of Kentucky — Managed Medicaid: $112.27
  • Anthem — Managed Medicaid: $112.27
  • Anthem — Medicare Advantage: $120.53
  • Anthem — Medicare Select: $120.53
  • Anthem Baptist Health System Corporate Employees — Commercial: $154.06
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $154.06
  • Anthem Blue Traditional — Commercial (Traditional): $154.06
  • Anthem Pathway of Kentucky — HMO/HPN: $154.06
  • Center Care — Commercial: $148.14
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES $421 $197.87 $143.29 – $200.29
New patient office visit (about 60–74 minutes): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $163.94
  • Aetna Better Health of Kentucky — Managed Medicaid: $143.29
  • Anthem — Managed Medicaid: $143.29
  • Anthem — Medicare Advantage: $163.94
  • Anthem — Medicare Select: $163.94
  • Anthem Baptist Health System Corporate Employees — Commercial: $200.29
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $200.29
  • Anthem Blue Traditional — Commercial (Traditional): $200.29
  • Anthem Pathway of Kentucky — HMO/HPN: $200.29
  • Center Care — Commercial: $192.80
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99214= RVU --> BILL 99213 $172 $80.84 $42.63 – $80.84
Established patient office visit (about 20–29 minutes): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $59.53
  • Aetna Better Health of Kentucky — Managed Medicaid: $42.63
  • Anthem — Managed Medicaid: $42.63
  • Anthem — Medicare Advantage: $59.53
  • Anthem — Medicare Select: $59.53
  • Anthem Baptist Health System Corporate Employees — Commercial: $60.60
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $60.60
  • Anthem Blue Traditional — Commercial (Traditional): $60.60
  • Anthem Pathway of Kentucky — HMO/HPN: $60.60
  • Center Care — Commercial: $58.43
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99215= RVU --> BILL 99213 $172 $80.84 $42.63 – $80.84
Established patient office visit (about 20–29 minutes): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $59.53
  • Aetna Better Health of Kentucky — Managed Medicaid: $42.63
  • Anthem — Managed Medicaid: $42.63
  • Anthem — Medicare Advantage: $59.53
  • Anthem — Medicare Select: $59.53
  • Anthem Baptist Health System Corporate Employees — Commercial: $60.60
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $60.60
  • Anthem Blue Traditional — Commercial (Traditional): $60.60
  • Anthem Pathway of Kentucky — HMO/HPN: $60.60
  • Center Care — Commercial: $58.43
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN $172 $80.84 $42.63 – $80.84
Established patient office visit (about 20–29 minutes): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $59.53
  • Aetna Better Health of Kentucky — Managed Medicaid: $42.63
  • Anthem — Managed Medicaid: $42.63
  • Anthem — Medicare Advantage: $59.53
  • Anthem — Medicare Select: $59.53
  • Anthem Baptist Health System Corporate Employees — Commercial: $60.60
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $60.60
  • Anthem Blue Traditional — Commercial (Traditional): $60.60
  • Anthem Pathway of Kentucky — HMO/HPN: $60.60
  • Center Care — Commercial: $58.43
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN $243 $114.21 $67.10 – $114.21
Established patient office visit (about 30–39 minutes): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $87.66
  • Aetna Better Health of Kentucky — Managed Medicaid: $67.10
  • Anthem — Managed Medicaid: $67.10
  • Anthem — Medicare Advantage: $87.66
  • Anthem — Medicare Select: $87.66
  • Anthem Baptist Health System Corporate Employees — Commercial: $93.09
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $93.09
  • Anthem Blue Traditional — Commercial (Traditional): $93.09
  • Anthem Pathway of Kentucky — HMO/HPN: $93.09
  • Center Care — Commercial: $90.40
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES $228 $107.16 $90.43 – $125.71
Office consultation with a specialist (moderate): 10 of 11 insurance plan rates
  • Aetna Better Health of Kentucky — Managed Medicaid: $90.43
  • Anthem — Managed Medicaid: $90.43
  • Anthem Baptist Health System Corporate Employees — Commercial: $114.04
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $114.04
  • Anthem Blue Traditional — Commercial (Traditional): $114.04
  • Anthem Pathway of Kentucky — HMO/HPN: $114.04
  • Center Care — Commercial: $125.71
  • Humana of Kentucky — Managed Medicaid: $90.43
  • Molina Passport of Kentucky — Managed Medicaid: $90.43
  • Self-pay — Self-pay: $107.16
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES $342 $160.74 $128.22 – $199.60
Office consultation with a specialist (moderate to high): 10 of 11 insurance plan rates
  • Aetna Better Health of Kentucky — Managed Medicaid: $128.22
  • Anthem — Managed Medicaid: $128.22
  • Anthem Baptist Health System Corporate Employees — Commercial: $183.28
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $183.28
  • Anthem Blue Traditional — Commercial (Traditional): $183.28
  • Anthem Pathway of Kentucky — HMO/HPN: $183.28
  • Center Care — Commercial: $199.60
  • Humana of Kentucky — Managed Medicaid: $128.22
  • Molina Passport of Kentucky — Managed Medicaid: $128.22
  • Self-pay — Self-pay: $160.74
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS $248 $116.56 $95.21 – $116.58
Preventive checkup, new patient, age 18–39: 10 of 11 insurance plan rates
  • Aetna Better Health of Kentucky — Managed Medicaid: $95.21
  • Anthem — Managed Medicaid: $95.21
  • Anthem Baptist Health System Corporate Employees — Commercial: $116.58
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $116.58
  • Anthem Blue Traditional — Commercial (Traditional): $116.58
  • Anthem Pathway of Kentucky — HMO/HPN: $116.58
  • Center Care — Commercial: $99.51
  • Humana of Kentucky — Managed Medicaid: $95.21
  • Molina Passport of Kentucky — Managed Medicaid: $95.21
  • Self-pay — Self-pay: $116.56
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS $288 $135.36 $116.70 – $141.85
Preventive checkup, new patient, age 40–64: 10 of 11 insurance plan rates
  • Aetna Better Health of Kentucky — Managed Medicaid: $116.70
  • Anthem — Managed Medicaid: $116.70
  • Anthem Baptist Health System Corporate Employees — Commercial: $141.85
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $141.85
  • Anthem Blue Traditional — Commercial (Traditional): $141.85
  • Anthem Pathway of Kentucky — HMO/HPN: $141.85
  • Center Care — Commercial: $122.10
  • Humana of Kentucky — Managed Medicaid: $116.70
  • Molina Passport of Kentucky — Managed Medicaid: $116.70
  • Self-pay — Self-pay: $135.36
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED CLASS II SERVICE $2,174.27 $282.66 $260.91 – $1,867.70
Emergency room visit (moderate): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $265.39
  • Aetna Better Health of Kentucky — Managed Medicaid: $260.91
  • Alliance Coal — Commercial: $398.09
  • Anthem — Managed Medicaid: $260.91
  • Anthem — Medicare Advantage: $265.39
  • Anthem — Medicare Select: $265.39
  • Anthem Baptist Health System Corporate Employees — Commercial: $562.27
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $699.90
  • Anthem Blue Traditional — Commercial (Traditional): $719.25
  • Anthem Pathway of Kentucky — HMO/HPN: $644.02
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL 3 VISIT 99283 $2,174.27 $282.66 $260.91 – $1,867.70
Emergency room visit (moderate): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $265.39
  • Aetna Better Health of Kentucky — Managed Medicaid: $260.91
  • Alliance Coal — Commercial: $398.09
  • Anthem — Managed Medicaid: $260.91
  • Anthem — Medicare Advantage: $265.39
  • Anthem — Medicare Select: $265.39
  • Anthem Baptist Health System Corporate Employees — Commercial: $562.27
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $699.90
  • Anthem Blue Traditional — Commercial (Traditional): $719.25
  • Anthem Pathway of Kentucky — HMO/HPN: $644.02
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ED VISIT LOW MDM $141 $66.27 $47.40 – $80.14
Emergency room visit (moderate): 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $64.39
  • Aetna Better Health of Kentucky — Managed Medicaid: $47.40
  • Anthem — Managed Medicaid: $47.40
  • Anthem — Medicare Advantage: $64.39
  • Anthem — Medicare Select: $64.39
  • Center Care — Commercial: $80.14
  • Essence Healthcare — Medicare Advantage: $64.39
  • Humana — Medicare Advantage: $64.39
  • Humana of Kentucky — Managed Medicaid: $47.40
  • Molina Passport of Kentucky — Managed Medicaid: $47.40
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL 4 VISIT 99284 $2,899.60 $376.95 $347.95 – $2,490.76
Emergency room visit (moderately high): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $411.97
  • Aetna Better Health of Kentucky — Managed Medicaid: $347.95
  • Alliance Coal — Commercial: $617.96
  • Anthem — Managed Medicaid: $347.95
  • Anthem — Medicare Advantage: $411.97
  • Anthem — Medicare Select: $411.97
  • Anthem Baptist Health System Corporate Employees — Commercial: $749.84
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $933.38
  • Anthem Blue Traditional — Commercial (Traditional): $959.19
  • Anthem Pathway of Kentucky — HMO/HPN: $858.86
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED CLASS III SERVICE $2,899.60 $376.95 $347.95 – $2,490.76
Emergency room visit (moderately high): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $411.97
  • Aetna Better Health of Kentucky — Managed Medicaid: $347.95
  • Alliance Coal — Commercial: $617.96
  • Anthem — Managed Medicaid: $347.95
  • Anthem — Medicare Advantage: $411.97
  • Anthem — Medicare Select: $411.97
  • Anthem Baptist Health System Corporate Employees — Commercial: $749.84
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $933.38
  • Anthem Blue Traditional — Commercial (Traditional): $959.19
  • Anthem Pathway of Kentucky — HMO/HPN: $858.86
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ED VISIT MODERATE MDM $264 $124.08 $74.05 – $150.15
Emergency room visit (moderately high): 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $109.91
  • Aetna Better Health of Kentucky — Managed Medicaid: $74.05
  • Anthem — Managed Medicaid: $74.05
  • Anthem — Medicare Advantage: $109.91
  • Anthem — Medicare Select: $109.91
  • Center Care — Commercial: $150.15
  • Essence Healthcare — Medicare Advantage: $109.91
  • Humana — Medicare Advantage: $109.91
  • Humana of Kentucky — Managed Medicaid: $74.05
  • Molina Passport of Kentucky — Managed Medicaid: $74.05
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED CLASS IV SERVICE $3,544.42 $460.78 $425.33 – $3,044.66
Emergency room visit (high): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $597.45
  • Aetna Better Health of Kentucky — Managed Medicaid: $425.33
  • Alliance Coal — Commercial: $896.18
  • Anthem — Managed Medicaid: $425.33
  • Anthem — Medicare Advantage: $597.45
  • Anthem — Medicare Select: $597.45
  • Anthem Baptist Health System Corporate Employees — Commercial: $916.59
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $1,140.95
  • Anthem Blue Traditional — Commercial (Traditional): $1,172.49
  • Anthem Pathway of Kentucky — HMO/HPN: $1,049.86
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL 5 VISIT 99285 $3,544.42 $460.78 $425.33 – $3,044.66
Emergency room visit (high): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $597.45
  • Aetna Better Health of Kentucky — Managed Medicaid: $425.33
  • Alliance Coal — Commercial: $896.18
  • Anthem — Managed Medicaid: $425.33
  • Anthem — Medicare Advantage: $597.45
  • Anthem — Medicare Select: $597.45
  • Anthem Baptist Health System Corporate Employees — Commercial: $916.59
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $1,140.95
  • Anthem Blue Traditional — Commercial (Traditional): $1,172.49
  • Anthem Pathway of Kentucky — HMO/HPN: $1,049.86
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ED VISIT HIGH MDM $390 $183.30 $116.04 – $223.26
Emergency room visit (high): 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $159.45
  • Aetna Better Health of Kentucky — Managed Medicaid: $116.04
  • Anthem — Managed Medicaid: $116.04
  • Anthem — Medicare Advantage: $159.45
  • Anthem — Medicare Select: $159.45
  • Center Care — Commercial: $223.26
  • Essence Healthcare — Medicare Advantage: $159.45
  • Humana — Medicare Advantage: $159.45
  • Humana of Kentucky — Managed Medicaid: $116.04
  • Molina Passport of Kentucky — Managed Medicaid: $116.04

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PROF CHEM8 $111.22 $14.46 $5.69 – $95.54
Basic metabolic panel (blood test): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $8.46
  • Aetna Better Health of Kentucky — Managed Medicaid: $8.46
  • Alliance Coal — Commercial: $8.88
  • Anthem — Managed Medicaid: $8.46
  • Anthem — Medicare Advantage: $8.46
  • Anthem — Medicare Select: $8.46
  • Anthem Baptist Health System Corporate Employees — Commercial: $28.76
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $5.69
  • Anthem Blue Traditional — Commercial (Traditional): $5.69
  • Anthem Pathway of Kentucky — HMO/HPN: $5.69
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG BASIC METABOLIC PANEL CALCIUM TOTAL $27 $12.69 $8.46 – $12.69
Basic metabolic panel (blood test): 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $8.46
  • Aetna Better Health of Kentucky — Managed Medicaid: $8.46
  • Anthem — Managed Medicaid: $8.46
  • Anthem — Medicare Advantage: $8.46
  • Anthem — Medicare Select: $8.46
  • Center Care — Commercial: $11.53
  • Essence Healthcare — Medicare Advantage: $8.46
  • Humana — Medicare Advantage: $8.46
  • Humana of Kentucky — Managed Medicaid: $8.46
  • Molina Passport of Kentucky — Managed Medicaid: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PROF CHEM8 $111.22 $14.46 $14.46 – $95.54
Basic metabolic panel (blood test): 10 of 14 insurance plan rates
  • Anthem Baptist Health System Corporate Employees — Commercial: $28.76
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $35.80
  • Anthem Blue Traditional — Commercial (Traditional): $36.79
  • Anthem Pathway of Kentucky — HMO/HPN: $32.94
  • Center Care — Commercial: $41.77
  • Deaconess Onecare — Commercial: $55.61
  • Encore — Commercial (Combined): $56.17
  • Encore — PPO: $95.54
  • First Health — PPO: $79.68
  • HealthLink — Commercial: $38.03
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PROFILE $137.98 $17.94 $7.15 – $118.52
Comprehensive metabolic panel (blood test): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $10.56
  • Aetna Better Health of Kentucky — Managed Medicaid: $10.56
  • Alliance Coal — Commercial: $11.09
  • Anthem — Managed Medicaid: $10.56
  • Anthem — Medicare Advantage: $10.56
  • Anthem — Medicare Select: $10.56
  • Anthem Baptist Health System Corporate Employees — Commercial: $35.68
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $7.15
  • Anthem Blue Traditional — Commercial (Traditional): $7.15
  • Anthem Pathway of Kentucky — HMO/HPN: $7.15
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL CMP REF $137.98 $17.94 $7.15 – $118.52
Comprehensive metabolic panel (blood test): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $10.56
  • Aetna Better Health of Kentucky — Managed Medicaid: $10.56
  • Alliance Coal — Commercial: $11.09
  • Anthem — Managed Medicaid: $10.56
  • Anthem — Medicare Advantage: $10.56
  • Anthem — Medicare Select: $10.56
  • Anthem Baptist Health System Corporate Employees — Commercial: $35.68
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $7.15
  • Anthem Blue Traditional — Commercial (Traditional): $7.15
  • Anthem Pathway of Kentucky — HMO/HPN: $7.15
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG COMPREHENSIVE METABOLIC PANEL $35 $16.45 $10.56 – $16.45
Comprehensive metabolic panel (blood test): 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $10.56
  • Aetna Better Health of Kentucky — Managed Medicaid: $10.56
  • Anthem — Managed Medicaid: $10.56
  • Anthem — Medicare Advantage: $10.56
  • Anthem — Medicare Select: $10.56
  • Center Care — Commercial: $14.39
  • Essence Healthcare — Medicare Advantage: $10.56
  • Humana — Medicare Advantage: $10.56
  • Humana of Kentucky — Managed Medicaid: $10.56
  • Molina Passport of Kentucky — Managed Medicaid: $10.56
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL $615.87 $80.07 $47.81 – $529.03
Obstetric blood test panel: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $47.81
  • Aetna Better Health of Kentucky — Managed Medicaid: $47.81
  • Alliance Coal — Commercial: $50.20
  • Anthem — Managed Medicaid: $47.81
  • Anthem — Medicare Advantage: $47.81
  • Anthem — Medicare Select: $47.81
  • Anthem Baptist Health System Corporate Employees — Commercial: $159.26
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $53.28
  • Anthem Blue Traditional — Commercial (Traditional): $53.28
  • Anthem Pathway of Kentucky — HMO/HPN: $53.28
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL $615.87 $80.07 $80.06 – $529.03
Obstetric blood test panel: 10 of 14 insurance plan rates
  • Anthem Baptist Health System Corporate Employees — Commercial: $159.26
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $198.25
  • Anthem Blue Traditional — Commercial (Traditional): $203.73
  • Anthem Pathway of Kentucky — HMO/HPN: $182.42
  • Center Care — Commercial: $231.32
  • Deaconess Onecare — Commercial: $307.94
  • Encore — Commercial (Combined): $311.01
  • Encore — PPO: $529.03
  • First Health — PPO: $441.21
  • HealthLink — Commercial: $210.57
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG OBSTETRIC PANEL $96 $45.12 $45.12 – $65.14
Obstetric blood test panel: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $47.81
  • Anthem — Medicare Advantage: $47.81
  • Anthem — Medicare Select: $47.81
  • Center Care — Commercial: $65.14
  • Essence Healthcare — Medicare Advantage: $47.81
  • Humana — Medicare Advantage: $47.81
  • Self-pay — Self-pay: $45.12
  • Signature — Medicare Advantage: $47.81
  • UMWA — Medicare Advantage: $47.81
  • United Healthcare — Managed Medicaid: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PROFILE CORONARY RISK $192.79 $25.07 $9.68 – $165.61
Cholesterol panel (lipid panel): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $13.39
  • Aetna Better Health of Kentucky — Managed Medicaid: $13.39
  • Alliance Coal — Commercial: $14.06
  • Anthem — Managed Medicaid: $13.39
  • Anthem — Medicare Advantage: $13.39
  • Anthem — Medicare Select: $13.39
  • Anthem Baptist Health System Corporate Employees — Commercial: $49.86
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $9.68
  • Anthem Blue Traditional — Commercial (Traditional): $9.68
  • Anthem Pathway of Kentucky — HMO/HPN: $9.68
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL REF $192.79 $25.07 $9.68 – $165.61
Cholesterol panel (lipid panel): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $13.39
  • Aetna Better Health of Kentucky — Managed Medicaid: $13.39
  • Alliance Coal — Commercial: $14.06
  • Anthem — Managed Medicaid: $13.39
  • Anthem — Medicare Advantage: $13.39
  • Anthem — Medicare Select: $13.39
  • Anthem Baptist Health System Corporate Employees — Commercial: $49.86
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $9.68
  • Anthem Blue Traditional — Commercial (Traditional): $9.68
  • Anthem Pathway of Kentucky — HMO/HPN: $9.68
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG LIPID PANEL $47 $22.09 $13.39 – $22.09
Cholesterol panel (lipid panel): 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $13.39
  • Aetna Better Health of Kentucky — Managed Medicaid: $13.39
  • Anthem — Managed Medicaid: $13.39
  • Anthem — Medicare Advantage: $13.39
  • Anthem — Medicare Select: $13.39
  • Center Care — Commercial: $18.24
  • Essence Healthcare — Medicare Advantage: $13.39
  • Humana — Medicare Advantage: $13.39
  • Humana of Kentucky — Managed Medicaid: $13.39
  • Molina Passport of Kentucky — Managed Medicaid: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL PROFILE $112.78 $14.67 $5.69 – $96.88
Kidney function panel: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $8.68
  • Aetna Better Health of Kentucky — Managed Medicaid: $8.68
  • Alliance Coal — Commercial: $9.11
  • Anthem — Managed Medicaid: $8.68
  • Anthem — Medicare Advantage: $8.68
  • Anthem — Medicare Select: $8.68
  • Anthem Baptist Health System Corporate Employees — Commercial: $29.16
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $5.69
  • Anthem Blue Traditional — Commercial (Traditional): $5.69
  • Anthem Pathway of Kentucky — HMO/HPN: $5.69
Kidney function panel CPT 80069 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG RENAL FUNCTION PANEL $28 $13.16 $8.68 – $13.16
Kidney function panel: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $8.68
  • Aetna Better Health of Kentucky — Managed Medicaid: $8.68
  • Anthem — Managed Medicaid: $8.68
  • Anthem — Medicare Advantage: $8.68
  • Anthem — Medicare Select: $8.68
  • Center Care — Commercial: $11.83
  • Essence Healthcare — Medicare Advantage: $8.68
  • Humana — Medicare Advantage: $8.68
  • Humana of Kentucky — Managed Medicaid: $8.68
  • Molina Passport of Kentucky — Managed Medicaid: $8.68
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL PROFILE $112.78 $14.67 $14.66 – $96.88
Kidney function panel: 10 of 14 insurance plan rates
  • Anthem Baptist Health System Corporate Employees — Commercial: $29.16
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $36.30
  • Anthem Blue Traditional — Commercial (Traditional): $37.31
  • Anthem Pathway of Kentucky — HMO/HPN: $33.41
  • Center Care — Commercial: $42.36
  • Deaconess Onecare — Commercial: $56.39
  • Encore — Commercial (Combined): $56.95
  • Encore — PPO: $96.88
  • First Health — PPO: $80.80
  • HealthLink — Commercial: $38.56
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIVER HEPATIC PROFILE $113.48 $14.76 $5.69 – $97.48
Liver function panel: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $8.17
  • Aetna Better Health of Kentucky — Managed Medicaid: $8.17
  • Alliance Coal — Commercial: $8.58
  • Anthem — Managed Medicaid: $8.17
  • Anthem — Medicare Advantage: $8.17
  • Anthem — Medicare Select: $8.17
  • Anthem Baptist Health System Corporate Employees — Commercial: $29.35
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $5.69
  • Anthem Blue Traditional — Commercial (Traditional): $5.69
  • Anthem Pathway of Kentucky — HMO/HPN: $5.69
Liver function panel CPT 80076 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG HEPATIC FUNCTION PANEL $27 $12.69 $8.17 – $12.69
Liver function panel: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $8.17
  • Aetna Better Health of Kentucky — Managed Medicaid: $8.17
  • Anthem — Managed Medicaid: $8.17
  • Anthem — Medicare Advantage: $8.17
  • Anthem — Medicare Select: $8.17
  • Center Care — Commercial: $11.13
  • Essence Healthcare — Medicare Advantage: $8.17
  • Humana — Medicare Advantage: $8.17
  • Humana of Kentucky — Managed Medicaid: $8.17
  • Molina Passport of Kentucky — Managed Medicaid: $8.17
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIVER HEPATIC PROFILE $113.48 $14.76 $14.75 – $97.48
Liver function panel: 10 of 14 insurance plan rates
  • Anthem Baptist Health System Corporate Employees — Commercial: $29.35
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $36.53
  • Anthem Blue Traditional — Commercial (Traditional): $37.54
  • Anthem Pathway of Kentucky — HMO/HPN: $33.61
  • Center Care — Commercial: $42.62
  • Deaconess Onecare — Commercial: $56.74
  • Encore — Commercial (Combined): $57.31
  • Encore — PPO: $97.48
  • First Health — PPO: $81.30
  • HealthLink — Commercial: $38.80
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS W MICRO $53.25 $6.93 $2.69 – $45.74
Urine test (automated, with microscope): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $3.17
  • Aetna Better Health of Kentucky — Managed Medicaid: $3.17
  • Alliance Coal — Commercial: $3.33
  • Anthem — Managed Medicaid: $3.17
  • Anthem — Medicare Advantage: $3.17
  • Anthem — Medicare Select: $3.17
  • Anthem Baptist Health System Corporate Employees — Commercial: $13.77
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $2.69
  • Anthem Blue Traditional — Commercial (Traditional): $2.69
  • Anthem Pathway of Kentucky — HMO/HPN: $2.69
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UA AUTO WITH MICRO 81001 $53.25 $6.93 $2.69 – $45.74
Urine test (automated, with microscope): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $3.17
  • Aetna Better Health of Kentucky — Managed Medicaid: $3.17
  • Alliance Coal — Commercial: $3.33
  • Anthem — Managed Medicaid: $3.17
  • Anthem — Medicare Advantage: $3.17
  • Anthem — Medicare Select: $3.17
  • Anthem Baptist Health System Corporate Employees — Commercial: $13.77
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $2.69
  • Anthem Blue Traditional — Commercial (Traditional): $2.69
  • Anthem Pathway of Kentucky — HMO/HPN: $2.69
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY $11 $5.17 $3.17 – $5.17
Urine test (automated, with microscope): 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $3.17
  • Aetna Better Health of Kentucky — Managed Medicaid: $3.17
  • Anthem — Managed Medicaid: $3.17
  • Anthem — Medicare Advantage: $3.17
  • Anthem — Medicare Select: $3.17
  • Center Care — Commercial: $4.32
  • Essence Healthcare — Medicare Advantage: $3.17
  • Humana — Medicare Advantage: $3.17
  • Humana of Kentucky — Managed Medicaid: $3.17
  • Molina Passport of Kentucky — Managed Medicaid: $3.17
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP $8 $3.76 $3.48 – $4.74
Urine test (manual, without microscope): 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $3.48
  • Aetna Better Health of Kentucky — Managed Medicaid: $3.48
  • Anthem — Managed Medicaid: $3.48
  • Anthem — Medicare Advantage: $3.48
  • Anthem — Medicare Select: $3.48
  • Center Care — Commercial: $4.74
  • Essence Healthcare — Medicare Advantage: $3.48
  • Humana — Medicare Advantage: $3.48
  • Humana of Kentucky — Managed Medicaid: $3.48
  • Molina Passport of Kentucky — Managed Medicaid: $3.48
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE Not listed in the file Not listed in the file $2.05 – $6.26
Urine test (manual, without microscope): 10 of 21 insurance plan rates
  • Aetna — Medicare Advantage: $3.48
  • Aetna Better Health of Kentucky — Managed Medicaid: $3.48
  • Alliance Coal — Commercial: $3.65
  • Anthem — Managed Medicaid: $3.48
  • Anthem — Medicare Advantage: $3.48
  • Anthem — Medicare Select: $3.48
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $2.05
  • Anthem Blue Traditional — Commercial (Traditional): $2.05
  • Anthem Pathway of Kentucky — HMO/HPN: $2.05
  • Deaconess Onecare — Commercial: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PH URINE $37.64 $4.90 $1.91 – $32.33
Urine test (automated, without microscope): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $2.25
  • Aetna Better Health of Kentucky — Managed Medicaid: $2.25
  • Alliance Coal — Commercial: $2.36
  • Anthem — Managed Medicaid: $2.25
  • Anthem — Medicare Advantage: $2.25
  • Anthem — Medicare Select: $2.25
  • Anthem Baptist Health System Corporate Employees — Commercial: $9.73
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $1.91
  • Anthem Blue Traditional — Commercial (Traditional): $1.91
  • Anthem Pathway of Kentucky — HMO/HPN: $1.91
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UA AUTO WITHOUT MICRO 81003 $37.64 $4.90 $1.91 – $32.33
Urine test (automated, without microscope): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $2.25
  • Aetna Better Health of Kentucky — Managed Medicaid: $2.25
  • Alliance Coal — Commercial: $2.36
  • Anthem — Managed Medicaid: $2.25
  • Anthem — Medicare Advantage: $2.25
  • Anthem — Medicare Select: $2.25
  • Anthem Baptist Health System Corporate Employees — Commercial: $9.73
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $1.91
  • Anthem Blue Traditional — Commercial (Traditional): $1.91
  • Anthem Pathway of Kentucky — HMO/HPN: $1.91
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SPECIFIC GRAVITY URINE $37.64 $4.90 $1.91 – $32.33
Urine test (automated, without microscope): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $2.25
  • Aetna Better Health of Kentucky — Managed Medicaid: $2.25
  • Alliance Coal — Commercial: $2.36
  • Anthem — Managed Medicaid: $2.25
  • Anthem — Medicare Advantage: $2.25
  • Anthem — Medicare Select: $2.25
  • Anthem Baptist Health System Corporate Employees — Commercial: $9.73
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $1.91
  • Anthem Blue Traditional — Commercial (Traditional): $1.91
  • Anthem Pathway of Kentucky — HMO/HPN: $1.91
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA DIAGNOSTIC $16.63 $2.17 $2.16 – $33.10
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $18.39
  • Aetna Better Health of Kentucky — Managed Medicaid: $18.39
  • Alliance Coal — Commercial: $19.31
  • Anthem — Managed Medicaid: $18.39
  • Anthem — Medicare Advantage: $18.39
  • Anthem — Medicare Select: $18.39
  • Anthem Baptist Health System Corporate Employees — Commercial: $4.30
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $15.64
  • Anthem Blue Traditional — Commercial (Traditional): $15.64
  • Anthem Pathway of Kentucky — HMO/HPN: $15.64
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN TOTAL $326.05 $42.39 $15.64 – $280.08
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $18.39
  • Aetna Better Health of Kentucky — Managed Medicaid: $18.39
  • Alliance Coal — Commercial: $19.31
  • Anthem — Managed Medicaid: $18.39
  • Anthem — Medicare Advantage: $18.39
  • Anthem — Medicare Select: $18.39
  • Anthem Baptist Health System Corporate Employees — Commercial: $84.32
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $15.64
  • Anthem Blue Traditional — Commercial (Traditional): $15.64
  • Anthem Pathway of Kentucky — HMO/HPN: $15.64
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC AG PSA TOTAL REF $326.05 $42.39 $15.64 – $280.08
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $18.39
  • Aetna Better Health of Kentucky — Managed Medicaid: $18.39
  • Alliance Coal — Commercial: $19.31
  • Anthem — Managed Medicaid: $18.39
  • Anthem — Medicare Advantage: $18.39
  • Anthem — Medicare Select: $18.39
  • Anthem Baptist Health System Corporate Employees — Commercial: $84.32
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $15.64
  • Anthem Blue Traditional — Commercial (Traditional): $15.64
  • Anthem Pathway of Kentucky — HMO/HPN: $15.64
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH RFX ON ABNORMAL TO FREE T4 $285.25 $37.09 $14.28 – $245.03
Thyroid stimulating hormone (TSH) test: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $16.80
  • Aetna Better Health of Kentucky — Managed Medicaid: $16.80
  • Alliance Coal — Commercial: $17.64
  • Anthem — Managed Medicaid: $16.80
  • Anthem — Medicare Advantage: $16.80
  • Anthem — Medicare Select: $16.80
  • Anthem Baptist Health System Corporate Employees — Commercial: $73.77
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $14.28
  • Anthem Blue Traditional — Commercial (Traditional): $14.28
  • Anthem Pathway of Kentucky — HMO/HPN: $14.28
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH THIRD GENERATION $285.25 $37.09 $14.28 – $245.03
Thyroid stimulating hormone (TSH) test: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $16.80
  • Aetna Better Health of Kentucky — Managed Medicaid: $16.80
  • Alliance Coal — Commercial: $17.64
  • Anthem — Managed Medicaid: $16.80
  • Anthem — Medicare Advantage: $16.80
  • Anthem — Medicare Select: $16.80
  • Anthem Baptist Health System Corporate Employees — Commercial: $73.77
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $14.28
  • Anthem Blue Traditional — Commercial (Traditional): $14.28
  • Anthem Pathway of Kentucky — HMO/HPN: $14.28
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH RFX ABNORMAL FREE T4 REF $280.64 $36.49 $14.28 – $241.07
Thyroid stimulating hormone (TSH) test: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $16.80
  • Aetna Better Health of Kentucky — Managed Medicaid: $16.80
  • Alliance Coal — Commercial: $17.64
  • Anthem — Managed Medicaid: $16.80
  • Anthem — Medicare Advantage: $16.80
  • Anthem — Medicare Select: $16.80
  • Anthem Baptist Health System Corporate Employees — Commercial: $72.57
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $14.28
  • Anthem Blue Traditional — Commercial (Traditional): $14.28
  • Anthem Pathway of Kentucky — HMO/HPN: $14.28
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC W AUTO DIFF $127.93 $16.64 $6.61 – $109.89
Complete blood count (CBC) with differential: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $7.77
  • Aetna Better Health of Kentucky — Managed Medicaid: $7.77
  • Alliance Coal — Commercial: $8.16
  • Anthem — Managed Medicaid: $7.77
  • Anthem — Medicare Advantage: $7.77
  • Anthem — Medicare Select: $7.77
  • Anthem Baptist Health System Corporate Employees — Commercial: $33.08
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $6.61
  • Anthem Blue Traditional — Commercial (Traditional): $6.61
  • Anthem Pathway of Kentucky — HMO/HPN: $6.61
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC W AUTOMATED DIFFERENTIAL REF $17.99 $2.34 $2.34 – $15.45
Complete blood count (CBC) with differential: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $7.77
  • Aetna Better Health of Kentucky — Managed Medicaid: $7.77
  • Alliance Coal — Commercial: $8.16
  • Anthem — Managed Medicaid: $7.77
  • Anthem — Medicare Advantage: $7.77
  • Anthem — Medicare Select: $7.77
  • Anthem Baptist Health System Corporate Employees — Commercial: $4.65
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $6.61
  • Anthem Blue Traditional — Commercial (Traditional): $6.61
  • Anthem Pathway of Kentucky — HMO/HPN: $6.61
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC $25 $11.75 $7.77 – $11.75
Complete blood count (CBC) with differential: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $7.77
  • Aetna Better Health of Kentucky — Managed Medicaid: $7.77
  • Anthem — Managed Medicaid: $7.77
  • Anthem — Medicare Advantage: $7.77
  • Anthem — Medicare Select: $7.77
  • Center Care — Commercial: $10.59
  • Essence Healthcare — Medicare Advantage: $7.77
  • Humana — Medicare Advantage: $7.77
  • Humana of Kentucky — Managed Medicaid: $7.77
  • Molina Passport of Kentucky — Managed Medicaid: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC WHOLE BLOOD SCREEN $105.05 $13.66 $5.50 – $90.24
Complete blood count (CBC), automated: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $6.47
  • Aetna Better Health of Kentucky — Managed Medicaid: $6.47
  • Alliance Coal — Commercial: $6.79
  • Anthem — Managed Medicaid: $6.47
  • Anthem — Medicare Advantage: $6.47
  • Anthem — Medicare Select: $6.47
  • Anthem Baptist Health System Corporate Employees — Commercial: $27.17
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $5.50
  • Anthem Blue Traditional — Commercial (Traditional): $5.50
  • Anthem Pathway of Kentucky — HMO/HPN: $5.50
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG BLOOD COUNT COMPLETE AUTOMATED $21 $9.87 $6.47 – $9.87
Complete blood count (CBC), automated: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $6.47
  • Aetna Better Health of Kentucky — Managed Medicaid: $6.47
  • Anthem — Managed Medicaid: $6.47
  • Anthem — Medicare Advantage: $6.47
  • Anthem — Medicare Select: $6.47
  • Center Care — Commercial: $8.82
  • Essence Healthcare — Medicare Advantage: $6.47
  • Humana — Medicare Advantage: $6.47
  • Humana of Kentucky — Managed Medicaid: $6.47
  • Molina Passport of Kentucky — Managed Medicaid: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC WHOLE BLOOD SCREEN $105.05 $13.66 $13.66 – $90.24
Complete blood count (CBC), automated: 10 of 14 insurance plan rates
  • Anthem Baptist Health System Corporate Employees — Commercial: $27.17
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $33.82
  • Anthem Blue Traditional — Commercial (Traditional): $34.75
  • Anthem Pathway of Kentucky — HMO/HPN: $31.12
  • Center Care — Commercial: $39.46
  • Deaconess Onecare — Commercial: $52.53
  • Encore — Commercial (Combined): $53.05
  • Encore — PPO: $90.24
  • First Health — PPO: $75.26
  • HealthLink — Commercial: $35.92
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME $79.85 $10.39 $3.34 – $68.59
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $4.29
  • Aetna Better Health of Kentucky — Managed Medicaid: $4.29
  • Alliance Coal — Commercial: $4.50
  • Anthem — Managed Medicaid: $4.29
  • Anthem — Medicare Advantage: $4.29
  • Anthem — Medicare Select: $4.29
  • Anthem Baptist Health System Corporate Employees — Commercial: $20.65
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $3.34
  • Anthem Blue Traditional — Commercial (Traditional): $3.34
  • Anthem Pathway of Kentucky — HMO/HPN: $3.34
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT INR PROTIME REF $65.83 $8.56 $3.34 – $56.55
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $4.29
  • Aetna Better Health of Kentucky — Managed Medicaid: $4.29
  • Alliance Coal — Commercial: $4.50
  • Anthem — Managed Medicaid: $4.29
  • Anthem — Medicare Advantage: $4.29
  • Anthem — Medicare Select: $4.29
  • Anthem Baptist Health System Corporate Employees — Commercial: $17.02
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $3.34
  • Anthem Blue Traditional — Commercial (Traditional): $3.34
  • Anthem Pathway of Kentucky — HMO/HPN: $3.34
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME POC $79.85 $10.39 $3.34 – $68.59
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $4.29
  • Aetna Better Health of Kentucky — Managed Medicaid: $4.29
  • Alliance Coal — Commercial: $4.50
  • Anthem — Managed Medicaid: $4.29
  • Anthem — Medicare Advantage: $4.29
  • Anthem — Medicare Select: $4.29
  • Anthem Baptist Health System Corporate Employees — Commercial: $20.65
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $3.34
  • Anthem Blue Traditional — Commercial (Traditional): $3.34
  • Anthem Pathway of Kentucky — HMO/HPN: $3.34
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC APTT B $232.03 $30.17 $5.10 – $199.31
Blood clotting test (partial thromboplastin time, PTT): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $6.01
  • Aetna Better Health of Kentucky — Managed Medicaid: $6.01
  • Alliance Coal — Commercial: $6.31
  • Anthem — Managed Medicaid: $6.01
  • Anthem — Medicare Advantage: $6.01
  • Anthem — Medicare Select: $6.01
  • Anthem Baptist Health System Corporate Employees — Commercial: $60
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $5.10
  • Anthem Blue Traditional — Commercial (Traditional): $5.10
  • Anthem Pathway of Kentucky — HMO/HPN: $5.10
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PTT PARTIAL THROMB TIME APTT REF $232.03 $30.17 $5.10 – $199.31
Blood clotting test (partial thromboplastin time, PTT): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $6.01
  • Aetna Better Health of Kentucky — Managed Medicaid: $6.01
  • Alliance Coal — Commercial: $6.31
  • Anthem — Managed Medicaid: $6.01
  • Anthem — Medicare Advantage: $6.01
  • Anthem — Medicare Select: $6.01
  • Anthem Baptist Health System Corporate Employees — Commercial: $60
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $5.10
  • Anthem Blue Traditional — Commercial (Traditional): $5.10
  • Anthem Pathway of Kentucky — HMO/HPN: $5.10
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD $19 $8.93 $6.01 – $8.93
Blood clotting test (partial thromboplastin time, PTT): 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $6.01
  • Aetna Better Health of Kentucky — Managed Medicaid: $6.01
  • Anthem — Managed Medicaid: $6.01
  • Anthem — Medicare Advantage: $6.01
  • Anthem — Medicare Select: $6.01
  • Center Care — Commercial: $8.19
  • Essence Healthcare — Medicare Advantage: $6.01
  • Humana — Medicare Advantage: $6.01
  • Humana of Kentucky — Managed Medicaid: $6.01
  • Molina Passport of Kentucky — Managed Medicaid: $6.01

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN W/O CONTRAST $3,818.54 $496.42 $102.26 – $3,280.13
CT scan of the head or brain, without contrast: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $102.26
  • Aetna Better Health of Kentucky — Managed Medicaid: $458.22
  • Alliance Coal — Commercial: $153.39
  • Anthem — Managed Medicaid: $458.22
  • Anthem — Medicare Advantage: $102.26
  • Anthem — Medicare Select: $102.26
  • Anthem Baptist Health System Corporate Employees — Commercial: $987.47
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $409
  • Anthem Blue Traditional — Commercial (Traditional): $1,089
  • Anthem Pathway of Kentucky — HMO/HPN: $409
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL $411 $193.17 $94.56 – $258.99
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $94.56
  • Aetna Better Health of Kentucky — Managed Medicaid: $164.34
  • Anthem — Managed Medicaid: $164.34
  • Anthem — Medicare Advantage: $94.56
  • Anthem — Medicare Select: $94.56
  • Center Care — Commercial: $258.99
  • Essence Healthcare — Medicare Advantage: $94.56
  • Humana — Medicare Advantage: $94.56
  • Humana of Kentucky — Managed Medicaid: $164.34
  • Molina Passport of Kentucky — Managed Medicaid: $164.34
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN W/O CONTRAST $3,818.54 $496.42 $496.41 – $3,280.13
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates
  • Anthem Baptist Health System Corporate Employees — Commercial: $987.47
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $1,229.19
  • Anthem Blue Traditional — Commercial (Traditional): $1,263.17
  • Anthem Pathway of Kentucky — HMO/HPN: $1,131.05
  • Center Care — Commercial: $1,434.24
  • Deaconess Onecare — Commercial: $1,909.27
  • Encore — Commercial (Combined): $1,928.36
  • Encore — PPO: $3,280.13
  • First Health — PPO: $2,735.60
  • HealthLink — Commercial: $1,305.56
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN W&W/O CONTRAST $5,254.76 $683.12 $357.71 – $4,513.84
MRI of the brain, before and after contrast: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $357.71
  • Aetna Better Health of Kentucky — Managed Medicaid: $630.57
  • Alliance Coal — Commercial: $536.57
  • Anthem — Managed Medicaid: $630.57
  • Anthem — Medicare Advantage: $357.71
  • Anthem — Medicare Select: $357.71
  • Anthem Baptist Health System Corporate Employees — Commercial: $1,358.88
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $683
  • Anthem Blue Traditional — Commercial (Traditional): $1,308
  • Anthem Pathway of Kentucky — HMO/HPN: $683
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL $1,536 $721.92 $281.86 – $1,000.88
MRI of the brain, before and after contrast: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $281.86
  • Aetna Better Health of Kentucky — Managed Medicaid: $774.25
  • Anthem — Managed Medicaid: $774.25
  • Anthem — Medicare Advantage: $281.86
  • Anthem — Medicare Select: $281.86
  • Center Care — Commercial: $1,000.88
  • Essence Healthcare — Medicare Advantage: $281.86
  • Humana — Medicare Advantage: $281.86
  • Humana of Kentucky — Managed Medicaid: $774.25
  • Molina Passport of Kentucky — Managed Medicaid: $774.25
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI BRAIN W&W/O CONTRAST $5,254.76 $683.12 $683.12 – $4,513.84
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates
  • Anthem Baptist Health System Corporate Employees — Commercial: $1,358.88
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $1,691.51
  • Anthem Blue Traditional — Commercial (Traditional): $1,738.27
  • Anthem Pathway of Kentucky — HMO/HPN: $1,556.46
  • Center Care — Commercial: $1,973.69
  • Deaconess Onecare — Commercial: $2,627.38
  • Encore — Commercial (Combined): $2,653.65
  • Encore — PPO: $4,513.84
  • First Health — PPO: $3,764.51
  • HealthLink — Commercial: $1,796.60
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS $486.32 $63.23 $58.36 – $417.75
Chest X-ray, 2 views: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $84.52
  • Aetna Better Health of Kentucky — Managed Medicaid: $58.36
  • Alliance Coal — Commercial: $126.78
  • Anthem — Managed Medicaid: $58.36
  • Anthem — Medicare Advantage: $84.52
  • Anthem — Medicare Select: $84.52
  • Anthem Baptist Health System Corporate Employees — Commercial: $125.76
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $156.55
  • Anthem Blue Traditional — Commercial (Traditional): $160.87
  • Anthem Pathway of Kentucky — HMO/HPN: $144.05
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG RADIOLOGIC EXAM CHEST 2 VIEWS $94 $44.18 $23.03 – $44.18
Chest X-ray, 2 views: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $29.27
  • Aetna Better Health of Kentucky — Managed Medicaid: $23.03
  • Anthem — Managed Medicaid: $23.03
  • Anthem — Medicare Advantage: $29.27
  • Anthem — Medicare Select: $29.27
  • Center Care — Commercial: $37.65
  • Essence Healthcare — Medicare Advantage: $29.27
  • Humana — Medicare Advantage: $29.27
  • Humana of Kentucky — Managed Medicaid: $23.03
  • Molina Passport of Kentucky — Managed Medicaid: $23.03
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS $486.32 $63.23 $63.22 – $417.75
Chest X-ray, 2 views: 10 of 14 insurance plan rates
  • Anthem Baptist Health System Corporate Employees — Commercial: $125.76
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $156.55
  • Anthem Blue Traditional — Commercial (Traditional): $160.87
  • Anthem Pathway of Kentucky — HMO/HPN: $144.05
  • Center Care — Commercial: $182.66
  • Deaconess Onecare — Commercial: $243.16
  • Encore — Commercial (Combined): $245.59
  • Encore — PPO: $417.75
  • First Health — PPO: $348.40
  • HealthLink — Commercial: $166.27
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR LUMBAR SPINE 4+ VIEWS $2,467.73 $320.81 $102.26 – $2,119.78
X-ray of the lower spine, at least 4 views: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $102.26
  • Aetna Better Health of Kentucky — Managed Medicaid: $296.13
  • Alliance Coal — Commercial: $153.39
  • Anthem — Managed Medicaid: $296.13
  • Anthem — Medicare Advantage: $102.26
  • Anthem — Medicare Select: $102.26
  • Anthem Baptist Health System Corporate Employees — Commercial: $638.15
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $794.36
  • Anthem Blue Traditional — Commercial (Traditional): $816.33
  • Anthem Pathway of Kentucky — HMO/HPN: $730.94
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS $112 $52.64 $38.13 – $63.96
X-ray of the lower spine, at least 4 views: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $44.98
  • Aetna Better Health of Kentucky — Managed Medicaid: $38.13
  • Anthem — Managed Medicaid: $38.13
  • Anthem — Medicare Advantage: $44.98
  • Anthem — Medicare Select: $44.98
  • Center Care — Commercial: $63.96
  • Essence Healthcare — Medicare Advantage: $44.98
  • Humana — Medicare Advantage: $44.98
  • Humana of Kentucky — Managed Medicaid: $38.13
  • Molina Passport of Kentucky — Managed Medicaid: $38.13
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC XR LUMBAR SPINE 4+ VIEWS $2,467.73 $320.81 $320.80 – $2,119.78
X-ray of the lower spine, at least 4 views: 10 of 14 insurance plan rates
  • Anthem Baptist Health System Corporate Employees — Commercial: $638.15
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $794.36
  • Anthem Blue Traditional — Commercial (Traditional): $816.33
  • Anthem Pathway of Kentucky — HMO/HPN: $730.94
  • Center Care — Commercial: $926.88
  • Deaconess Onecare — Commercial: $1,233.87
  • Encore — Commercial (Combined): $1,246.20
  • Encore — PPO: $2,119.78
  • First Health — PPO: $1,767.88
  • HealthLink — Commercial: $843.72
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O CONTRAST $4,347.48 $565.18 $227.92 – $3,734.49
MRI of the lower back (lumbar spine), without contrast: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $227.92
  • Aetna Better Health of Kentucky — Managed Medicaid: $521.70
  • Alliance Coal — Commercial: $341.88
  • Anthem — Managed Medicaid: $521.70
  • Anthem — Medicare Advantage: $227.92
  • Anthem — Medicare Select: $227.92
  • Anthem Baptist Health System Corporate Employees — Commercial: $1,124.26
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $683
  • Anthem Blue Traditional — Commercial (Traditional): $1,308
  • Anthem Pathway of Kentucky — HMO/HPN: $683
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL $974 $457.78 $169.23 – $622.47
MRI of the lower back (lumbar spine), without contrast: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $169.23
  • Aetna Better Health of Kentucky — Managed Medicaid: $399.65
  • Anthem — Managed Medicaid: $399.65
  • Anthem — Medicare Advantage: $169.23
  • Anthem — Medicare Select: $169.23
  • Center Care — Commercial: $622.47
  • Essence Healthcare — Medicare Advantage: $169.23
  • Humana — Medicare Advantage: $169.23
  • Humana of Kentucky — Managed Medicaid: $399.65
  • Molina Passport of Kentucky — Managed Medicaid: $399.65
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O CONTRAST $4,347.48 $565.18 $565.17 – $3,734.49
MRI of the lower back (lumbar spine), without contrast: 10 of 14 insurance plan rates
  • Anthem Baptist Health System Corporate Employees — Commercial: $1,124.26
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $1,399.45
  • Anthem Blue Traditional — Commercial (Traditional): $1,438.15
  • Anthem Pathway of Kentucky — HMO/HPN: $1,287.72
  • Center Care — Commercial: $1,632.91
  • Deaconess Onecare — Commercial: $2,173.74
  • Encore — Commercial (Combined): $2,195.48
  • Encore — PPO: $3,734.49
  • First Health — PPO: $3,114.53
  • HealthLink — Commercial: $1,486.40
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W/CONTRAST $3,601.66 $468.22 $170.90 – $3,093.83
CT scan of the pelvis, with contrast: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $170.90
  • Aetna Better Health of Kentucky — Managed Medicaid: $432.20
  • Alliance Coal — Commercial: $256.35
  • Anthem — Managed Medicaid: $432.20
  • Anthem — Medicare Advantage: $170.90
  • Anthem — Medicare Select: $170.90
  • Anthem Baptist Health System Corporate Employees — Commercial: $931.39
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $409
  • Anthem Blue Traditional — Commercial (Traditional): $1,089
  • Anthem Pathway of Kentucky — HMO/HPN: $409
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG CT PELVIS W/CONTRAST MATERIAL $610 $286.70 $198.97 – $384.14
CT scan of the pelvis, with contrast: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $198.97
  • Aetna Better Health of Kentucky — Managed Medicaid: $234.50
  • Anthem — Managed Medicaid: $234.50
  • Anthem — Medicare Advantage: $198.97
  • Anthem — Medicare Select: $198.97
  • Center Care — Commercial: $384.14
  • Essence Healthcare — Medicare Advantage: $198.97
  • Humana — Medicare Advantage: $198.97
  • Humana of Kentucky — Managed Medicaid: $234.50
  • Molina Passport of Kentucky — Managed Medicaid: $234.50
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT PELVIS W/CONTRAST $3,601.66 $468.22 $468.22 – $3,093.83
CT scan of the pelvis, with contrast: 10 of 14 insurance plan rates
  • Anthem Baptist Health System Corporate Employees — Commercial: $931.39
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $1,159.37
  • Anthem Blue Traditional — Commercial (Traditional): $1,191.43
  • Anthem Pathway of Kentucky — HMO/HPN: $1,066.81
  • Center Care — Commercial: $1,352.78
  • Deaconess Onecare — Commercial: $1,800.83
  • Encore — Commercial (Combined): $1,818.84
  • Encore — PPO: $3,093.83
  • First Health — PPO: $2,580.23
  • HealthLink — Commercial: $1,231.41
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JOINT W/O CONTRAST $4,377.53 $569.08 $227.92 – $3,760.30
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $227.92
  • Aetna Better Health of Kentucky — Managed Medicaid: $525.30
  • Alliance Coal — Commercial: $341.88
  • Anthem — Managed Medicaid: $525.30
  • Anthem — Medicare Advantage: $227.92
  • Anthem — Medicare Select: $227.92
  • Anthem Baptist Health System Corporate Employees — Commercial: $1,132.03
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $683
  • Anthem Blue Traditional — Commercial (Traditional): $1,308
  • Anthem Pathway of Kentucky — HMO/HPN: $683
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL $1,019 $478.93 $179.37 – $639.03
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $179.37
  • Aetna Better Health of Kentucky — Managed Medicaid: $344.77
  • Anthem — Managed Medicaid: $344.77
  • Anthem — Medicare Advantage: $179.37
  • Anthem — Medicare Select: $179.37
  • Center Care — Commercial: $639.03
  • Essence Healthcare — Medicare Advantage: $179.37
  • Humana — Medicare Advantage: $179.37
  • Humana of Kentucky — Managed Medicaid: $344.77
  • Molina Passport of Kentucky — Managed Medicaid: $344.77
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JOINT W/O CONTRAST $4,377.53 $569.08 $569.08 – $3,760.30
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates
  • Anthem Baptist Health System Corporate Employees — Commercial: $1,132.03
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $1,409.13
  • Anthem Blue Traditional — Commercial (Traditional): $1,448.09
  • Anthem Pathway of Kentucky — HMO/HPN: $1,296.62
  • Center Care — Commercial: $1,644.20
  • Deaconess Onecare — Commercial: $2,188.77
  • Encore — Commercial (Combined): $2,210.65
  • Encore — PPO: $3,760.30
  • First Health — PPO: $3,136.06
  • HealthLink — Commercial: $1,496.68
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABDOMEN AND PELVIS WITH CONTRAST $7,330.31 $952.95 $357.71 – $6,296.74
CT scan of the abdomen and pelvis, with contrast: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $357.71
  • Aetna Better Health of Kentucky — Managed Medicaid: $879.64
  • Alliance Coal — Commercial: $536.57
  • Anthem — Managed Medicaid: $879.64
  • Anthem — Medicare Advantage: $357.71
  • Anthem — Medicare Select: $357.71
  • Anthem Baptist Health System Corporate Employees — Commercial: $1,895.62
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $409
  • Anthem Blue Traditional — Commercial (Traditional): $1,089
  • Anthem Pathway of Kentucky — HMO/HPN: $409
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL $838 $393.86 $265.79 – $434.43
CT scan of the abdomen and pelvis, with contrast: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $265.79
  • Aetna Better Health of Kentucky — Managed Medicaid: $297
  • Anthem — Managed Medicaid: $297
  • Anthem — Medicare Advantage: $265.79
  • Anthem — Medicare Select: $265.79
  • Center Care — Commercial: $434.43
  • Essence Healthcare — Medicare Advantage: $265.79
  • Humana — Medicare Advantage: $265.79
  • Humana of Kentucky — Managed Medicaid: $297
  • Molina Passport of Kentucky — Managed Medicaid: $297
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABDOMEN AND PELVIS WITH CONTRAST $7,330.31 $952.95 $952.94 – $6,296.74
CT scan of the abdomen and pelvis, with contrast: 10 of 14 insurance plan rates
  • Anthem Baptist Health System Corporate Employees — Commercial: $1,895.62
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $2,359.63
  • Anthem Blue Traditional — Commercial (Traditional): $2,424.87
  • Anthem Pathway of Kentucky — HMO/HPN: $2,171.24
  • Center Care — Commercial: $2,753.26
  • Deaconess Onecare — Commercial: $3,665.16
  • Encore — Commercial (Combined): $3,701.81
  • Encore — PPO: $6,296.74
  • First Health — PPO: $5,251.43
  • HealthLink — Commercial: $2,506.23
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE $1,266.57 $164.66 $102.26 – $1,087.98
Ultrasound of the abdomen, complete: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $102.26
  • Aetna Better Health of Kentucky — Managed Medicaid: $151.99
  • Alliance Coal — Commercial: $153.39
  • Anthem — Managed Medicaid: $151.99
  • Anthem — Medicare Advantage: $102.26
  • Anthem — Medicare Select: $102.26
  • Anthem Baptist Health System Corporate Employees — Commercial: $327.54
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $407.71
  • Anthem Blue Traditional — Commercial (Traditional): $418.98
  • Anthem Pathway of Kentucky — HMO/HPN: $375.16
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION $225 $105.75 $88.25 – $163.36
Ultrasound of the abdomen, complete: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $100.42
  • Aetna Better Health of Kentucky — Managed Medicaid: $88.25
  • Anthem — Managed Medicaid: $88.25
  • Anthem — Medicare Advantage: $100.42
  • Anthem — Medicare Select: $100.42
  • Center Care — Commercial: $163.36
  • Essence Healthcare — Medicare Advantage: $100.42
  • Humana — Medicare Advantage: $100.42
  • Humana of Kentucky — Managed Medicaid: $88.25
  • Molina Passport of Kentucky — Managed Medicaid: $88.25
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE $1,266.57 $164.66 $164.65 – $1,087.98
Ultrasound of the abdomen, complete: 10 of 14 insurance plan rates
  • Anthem Baptist Health System Corporate Employees — Commercial: $327.54
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $407.71
  • Anthem Blue Traditional — Commercial (Traditional): $418.98
  • Anthem Pathway of Kentucky — HMO/HPN: $375.16
  • Center Care — Commercial: $475.72
  • Deaconess Onecare — Commercial: $633.29
  • Encore — Commercial (Combined): $639.62
  • Encore — PPO: $1,087.98
  • First Health — PPO: $907.37
  • HealthLink — Commercial: $433.04
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US PREGNANCY > 14 WEEKS SINGLE/FIRST GEST $315.92 $41.07 $37.91 – $300
Pregnancy ultrasound (after the first trimester): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $102.26
  • Aetna Better Health of Kentucky — Managed Medicaid: $37.91
  • Alliance Coal — Commercial: $153.39
  • Anthem — Managed Medicaid: $37.91
  • Anthem — Medicare Advantage: $102.26
  • Anthem — Medicare Select: $102.26
  • Anthem Baptist Health System Corporate Employees — Commercial: $81.70
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $101.69
  • Anthem Blue Traditional — Commercial (Traditional): $104.51
  • Anthem Pathway of Kentucky — HMO/HPN: $93.58
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION $275 $129.25 $99.62 – $175.49
Pregnancy ultrasound (after the first trimester): 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $116.80
  • Aetna Better Health of Kentucky — Managed Medicaid: $99.62
  • Anthem — Managed Medicaid: $99.62
  • Anthem — Medicare Advantage: $116.80
  • Anthem — Medicare Select: $116.80
  • Center Care — Commercial: $175.49
  • Essence Healthcare — Medicare Advantage: $116.80
  • Humana — Medicare Advantage: $116.80
  • Humana of Kentucky — Managed Medicaid: $99.62
  • Molina Passport of Kentucky — Managed Medicaid: $99.62
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US PREGNANCY > 14 WEEKS SINGLE/FIRST GEST $315.92 $41.07 $41.07 – $271.38
Pregnancy ultrasound (after the first trimester): 10 of 14 insurance plan rates
  • Anthem Baptist Health System Corporate Employees — Commercial: $81.70
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $101.69
  • Anthem Blue Traditional — Commercial (Traditional): $104.51
  • Anthem Pathway of Kentucky — HMO/HPN: $93.58
  • Center Care — Commercial: $118.66
  • Deaconess Onecare — Commercial: $157.96
  • Encore — Commercial (Combined): $159.54
  • Encore — PPO: $271.38
  • First Health — PPO: $226.33
  • HealthLink — Commercial: $108.01
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL $1,266.57 $164.66 $102.26 – $1,087.98
Transvaginal ultrasound: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $102.26
  • Aetna Better Health of Kentucky — Managed Medicaid: $151.99
  • Alliance Coal — Commercial: $153.39
  • Anthem — Managed Medicaid: $151.99
  • Anthem — Medicare Advantage: $102.26
  • Anthem — Medicare Select: $102.26
  • Anthem Baptist Health System Corporate Employees — Commercial: $327.54
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $407.71
  • Anthem Blue Traditional — Commercial (Traditional): $418.98
  • Anthem Pathway of Kentucky — HMO/HPN: $375.16
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US TRANSVAGINAL $224 $105.28 $71.37 – $143.30
Transvaginal ultrasound: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $102.07
  • Aetna Better Health of Kentucky — Managed Medicaid: $71.37
  • Anthem — Managed Medicaid: $71.37
  • Anthem — Medicare Advantage: $102.07
  • Anthem — Medicare Select: $102.07
  • Center Care — Commercial: $143.30
  • Essence Healthcare — Medicare Advantage: $102.07
  • Humana — Medicare Advantage: $102.07
  • Humana of Kentucky — Managed Medicaid: $71.37
  • Molina Passport of Kentucky — Managed Medicaid: $71.37
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL $1,266.57 $164.66 $164.65 – $1,087.98
Transvaginal ultrasound: 10 of 14 insurance plan rates
  • Anthem Baptist Health System Corporate Employees — Commercial: $327.54
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $407.71
  • Anthem Blue Traditional — Commercial (Traditional): $418.98
  • Anthem Pathway of Kentucky — HMO/HPN: $375.16
  • Center Care — Commercial: $475.72
  • Deaconess Onecare — Commercial: $633.29
  • Encore — Commercial (Combined): $639.62
  • Encore — PPO: $1,087.98
  • First Health — PPO: $907.37
  • HealthLink — Commercial: $433.04
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC UNILATERAL W/DIGITAL IMAGES W CAD $500 $65 $60 – $429.50
Diagnostic mammogram, one breast: 10 of 20 insurance plan rates
  • Aetna — Medicare Advantage: $83.77
  • Aetna Better Health of Kentucky — Managed Medicaid: $60
  • Anthem — Managed Medicaid: $60
  • Anthem Baptist Health System Corporate Employees — Commercial: $129.30
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $160.95
  • Anthem Blue Traditional — Commercial (Traditional): $165.40
  • Anthem Pathway of Kentucky — HMO/HPN: $148.10
  • Center Care — Commercial: $187.80
  • Deaconess Onecare — Commercial: $250
  • Encore — Commercial (Combined): $200
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI $234 $109.98 $101.11 – $163.96
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $109.22
  • Aetna Better Health of Kentucky — Managed Medicaid: $101.11
  • Anthem — Managed Medicaid: $101.11
  • Anthem — Medicare Advantage: $109.22
  • Anthem — Medicare Select: $109.22
  • Center Care — Commercial: $163.96
  • Essence Healthcare — Medicare Advantage: $109.22
  • Humana — Medicare Advantage: $109.22
  • Humana of Kentucky — Managed Medicaid: $101.11
  • Molina Passport of Kentucky — Managed Medicaid: $101.11
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC UNILATERAL W/DIGITAL IMAGES W CAD $500 $65 $65 – $429.50
Diagnostic mammogram, one breast: 10 of 14 insurance plan rates
  • Anthem Baptist Health System Corporate Employees — Commercial: $129.30
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $160.95
  • Anthem Blue Traditional — Commercial (Traditional): $165.40
  • Anthem Pathway of Kentucky — HMO/HPN: $148.10
  • Center Care — Commercial: $187.80
  • Deaconess Onecare — Commercial: $250
  • Encore — Commercial (Combined): $252.50
  • Encore — PPO: $429.50
  • First Health — PPO: $358.20
  • HealthLink — Commercial: $170.95
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC BILATERAL W/DIGITAL IMAGES W CAD $1,154.05 $150.03 $107.15 – $991.33
Diagnostic mammogram, both breasts: 10 of 20 insurance plan rates
  • Aetna — Medicare Advantage: $107.15
  • Aetna Better Health of Kentucky — Managed Medicaid: $138.49
  • Anthem — Managed Medicaid: $138.49
  • Anthem Baptist Health System Corporate Employees — Commercial: $298.44
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $371.49
  • Anthem Blue Traditional — Commercial (Traditional): $381.76
  • Anthem Pathway of Kentucky — HMO/HPN: $341.83
  • Center Care — Commercial: $433.46
  • Deaconess Onecare — Commercial: $577.03
  • Encore — Commercial (Combined): $200
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI $295 $138.65 $127.99 – $207.33
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $137.53
  • Aetna Better Health of Kentucky — Managed Medicaid: $127.99
  • Anthem — Managed Medicaid: $127.99
  • Anthem — Medicare Advantage: $137.53
  • Anthem — Medicare Select: $137.53
  • Center Care — Commercial: $207.33
  • Essence Healthcare — Medicare Advantage: $137.53
  • Humana — Medicare Advantage: $137.53
  • Humana of Kentucky — Managed Medicaid: $127.99
  • Molina Passport of Kentucky — Managed Medicaid: $127.99
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC BILATERAL W/DIGITAL IMAGES W CAD $1,154.05 $150.03 $150.03 – $991.33
Diagnostic mammogram, both breasts: 10 of 14 insurance plan rates
  • Anthem Baptist Health System Corporate Employees — Commercial: $298.44
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $371.49
  • Anthem Blue Traditional — Commercial (Traditional): $381.76
  • Anthem Pathway of Kentucky — HMO/HPN: $341.83
  • Center Care — Commercial: $433.46
  • Deaconess Onecare — Commercial: $577.03
  • Encore — Commercial (Combined): $582.80
  • Encore — PPO: $991.33
  • First Health — PPO: $826.76
  • HealthLink — Commercial: $394.57
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMOGRAM SCREENING BILATERAL W/DIGITAL IMAGES W CAD $671.96 $87.36 $80.64 – $577.21
Screening mammogram, both breasts: 10 of 20 insurance plan rates
  • Aetna — Medicare Advantage: $88.57
  • Aetna Better Health of Kentucky — Managed Medicaid: $80.64
  • Anthem — Managed Medicaid: $80.64
  • Anthem Baptist Health System Corporate Employees — Commercial: $173.77
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $216.30
  • Anthem Blue Traditional — Commercial (Traditional): $222.28
  • Anthem Pathway of Kentucky — HMO/HPN: $199.03
  • Center Care — Commercial: $252.39
  • Deaconess Onecare — Commercial: $335.98
  • Encore — Commercial (Combined): $200
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD $238 $111.86 $103.33 – $167
Screening mammogram, both breasts: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $111.34
  • Aetna Better Health of Kentucky — Managed Medicaid: $103.33
  • Anthem — Managed Medicaid: $103.33
  • Anthem — Medicare Advantage: $111.34
  • Anthem — Medicare Select: $111.34
  • Center Care — Commercial: $167
  • Essence Healthcare — Medicare Advantage: $111.34
  • Humana — Medicare Advantage: $111.34
  • Humana of Kentucky — Managed Medicaid: $103.33
  • Molina Passport of Kentucky — Managed Medicaid: $103.33
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM SCREENING BILATERAL W/DIGITAL IMAGES W CAD $671.96 $87.36 $87.35 – $577.21
Screening mammogram, both breasts: 10 of 14 insurance plan rates
  • Anthem Baptist Health System Corporate Employees — Commercial: $173.77
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $216.30
  • Anthem Blue Traditional — Commercial (Traditional): $222.28
  • Anthem Pathway of Kentucky — HMO/HPN: $199.03
  • Center Care — Commercial: $252.39
  • Deaconess Onecare — Commercial: $335.98
  • Encore — Commercial (Combined): $339.34
  • Encore — PPO: $577.21
  • First Health — PPO: $481.39
  • HealthLink — Commercial: $229.74

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R $37 $17.39 $12.68 – $25.37
Electrocardiogram (ECG/EKG) with reading: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $12.68
  • Aetna Better Health of Kentucky — Managed Medicaid: $21.79
  • Anthem — Managed Medicaid: $21.79
  • Anthem — Medicare Advantage: $12.68
  • Anthem — Medicare Select: $12.68
  • Center Care — Commercial: $25.37
  • Essence Healthcare — Medicare Advantage: $12.68
  • Humana — Medicare Advantage: $12.68
  • Humana of Kentucky — Managed Medicaid: $21.79
  • Molina Passport of Kentucky — Managed Medicaid: $21.79
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LHC W/WO LV ANGIO $25,721.02 $3,343.74 $3,030.95 – $22,094.36
Left heart catheterization (diagnostic): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $3,030.95
  • Aetna Better Health of Kentucky — Managed Medicaid: $3,086.52
  • Alliance Coal — Commercial: $4,546.43
  • Anthem — Managed Medicaid: $3,086.52
  • Anthem — Medicare Advantage: $3,030.95
  • Anthem — Medicare Select: $3,030.95
  • Anthem Baptist Health System Corporate Employees — Commercial: $6,651.46
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $8,279.60
  • Anthem Blue Traditional — Commercial (Traditional): $8,508.51
  • Anthem Pathway of Kentucky — HMO/HPN: $7,618.57
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee In the file: PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I $1,720 $808.40 $740.27 – $1,075.95
Left heart catheterization (diagnostic): 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $741.16
  • Aetna Better Health of Kentucky — Managed Medicaid: $740.27
  • Anthem — Managed Medicaid: $740.27
  • Anthem — Medicare Advantage: $741.16
  • Anthem — Medicare Select: $741.16
  • Center Care — Commercial: $1,075.95
  • Essence Healthcare — Medicare Advantage: $741.16
  • Humana — Medicare Advantage: $741.16
  • Humana of Kentucky — Managed Medicaid: $740.27
  • Molina Passport of Kentucky — Managed Medicaid: $740.27
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LHC W/WO LV ANGIO $25,721.02 $3,343.74 $3,343.73 – $22,094.36
Left heart catheterization (diagnostic): 10 of 14 insurance plan rates
  • Anthem Baptist Health System Corporate Employees — Commercial: $6,651.46
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $8,279.60
  • Anthem Blue Traditional — Commercial (Traditional): $8,508.51
  • Anthem Pathway of Kentucky — HMO/HPN: $7,618.57
  • Center Care — Commercial: $9,660.82
  • Deaconess Onecare — Commercial: $12,860.51
  • Encore — Commercial (Combined): $12,989.12
  • Encore — PPO: $22,094.36
  • First Health — PPO: $18,426.54
  • HealthLink — Commercial: $8,794.02
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EP COMP STUDY WO INDUCTION $19,900.79 $2,587.11 $2,388.09 – $17,094.78
Heart rhythm study (electrophysiology evaluation): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $6,946.54
  • Aetna Better Health of Kentucky — Managed Medicaid: $2,388.09
  • Alliance Coal — Commercial: $10,419.81
  • Anthem — Managed Medicaid: $2,388.09
  • Anthem — Medicare Advantage: $6,946.54
  • Anthem — Medicare Select: $6,946.54
  • Anthem Baptist Health System Corporate Employees — Commercial: $5,146.34
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $6,406.06
  • Anthem Blue Traditional — Commercial (Traditional): $6,583.18
  • Anthem Pathway of Kentucky — HMO/HPN: $5,894.61
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION $1,348 $633.56 $534.04 – $697.01
Heart rhythm study (electrophysiology evaluation): 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $638.83
  • Aetna Better Health of Kentucky — Managed Medicaid: $697.01
  • Anthem — Managed Medicaid: $697.01
  • Anthem — Medicare Advantage: $638.83
  • Anthem — Medicare Select: $638.83
  • Center Care — Commercial: $534.04
  • Essence Healthcare — Medicare Advantage: $638.83
  • Humana — Medicare Advantage: $638.83
  • Humana of Kentucky — Managed Medicaid: $697.01
  • Molina Passport of Kentucky — Managed Medicaid: $697.01
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EP COMP STUDY WO INDUCTION $19,900.79 $2,587.11 $2,587.10 – $17,094.78
Heart rhythm study (electrophysiology evaluation): 10 of 14 insurance plan rates
  • Anthem Baptist Health System Corporate Employees — Commercial: $5,146.34
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $6,406.06
  • Anthem Blue Traditional — Commercial (Traditional): $6,583.18
  • Anthem Pathway of Kentucky — HMO/HPN: $5,894.61
  • Center Care — Commercial: $7,474.74
  • Deaconess Onecare — Commercial: $9,950.40
  • Encore — Commercial (Combined): $10,049.90
  • Encore — PPO: $17,094.78
  • First Health — PPO: $14,256.93
  • HealthLink — Commercial: $6,804.08
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EP COMP STUDY W/ABLATION AFIB W/TRANSSEPTAL $174,606.26 $22,698.82 $20,952.75 – $149,986.78
Heart rhythm study with ablation for atrial fibrillation: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $22,091.47
  • Aetna Better Health of Kentucky — Managed Medicaid: $20,952.75
  • Alliance Coal — Commercial: $33,137.21
  • Anthem — Managed Medicaid: $20,952.75
  • Anthem — Medicare Advantage: $22,091.47
  • Anthem — Medicare Select: $22,091.47
  • Anthem Baptist Health System Corporate Employees — Commercial: $45,153.18
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $56,205.76
  • Anthem Blue Traditional — Commercial (Traditional): $57,759.75
  • Anthem Pathway of Kentucky — HMO/HPN: $51,718.37
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION $2,143 $1,007.21 $836.99 – $1,457.35
Heart rhythm study with ablation for atrial fibrillation: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $836.99
  • Aetna Better Health of Kentucky — Managed Medicaid: $877.43
  • Anthem — Managed Medicaid: $877.43
  • Anthem — Medicare Advantage: $836.99
  • Anthem — Medicare Select: $836.99
  • Center Care — Commercial: $1,457.35
  • Essence Healthcare — Medicare Advantage: $836.99
  • Humana — Medicare Advantage: $836.99
  • Humana of Kentucky — Managed Medicaid: $877.43
  • Molina Passport of Kentucky — Managed Medicaid: $877.43
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EP COMP STUDY W/ABLATION AFIB W/TRANSSEPTAL $174,606.26 $22,698.82 $22,698.81 – $149,986.78
Heart rhythm study with ablation for atrial fibrillation: 10 of 14 insurance plan rates
  • Anthem Baptist Health System Corporate Employees — Commercial: $45,153.18
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $56,205.76
  • Anthem Blue Traditional — Commercial (Traditional): $57,759.75
  • Anthem Pathway of Kentucky — HMO/HPN: $51,718.37
  • Center Care — Commercial: $65,582.11
  • Deaconess Onecare — Commercial: $87,303.13
  • Encore — Commercial (Combined): $88,176.16
  • Encore — PPO: $149,986.78
  • First Health — PPO: $125,087.92
  • HealthLink — Commercial: $59,697.88
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $12,740.20 $1,656.23 $972.51 – $10,943.83
Sleep study (overnight, in a sleep lab): 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $972.51
  • Aetna Better Health of Kentucky — Managed Medicaid: $1,528.82
  • Alliance Coal — Commercial: $1,458.77
  • Anthem — Managed Medicaid: $1,528.82
  • Anthem — Medicare Advantage: $972.51
  • Anthem — Medicare Select: $972.51
  • Anthem Baptist Health System Corporate Employees — Commercial: $3,294.62
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $4,101.07
  • Anthem Blue Traditional — Commercial (Traditional): $4,214.46
  • Anthem Pathway of Kentucky — HMO/HPN: $3,773.65
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $1,326 $623.22 $540.67 – $917.50
Sleep study (overnight, in a sleep lab): 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $540.67
  • Aetna Better Health of Kentucky — Managed Medicaid: $542.42
  • Anthem — Managed Medicaid: $542.42
  • Anthem — Medicare Advantage: $540.67
  • Anthem — Medicare Select: $540.67
  • Center Care — Commercial: $917.50
  • Essence Healthcare — Medicare Advantage: $540.67
  • Humana — Medicare Advantage: $540.67
  • Humana of Kentucky — Managed Medicaid: $542.42
  • Molina Passport of Kentucky — Managed Medicaid: $542.42
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $12,740.20 $1,656.23 $1,656.23 – $10,943.83
Sleep study (overnight, in a sleep lab): 10 of 14 insurance plan rates
  • Anthem Baptist Health System Corporate Employees — Commercial: $3,294.62
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $4,101.07
  • Anthem Blue Traditional — Commercial (Traditional): $4,214.46
  • Anthem Pathway of Kentucky — HMO/HPN: $3,773.65
  • Center Care — Commercial: $4,785.22
  • Deaconess Onecare — Commercial: $6,370.10
  • Encore — Commercial (Combined): $6,433.80
  • Encore — PPO: $10,943.83
  • First Health — PPO: $9,127.08
  • HealthLink — Commercial: $4,355.87

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT THERAPEUTIC EXERCISE 15 MIN $408.40 $53.10 $21.44 – $350.82
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 17 insurance plan rates
  • Aetna — Medicare Advantage: $21.44
  • Aetna Better Health of Kentucky — Managed Medicaid: $49.01
  • Anthem — Managed Medicaid: $49.01
  • Anthem Baptist Health System Corporate Employees — Commercial: $105.61
  • Anthem Blue Traditional — Commercial (Traditional): $135.10
  • Center Care — Commercial: $153.40
  • Deaconess Onecare — Commercial: $204.20
  • Encore — Commercial (Combined): $206.24
  • Encore — PPO: $350.82
  • First Health — PPO: $292.58
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OT THERAPEUTIC EXERCISE 15 MIN $408.40 $53.10 $21.44 – $350.82
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 17 insurance plan rates
  • Aetna — Medicare Advantage: $21.44
  • Aetna Better Health of Kentucky — Managed Medicaid: $49.01
  • Anthem — Managed Medicaid: $49.01
  • Anthem Baptist Health System Corporate Employees — Commercial: $105.61
  • Anthem Blue Traditional — Commercial (Traditional): $135.10
  • Center Care — Commercial: $153.40
  • Deaconess Onecare — Commercial: $204.20
  • Encore — Commercial (Combined): $206.24
  • Encore — PPO: $350.82
  • First Health — PPO: $292.58
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Doctor (professional) fee In the file: PR THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES $57 $26.79 $20.90 – $35.86
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $26.48
  • Aetna Better Health of Kentucky — Managed Medicaid: $20.90
  • Anthem — Managed Medicaid: $20.90
  • Anthem — Medicare Advantage: $26.48
  • Anthem — Medicare Select: $26.48
  • Center Care — Commercial: $35.86
  • Essence Healthcare — Medicare Advantage: $26.48
  • Humana — Medicare Advantage: $26.48
  • Humana of Kentucky — Managed Medicaid: $20.90
  • Molina Passport of Kentucky — Managed Medicaid: $20.90
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $192 $90.24 $58.31 – $103.59
Physical therapy evaluation (low complexity): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $90.19
  • Aetna Better Health of Kentucky — Managed Medicaid: $63.47
  • Anthem — Managed Medicaid: $63.47
  • Anthem — Medicare Advantage: $90.19
  • Anthem — Medicare Select: $90.19
  • Anthem Baptist Health System Corporate Employees — Commercial: $58.31
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $58.31
  • Anthem Blue Traditional — Commercial (Traditional): $58.31
  • Anthem Pathway of Kentucky — HMO/HPN: $58.31
  • Center Care — Commercial: $103.59
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION 15 MIN LOW COMPLX $617.52 $80.28 $72.24 – $530.45
Physical therapy evaluation (low complexity): 10 of 17 insurance plan rates
  • Aetna — Medicare Advantage: $72.24
  • Aetna Better Health of Kentucky — Managed Medicaid: $74.10
  • Anthem — Managed Medicaid: $74.10
  • Anthem Baptist Health System Corporate Employees — Commercial: $159.69
  • Anthem Blue Traditional — Commercial (Traditional): $204.28
  • Center Care — Commercial: $231.94
  • Deaconess Onecare — Commercial: $308.76
  • Encore — Commercial (Combined): $311.85
  • Encore — PPO: $530.45
  • First Health — PPO: $442.39
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION 120 MIN LOW COMPLX $617.52 $80.28 $72.24 – $530.45
Physical therapy evaluation (low complexity): 10 of 17 insurance plan rates
  • Aetna — Medicare Advantage: $72.24
  • Aetna Better Health of Kentucky — Managed Medicaid: $74.10
  • Anthem — Managed Medicaid: $74.10
  • Anthem Baptist Health System Corporate Employees — Commercial: $159.69
  • Anthem Blue Traditional — Commercial (Traditional): $204.28
  • Center Care — Commercial: $231.94
  • Deaconess Onecare — Commercial: $308.76
  • Encore — Commercial (Combined): $311.85
  • Encore — PPO: $530.45
  • First Health — PPO: $442.39
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $192 $90.24 $58.31 – $103.59
Physical therapy evaluation (moderate complexity): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $90.19
  • Aetna Better Health of Kentucky — Managed Medicaid: $63.47
  • Anthem — Managed Medicaid: $63.47
  • Anthem — Medicare Advantage: $90.19
  • Anthem — Medicare Select: $90.19
  • Anthem Baptist Health System Corporate Employees — Commercial: $58.31
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $58.31
  • Anthem Blue Traditional — Commercial (Traditional): $58.31
  • Anthem Pathway of Kentucky — HMO/HPN: $58.31
  • Center Care — Commercial: $103.59
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION 90 MIN MOD COMPLEX $617.52 $80.28 $72.24 – $530.45
Physical therapy evaluation (moderate complexity): 10 of 17 insurance plan rates
  • Aetna — Medicare Advantage: $72.24
  • Aetna Better Health of Kentucky — Managed Medicaid: $74.10
  • Anthem — Managed Medicaid: $74.10
  • Anthem Baptist Health System Corporate Employees — Commercial: $159.69
  • Anthem Blue Traditional — Commercial (Traditional): $204.28
  • Center Care — Commercial: $231.94
  • Deaconess Onecare — Commercial: $308.76
  • Encore — Commercial (Combined): $311.85
  • Encore — PPO: $530.45
  • First Health — PPO: $442.39
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION 15 MIN MOD COMPLEX $617.52 $80.28 $72.24 – $530.45
Physical therapy evaluation (moderate complexity): 10 of 17 insurance plan rates
  • Aetna — Medicare Advantage: $72.24
  • Aetna Better Health of Kentucky — Managed Medicaid: $74.10
  • Anthem — Managed Medicaid: $74.10
  • Anthem Baptist Health System Corporate Employees — Commercial: $159.69
  • Anthem Blue Traditional — Commercial (Traditional): $204.28
  • Center Care — Commercial: $231.94
  • Deaconess Onecare — Commercial: $308.76
  • Encore — Commercial (Combined): $311.85
  • Encore — PPO: $530.45
  • First Health — PPO: $442.39
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $192 $90.24 $58.31 – $103.59
Physical therapy evaluation (high complexity): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $90.19
  • Aetna Better Health of Kentucky — Managed Medicaid: $63.47
  • Anthem — Managed Medicaid: $63.47
  • Anthem — Medicare Advantage: $90.19
  • Anthem — Medicare Select: $90.19
  • Anthem Baptist Health System Corporate Employees — Commercial: $58.31
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $58.31
  • Anthem Blue Traditional — Commercial (Traditional): $58.31
  • Anthem Pathway of Kentucky — HMO/HPN: $58.31
  • Center Care — Commercial: $103.59
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION 120 MIN HIGH COMPLX $617.52 $80.28 $72.24 – $530.45
Physical therapy evaluation (high complexity): 10 of 17 insurance plan rates
  • Aetna — Medicare Advantage: $72.24
  • Aetna Better Health of Kentucky — Managed Medicaid: $74.10
  • Anthem — Managed Medicaid: $74.10
  • Anthem Baptist Health System Corporate Employees — Commercial: $159.69
  • Anthem Blue Traditional — Commercial (Traditional): $204.28
  • Center Care — Commercial: $231.94
  • Deaconess Onecare — Commercial: $308.76
  • Encore — Commercial (Combined): $311.85
  • Encore — PPO: $530.45
  • First Health — PPO: $442.39
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION 15 MIN II HIGH COMPLEX $617.52 $80.28 $72.24 – $530.45
Physical therapy evaluation (high complexity): 10 of 17 insurance plan rates
  • Aetna — Medicare Advantage: $72.24
  • Aetna Better Health of Kentucky — Managed Medicaid: $74.10
  • Anthem — Managed Medicaid: $74.10
  • Anthem Baptist Health System Corporate Employees — Commercial: $159.69
  • Anthem Blue Traditional — Commercial (Traditional): $204.28
  • Center Care — Commercial: $231.94
  • Deaconess Onecare — Commercial: $308.76
  • Encore — Commercial (Combined): $311.85
  • Encore — PPO: $530.45
  • First Health — PPO: $442.39
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 30 MINUTES $151 $70.97 $47.41 – $76.72
Psychotherapy, 30 minutes: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $65.52
  • Aetna Better Health of Kentucky — Managed Medicaid: $47.41
  • Anthem — Managed Medicaid: $47.41
  • Anthem — Medicare Advantage: $65.52
  • Anthem — Medicare Select: $65.52
  • Anthem Baptist Health System Corporate Employees — Commercial: $76.72
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $76.72
  • Anthem Blue Traditional — Commercial (Traditional): $76.72
  • Anthem Pathway of Kentucky — HMO/HPN: $76.72
  • Center Care — Commercial: $68.94
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES Not listed in the file Not listed in the file $148.30 – $311.43
Psychotherapy, 30 minutes: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $148.30
  • Alliance Coal — Commercial: $222.45
  • Anthem — Medicare Advantage: $148.30
  • Anthem — Medicare Select: $148.30
  • Deaconess Onecare — Commercial: $311.43
  • Essence Healthcare — Medicare Advantage: $152.01
  • Humana — Medicare Advantage: $148.30
  • NonContracted — NonContracted: $237.28
  • Signature — Medicare Advantage: $148.30
  • UMWA — Medicare Advantage: $148.30
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 45 MINUTES $199 $93.53 $62.90 – $103.57
Psychotherapy, 45 minutes: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $86.43
  • Aetna Better Health of Kentucky — Managed Medicaid: $62.90
  • Anthem — Managed Medicaid: $62.90
  • Anthem — Medicare Advantage: $86.43
  • Anthem — Medicare Select: $86.43
  • Anthem Baptist Health System Corporate Employees — Commercial: $102.17
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $102.17
  • Anthem Blue Traditional — Commercial (Traditional): $102.17
  • Anthem Pathway of Kentucky — HMO/HPN: $102.17
  • Center Care — Commercial: $103.57
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES Not listed in the file Not listed in the file $148.30 – $311.43
Psychotherapy, 45 minutes: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $148.30
  • Alliance Coal — Commercial: $222.45
  • Anthem — Medicare Advantage: $148.30
  • Anthem — Medicare Select: $148.30
  • Deaconess Onecare — Commercial: $311.43
  • Essence Healthcare — Medicare Advantage: $152.01
  • Humana — Medicare Advantage: $148.30
  • NonContracted — NonContracted: $237.28
  • Signature — Medicare Advantage: $148.30
  • UMWA — Medicare Advantage: $148.30
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 60 MINUTES $292 $137.24 $94.13 – $156.12
Psychotherapy, 60 minutes: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $127.97
  • Aetna Better Health of Kentucky — Managed Medicaid: $94.13
  • Anthem — Managed Medicaid: $94.13
  • Anthem — Medicare Advantage: $127.97
  • Anthem — Medicare Select: $127.97
  • Anthem Baptist Health System Corporate Employees — Commercial: $153.04
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $153.04
  • Anthem Blue Traditional — Commercial (Traditional): $153.04
  • Anthem Pathway of Kentucky — HMO/HPN: $153.04
  • Center Care — Commercial: $156.12
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES Not listed in the file Not listed in the file $148.30 – $311.43
Psychotherapy, 60 minutes: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $148.30
  • Alliance Coal — Commercial: $222.45
  • Anthem — Medicare Advantage: $148.30
  • Anthem — Medicare Select: $148.30
  • Deaconess Onecare — Commercial: $311.43
  • Essence Healthcare — Medicare Advantage: $152.01
  • Humana — Medicare Advantage: $148.30
  • NonContracted — NonContracted: $237.28
  • Signature — Medicare Advantage: $148.30
  • UMWA — Medicare Advantage: $148.30
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS $193 $90.71 $76.19 – $123.58
Family psychotherapy, without the patient: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $93.45
  • Aetna Better Health of Kentucky — Managed Medicaid: $76.19
  • Anthem — Managed Medicaid: $76.19
  • Anthem — Medicare Advantage: $93.45
  • Anthem — Medicare Select: $93.45
  • Anthem Baptist Health System Corporate Employees — Commercial: $123.58
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $123.58
  • Anthem Blue Traditional — Commercial (Traditional): $123.58
  • Anthem Pathway of Kentucky — HMO/HPN: $123.58
  • Center Care — Commercial: $111.92
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN Not listed in the file Not listed in the file $148.30 – $311.43
Family psychotherapy, without the patient: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $148.30
  • Alliance Coal — Commercial: $222.45
  • Anthem — Medicare Advantage: $148.30
  • Anthem — Medicare Select: $148.30
  • Deaconess Onecare — Commercial: $311.43
  • Essence Healthcare — Medicare Advantage: $152.01
  • Humana — Medicare Advantage: $148.30
  • NonContracted — NonContracted: $237.28
  • Signature — Medicare Advantage: $148.30
  • UMWA — Medicare Advantage: $148.30
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS $200 $94 $78.65 – $134.29
Family psychotherapy, with the patient: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $97.44
  • Aetna Better Health of Kentucky — Managed Medicaid: $78.65
  • Anthem — Managed Medicaid: $78.65
  • Anthem — Medicare Advantage: $97.44
  • Anthem — Medicare Select: $97.44
  • Anthem Baptist Health System Corporate Employees — Commercial: $127.99
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $127.99
  • Anthem Blue Traditional — Commercial (Traditional): $127.99
  • Anthem Pathway of Kentucky — HMO/HPN: $127.99
  • Center Care — Commercial: $134.29
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN Not listed in the file Not listed in the file $148.30 – $311.43
Family psychotherapy, with the patient: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $148.30
  • Alliance Coal — Commercial: $222.45
  • Anthem — Medicare Advantage: $148.30
  • Anthem — Medicare Select: $148.30
  • Deaconess Onecare — Commercial: $311.43
  • Essence Healthcare — Medicare Advantage: $152.01
  • Humana — Medicare Advantage: $148.30
  • NonContracted — NonContracted: $237.28
  • Signature — Medicare Advantage: $148.30
  • UMWA — Medicare Advantage: $148.30
Group psychotherapy CPT 90853 · Inpatient or outpatient · Doctor (professional) fee In the file: PR GROUP PSYCHOTHERAPY $53 $24.91 $19.29 – $38.19
Group psychotherapy: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $23.07
  • Aetna Better Health of Kentucky — Managed Medicaid: $19.29
  • Anthem — Managed Medicaid: $19.29
  • Anthem — Medicare Advantage: $23.07
  • Anthem — Medicare Select: $23.07
  • Anthem Baptist Health System Corporate Employees — Commercial: $30.56
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $30.56
  • Anthem Blue Traditional — Commercial (Traditional): $30.56
  • Anthem Pathway of Kentucky — HMO/HPN: $30.56
  • Center Care — Commercial: $38.19
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY Not listed in the file Not listed in the file $82.91 – $174.11
Group psychotherapy: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $82.91
  • Alliance Coal — Commercial: $124.37
  • Anthem — Medicare Advantage: $82.91
  • Anthem — Medicare Select: $82.91
  • Deaconess Onecare — Commercial: $174.11
  • Essence Healthcare — Medicare Advantage: $84.98
  • Humana — Medicare Advantage: $82.91
  • NonContracted — NonContracted: $132.66
  • Signature — Medicare Advantage: $82.91
  • UMWA — Medicare Advantage: $82.91

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION $1,108 $520.76 $263.73 – $520.76
Removal of breast growth (open surgery): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $379.76
  • Aetna Better Health of Kentucky — Managed Medicaid: $263.73
  • Anthem — Managed Medicaid: $263.73
  • Anthem — Medicare Advantage: $379.76
  • Anthem — Medicare Select: $379.76
  • Anthem Baptist Health System Corporate Employees — Commercial: $485.78
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $485.78
  • Anthem Blue Traditional — Commercial (Traditional): $485.78
  • Anthem Pathway of Kentucky — HMO/HPN: $485.78
  • Center Care — Commercial: $451.95
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $3,545.49 – $7,445.53
Removal of breast growth (open surgery): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $3,545.49
  • Alliance Coal — Commercial: $5,318.24
  • Anthem — Medicare Advantage: $3,545.49
  • Anthem — Medicare Select: $3,545.49
  • Deaconess Onecare — Commercial: $7,445.53
  • Essence Healthcare — Medicare Advantage: $3,634.13
  • Humana — Medicare Advantage: $3,545.49
  • NonContracted — NonContracted: $5,672.78
  • Signature — Medicare Advantage: $3,545.49
  • UMWA — Medicare Advantage: $3,545.49
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT $3,177 $1,493.19 $1,162.26 – $1,706.03
Total hip replacement: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $1,162.26
  • Aetna Better Health of Kentucky — Managed Medicaid: $1,300.74
  • Anthem — Managed Medicaid: $1,300.74
  • Anthem — Medicare Advantage: $1,162.26
  • Anthem — Medicare Select: $1,162.26
  • Center Care — Commercial: $1,706.03
  • Essence Healthcare — Medicare Advantage: $1,162.26
  • Humana — Medicare Advantage: $1,162.26
  • Humana of Kentucky — Managed Medicaid: $1,300.74
  • Molina Passport of Kentucky — Managed Medicaid: $1,300.74
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $12,241.84 – $25,707.86
Total hip replacement: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $12,241.84
  • Alliance Coal — Commercial: $18,362.76
  • Anthem — Medicare Advantage: $12,241.84
  • Anthem — Medicare Select: $12,241.84
  • Deaconess Onecare — Commercial: $25,707.86
  • Essence Healthcare — Medicare Advantage: $12,547.89
  • Humana — Medicare Advantage: $12,241.84
  • NonContracted — NonContracted: $19,586.94
  • Signature — Medicare Advantage: $12,241.84
  • UMWA — Medicare Advantage: $12,241.84
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS $3,574 $1,679.78 $1,160.83 – $1,826.17
Total knee replacement: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $1,160.83
  • Aetna Better Health of Kentucky — Managed Medicaid: $1,373.97
  • Anthem — Managed Medicaid: $1,373.97
  • Anthem — Medicare Advantage: $1,160.83
  • Anthem — Medicare Select: $1,160.83
  • Center Care — Commercial: $1,826.17
  • Essence Healthcare — Medicare Advantage: $1,160.83
  • Humana — Medicare Advantage: $1,160.83
  • Humana of Kentucky — Managed Medicaid: $1,373.97
  • Molina Passport of Kentucky — Managed Medicaid: $1,373.97
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $12,241.84 – $25,707.86
Total knee replacement: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $12,241.84
  • Alliance Coal — Commercial: $18,362.76
  • Anthem — Medicare Advantage: $12,241.84
  • Anthem — Medicare Select: $12,241.84
  • Deaconess Onecare — Commercial: $25,707.86
  • Essence Healthcare — Medicare Advantage: $12,547.89
  • Humana — Medicare Advantage: $12,241.84
  • NonContracted — NonContracted: $19,586.94
  • Signature — Medicare Advantage: $12,241.84
  • UMWA — Medicare Advantage: $12,241.84
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS $1,214 $570.58 $154.93 – $776.27
Shoulder arthroscopy: shaving of shoulder bone: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $154.93
  • Aetna Better Health of Kentucky — Managed Medicaid: $610.22
  • Anthem — Managed Medicaid: $610.22
  • Anthem — Medicare Advantage: $154.93
  • Anthem — Medicare Select: $154.93
  • Center Care — Commercial: $776.27
  • Essence Healthcare — Medicare Advantage: $154.93
  • Humana — Medicare Advantage: $154.93
  • Humana of Kentucky — Managed Medicaid: $610.22
  • Molina Passport of Kentucky — Managed Medicaid: $610.22
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG $1,555 $730.85 $492.76 – $737.43
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $492.76
  • Aetna Better Health of Kentucky — Managed Medicaid: $519.01
  • Anthem — Managed Medicaid: $519.01
  • Anthem — Medicare Advantage: $492.76
  • Anthem — Medicare Select: $492.76
  • Center Care — Commercial: $737.43
  • Essence Healthcare — Medicare Advantage: $492.76
  • Humana — Medicare Advantage: $492.76
  • Humana of Kentucky — Managed Medicaid: $519.01
  • Molina Passport of Kentucky — Managed Medicaid: $519.01
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L Not listed in the file Not listed in the file $3,010.75 – $6,322.58
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $3,010.75
  • Alliance Coal — Commercial: $4,516.13
  • Anthem — Medicare Advantage: $3,010.75
  • Anthem — Medicare Select: $3,010.75
  • Deaconess Onecare — Commercial: $6,322.58
  • Essence Healthcare — Medicare Advantage: $3,086.02
  • Humana — Medicare Advantage: $3,010.75
  • NonContracted — NonContracted: $4,817.20
  • Signature — Medicare Advantage: $3,010.75
  • UMWA — Medicare Advantage: $3,010.75
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12 $624 $293.28 $209.24 – $342.05
Removal of tonsils and adenoids (under age 12): 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $264.37
  • Aetna Better Health of Kentucky — Managed Medicaid: $209.24
  • Anthem — Managed Medicaid: $209.24
  • Anthem — Medicare Advantage: $264.37
  • Anthem — Medicare Select: $264.37
  • Center Care — Commercial: $342.05
  • Essence Healthcare — Medicare Advantage: $264.37
  • Humana — Medicare Advantage: $264.37
  • Humana of Kentucky — Managed Medicaid: $209.24
  • Molina Passport of Kentucky — Managed Medicaid: $209.24
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $5,447.12 – $11,438.95
Removal of tonsils and adenoids (under age 12): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $5,447.12
  • Alliance Coal — Commercial: $8,170.68
  • Anthem — Medicare Advantage: $5,447.12
  • Anthem — Medicare Select: $5,447.12
  • Deaconess Onecare — Commercial: $11,438.95
  • Essence Healthcare — Medicare Advantage: $5,583.30
  • Humana — Medicare Advantage: $5,447.12
  • NonContracted — NonContracted: $8,715.39
  • Signature — Medicare Advantage: $5,447.12
  • UMWA — Medicare Advantage: $5,447.12
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $636 $298.92 $109.54 – $298.92
Upper GI endoscopy (diagnostic): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $109.54
  • Aetna Better Health of Kentucky — Managed Medicaid: $159.52
  • Anthem — Managed Medicaid: $159.52
  • Anthem — Medicare Advantage: $109.54
  • Anthem — Medicare Select: $109.54
  • Anthem Baptist Health System Corporate Employees — Commercial: $155.51
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $155.51
  • Anthem Blue Traditional — Commercial (Traditional): $155.51
  • Anthem Pathway of Kentucky — HMO/HPN: $155.51
  • Center Care — Commercial: $178.47
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $843.17 – $1,770.66
Upper GI endoscopy (diagnostic): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $843.17
  • Alliance Coal — Commercial: $1,264.76
  • Anthem — Medicare Advantage: $843.17
  • Anthem — Medicare Select: $843.17
  • Deaconess Onecare — Commercial: $1,770.66
  • Essence Healthcare — Medicare Advantage: $864.25
  • Humana — Medicare Advantage: $843.17
  • NonContracted — NonContracted: $1,349.07
  • Signature — Medicare Advantage: $843.17
  • UMWA — Medicare Advantage: $843.17
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE $811 $381.17 $123.14 – $381.17
Upper GI endoscopy with biopsy: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $123.14
  • Aetna Better Health of Kentucky — Managed Medicaid: $179.22
  • Anthem — Managed Medicaid: $179.22
  • Anthem — Medicare Advantage: $123.14
  • Anthem — Medicare Select: $123.14
  • Anthem Baptist Health System Corporate Employees — Commercial: $175.52
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $175.52
  • Anthem Blue Traditional — Commercial (Traditional): $175.52
  • Anthem Pathway of Kentucky — HMO/HPN: $175.52
  • Center Care — Commercial: $211.47
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $843.17 – $1,770.66
Upper GI endoscopy with biopsy: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $843.17
  • Alliance Coal — Commercial: $1,264.76
  • Anthem — Medicare Advantage: $843.17
  • Anthem — Medicare Select: $843.17
  • Deaconess Onecare — Commercial: $1,770.66
  • Essence Healthcare — Medicare Advantage: $864.25
  • Humana — Medicare Advantage: $843.17
  • NonContracted — NonContracted: $1,349.07
  • Signature — Medicare Advantage: $843.17
  • UMWA — Medicare Advantage: $843.17
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $731 $343.57 $164.81 – $343.57
Colonoscopy (diagnostic): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $164.81
  • Aetna Better Health of Kentucky — Managed Medicaid: $324.55
  • Anthem — Managed Medicaid: $324.55
  • Anthem — Medicare Advantage: $164.81
  • Anthem — Medicare Select: $164.81
  • Anthem Baptist Health System Corporate Employees — Commercial: $231.86
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $231.86
  • Anthem Blue Traditional — Commercial (Traditional): $231.86
  • Anthem Pathway of Kentucky — HMO/HPN: $231.86
  • Center Care — Commercial: $266.17
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $850.12 – $1,785.25
Colonoscopy (diagnostic): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $850.12
  • Alliance Coal — Commercial: $1,275.18
  • Anthem — Medicare Advantage: $850.12
  • Anthem — Medicare Select: $850.12
  • Deaconess Onecare — Commercial: $1,785.25
  • Essence Healthcare — Medicare Advantage: $871.37
  • Humana — Medicare Advantage: $850.12
  • NonContracted — NonContracted: $1,360.19
  • Signature — Medicare Advantage: $850.12
  • UMWA — Medicare Advantage: $850.12
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee · modifier 53 In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $75.09 – $115.93
Colonoscopy (diagnostic): 10 of 13 insurance plan rates
  • Aetna — Medicare Advantage: $82.70
  • Anthem — Medicare Advantage: $82.70
  • Anthem — Medicare Select: $82.70
  • Anthem Baptist Health System Corporate Employees — Commercial: $115.93
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $115.93
  • Anthem Blue Traditional — Commercial (Traditional): $115.93
  • Anthem Pathway of Kentucky — HMO/HPN: $115.93
  • Center Care — Commercial: $75.09
  • Essence Healthcare — Medicare Advantage: $82.70
  • Humana — Medicare Advantage: $82.70
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE $935 $439.45 $179.29 – $439.45
Colonoscopy with biopsy: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $179.29
  • Aetna Better Health of Kentucky — Managed Medicaid: $415.51
  • Anthem — Managed Medicaid: $415.51
  • Anthem — Medicare Advantage: $179.29
  • Anthem — Medicare Select: $179.29
  • Anthem Baptist Health System Corporate Employees — Commercial: $251.59
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $251.59
  • Anthem Blue Traditional — Commercial (Traditional): $251.59
  • Anthem Pathway of Kentucky — HMO/HPN: $251.59
  • Center Care — Commercial: $320.61
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $1,097.64 – $2,305.04
Colonoscopy with biopsy: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $1,097.64
  • Alliance Coal — Commercial: $1,646.46
  • Anthem — Medicare Advantage: $1,097.64
  • Anthem — Medicare Select: $1,097.64
  • Deaconess Onecare — Commercial: $2,305.04
  • Essence Healthcare — Medicare Advantage: $1,125.08
  • Humana — Medicare Advantage: $1,097.64
  • NonContracted — NonContracted: $1,756.22
  • Signature — Medicare Advantage: $1,097.64
  • UMWA — Medicare Advantage: $1,097.64
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ $981 $461.07 $226.11 – $461.07
Colonoscopy with removal of polyps (snare): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $226.11
  • Aetna Better Health of Kentucky — Managed Medicaid: $435.84
  • Anthem — Managed Medicaid: $435.84
  • Anthem — Medicare Advantage: $226.11
  • Anthem — Medicare Select: $226.11
  • Anthem Baptist Health System Corporate Employees — Commercial: $317.95
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $317.95
  • Anthem Blue Traditional — Commercial (Traditional): $317.95
  • Anthem Pathway of Kentucky — HMO/HPN: $317.95
  • Center Care — Commercial: $380.82
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $1,097.64 – $2,305.04
Colonoscopy with removal of polyps (snare): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $1,097.64
  • Alliance Coal — Commercial: $1,646.46
  • Anthem — Medicare Advantage: $1,097.64
  • Anthem — Medicare Select: $1,097.64
  • Deaconess Onecare — Commercial: $2,305.04
  • Essence Healthcare — Medicare Advantage: $1,125.08
  • Humana — Medicare Advantage: $1,097.64
  • NonContracted — NonContracted: $1,756.22
  • Signature — Medicare Advantage: $1,097.64
  • UMWA — Medicare Advantage: $1,097.64
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX $556 $261.32 $229.12 – $368.39
Ultrasound of the lower bowel by endoscope: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $229.12
  • Aetna Better Health of Kentucky — Managed Medicaid: $247.04
  • Anthem — Managed Medicaid: $247.04
  • Anthem — Medicare Advantage: $229.12
  • Anthem — Medicare Select: $229.12
  • Center Care — Commercial: $368.39
  • Essence Healthcare — Medicare Advantage: $229.12
  • Humana — Medicare Advantage: $229.12
  • Humana of Kentucky — Managed Medicaid: $247.04
  • Molina Passport of Kentucky — Managed Medicaid: $247.04
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $1,097.64 – $2,305.04
Ultrasound of the lower bowel by endoscope: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $1,097.64
  • Alliance Coal — Commercial: $1,646.46
  • Anthem — Medicare Advantage: $1,097.64
  • Anthem — Medicare Select: $1,097.64
  • Deaconess Onecare — Commercial: $2,305.04
  • Essence Healthcare — Medicare Advantage: $1,125.08
  • Humana — Medicare Advantage: $1,097.64
  • NonContracted — NonContracted: $1,756.22
  • Signature — Medicare Advantage: $1,097.64
  • UMWA — Medicare Advantage: $1,097.64
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLON CA SCRN NOT HI RSK IND $650 $305.50 $165.11 – $305.50
Screening colonoscopy (not high risk): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $165.11
  • Aetna Better Health of Kentucky — Managed Medicaid: $243.75
  • Anthem — Managed Medicaid: $243.75
  • Anthem — Medicare Advantage: $165.11
  • Anthem — Medicare Select: $165.11
  • Anthem Baptist Health System Corporate Employees — Commercial: $212.68
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $212.68
  • Anthem Blue Traditional — Commercial (Traditional): $212.68
  • Anthem Pathway of Kentucky — HMO/HPN: $212.68
  • Center Care — Commercial: $266.17
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $861.69 – $1,809.55
Screening colonoscopy (not high risk): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $861.69
  • Alliance Coal — Commercial: $1,292.54
  • Anthem — Medicare Advantage: $861.69
  • Anthem — Medicare Select: $861.69
  • Deaconess Onecare — Commercial: $1,809.55
  • Essence Healthcare — Medicare Advantage: $883.23
  • Humana — Medicare Advantage: $861.69
  • NonContracted — NonContracted: $1,378.70
  • Signature — Medicare Advantage: $861.69
  • UMWA — Medicare Advantage: $861.69
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee · modifier 53 In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $75.09 – $82.70
Screening colonoscopy (not high risk): rates for 9 insurance plans
  • Aetna — Medicare Advantage: $82.70
  • Anthem — Medicare Advantage: $82.70
  • Anthem — Medicare Select: $82.70
  • Center Care — Commercial: $75.09
  • Essence Healthcare — Medicare Advantage: $82.70
  • Humana — Medicare Advantage: $82.70
  • Signature — Medicare Advantage: $82.70
  • UMWA — Medicare Advantage: $82.70
  • United Healthcare — Managed Medicaid: $82.70
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAPAROSCOPY SURG CHOLECYSTECTOMY $1,436 $674.92 $522.64 – $843.11
Gallbladder removal by laparoscope: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $600.56
  • Aetna Better Health of Kentucky — Managed Medicaid: $522.64
  • Anthem — Managed Medicaid: $522.64
  • Anthem — Medicare Advantage: $600.56
  • Anthem — Medicare Select: $600.56
  • Center Care — Commercial: $843.11
  • Essence Healthcare — Medicare Advantage: $600.56
  • Humana — Medicare Advantage: $600.56
  • Humana of Kentucky — Managed Medicaid: $522.64
  • Molina Passport of Kentucky — Managed Medicaid: $522.64
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $5,366.95 – $11,270.60
Gallbladder removal by laparoscope: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $5,366.95
  • Alliance Coal — Commercial: $8,050.43
  • Anthem — Medicare Advantage: $5,366.95
  • Anthem — Medicare Select: $5,366.95
  • Deaconess Onecare — Commercial: $11,270.60
  • Essence Healthcare — Medicare Advantage: $5,501.12
  • Humana — Medicare Advantage: $5,366.95
  • NonContracted — NonContracted: $8,587.12
  • Signature — Medicare Advantage: $5,366.95
  • UMWA — Medicare Advantage: $5,366.95
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE $1,135 $533.45 $350.04 – $586.32
Groin (inguinal) hernia repair, age 5 or older: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $476.13
  • Aetna Better Health of Kentucky — Managed Medicaid: $350.04
  • Anthem — Managed Medicaid: $350.04
  • Anthem — Medicare Advantage: $476.13
  • Anthem — Medicare Select: $476.13
  • Center Care — Commercial: $586.32
  • Essence Healthcare — Medicare Advantage: $476.13
  • Humana — Medicare Advantage: $476.13
  • Humana of Kentucky — Managed Medicaid: $350.04
  • Molina Passport of Kentucky — Managed Medicaid: $350.04
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $3,218.01 – $6,757.82
Groin (inguinal) hernia repair, age 5 or older: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $3,218.01
  • Alliance Coal — Commercial: $4,827.02
  • Anthem — Medicare Advantage: $3,218.01
  • Anthem — Medicare Select: $3,218.01
  • Deaconess Onecare — Commercial: $6,757.82
  • Essence Healthcare — Medicare Advantage: $3,298.46
  • Humana — Medicare Advantage: $3,218.01
  • NonContracted — NonContracted: $5,148.82
  • Signature — Medicare Advantage: $3,218.01
  • UMWA — Medicare Advantage: $3,218.01
Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PROSTATE NEEDLE BIOPSY ANY APPROACH $514 $241.58 $89.95 – $241.58
Prostate biopsy: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $116.63
  • Aetna Better Health of Kentucky — Managed Medicaid: $89.95
  • Anthem — Managed Medicaid: $89.95
  • Anthem — Medicare Advantage: $116.63
  • Anthem — Medicare Select: $116.63
  • Anthem Baptist Health System Corporate Employees — Commercial: $167.75
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $167.75
  • Anthem Blue Traditional — Commercial (Traditional): $167.75
  • Anthem Pathway of Kentucky — HMO/HPN: $167.75
  • Center Care — Commercial: $181.87
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Outpatient Services: CPT/HCPCS Not listed in the file Not listed in the file $1,894.55 – $3,978.56
Prostate biopsy: rates for 9 insurance plans
  • Aetna — Medicare Advantage: $1,894.55
  • Anthem — Medicare Advantage: $1,894.55
  • Anthem — Medicare Select: $1,894.55
  • Essence Healthcare — Medicare Advantage: $1,941.91
  • Humana — Medicare Advantage: $1,894.55
  • NonContracted — NonContracted: $3,031.28
  • Signature — Medicare Advantage: $1,894.55
  • UMWA — Medicare Advantage: $1,894.55
  • Wellcare Ambetter Exchange of Kentucky — Commercial: $3,410.19
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Other Outpatient Services: CPT/HCPCS Not listed in the file Not listed in the file $1,894.55 – $3,978.56
Prostate biopsy: rates for 2 insurance plans
  • Alliance Coal — Commercial: $2,841.83
  • Deaconess Onecare — Commercial: $3,978.56
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT $3,108 $1,460.76 $1,078.65 – $2,320.35
Prostate removal by laparoscope (radical prostatectomy): 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $1,078.65
  • Aetna Better Health of Kentucky — Managed Medicaid: $1,223.28
  • Anthem — Managed Medicaid: $1,223.28
  • Anthem — Medicare Advantage: $1,078.65
  • Anthem — Medicare Select: $1,078.65
  • Center Care — Commercial: $2,320.35
  • Essence Healthcare — Medicare Advantage: $1,078.65
  • Humana — Medicare Advantage: $1,078.65
  • Humana of Kentucky — Managed Medicaid: $1,223.28
  • Molina Passport of Kentucky — Managed Medicaid: $1,223.28
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $9,574.70 – $20,106.87
Prostate removal by laparoscope (radical prostatectomy): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $9,574.70
  • Alliance Coal — Commercial: $14,362.05
  • Anthem — Medicare Advantage: $9,574.70
  • Anthem — Medicare Select: $9,574.70
  • Deaconess Onecare — Commercial: $20,106.87
  • Essence Healthcare — Medicare Advantage: $9,814.07
  • Humana — Medicare Advantage: $9,574.70
  • NonContracted — NonContracted: $15,319.52
  • Signature — Medicare Advantage: $9,574.70
  • UMWA — Medicare Advantage: $9,574.70
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C $2,854 $1,341.38 $209.03 – $1,341.38
Hysteroscopy with biopsy of the uterus lining: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $209.03
  • Aetna Better Health of Kentucky — Managed Medicaid: $213.26
  • Anthem — Managed Medicaid: $213.26
  • Anthem — Medicare Advantage: $209.03
  • Anthem — Medicare Select: $209.03
  • Anthem Baptist Health System Corporate Employees — Commercial: $315.40
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $315.40
  • Anthem Blue Traditional — Commercial (Traditional): $315.40
  • Anthem Pathway of Kentucky — HMO/HPN: $315.40
  • Center Care — Commercial: $329.37
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $2,907.99 – $6,106.78
Hysteroscopy with biopsy of the uterus lining: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $2,907.99
  • Alliance Coal — Commercial: $4,361.99
  • Anthem — Medicare Advantage: $2,907.99
  • Anthem — Medicare Select: $2,907.99
  • Deaconess Onecare — Commercial: $6,106.78
  • Essence Healthcare — Medicare Advantage: $2,980.69
  • Humana — Medicare Advantage: $2,907.99
  • NonContracted — NonContracted: $4,652.78
  • Signature — Medicare Advantage: $2,907.99
  • UMWA — Medicare Advantage: $2,907.99
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $9,041.06 $1,175.34 $643.24 – $7,766.27
Spinal injection, lower back (epidural), with imaging guidance: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $643.24
  • Aetna Better Health of Kentucky — Managed Medicaid: $1,084.93
  • Alliance Coal — Commercial: $964.86
  • Anthem — Managed Medicaid: $1,084.93
  • Anthem — Medicare Advantage: $643.24
  • Anthem — Medicare Select: $643.24
  • Anthem Baptist Health System Corporate Employees — Commercial: $2,338.02
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $2,910.32
  • Anthem Blue Traditional — Commercial (Traditional): $2,990.78
  • Anthem Pathway of Kentucky — HMO/HPN: $2,677.96
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EPIDURAL LUMBAR SACRAL W IMAGING $2,140 $278.20 $256.80 – $1,838.26
Spinal injection, lower back (epidural), with imaging guidance: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $643.24
  • Aetna Better Health of Kentucky — Managed Medicaid: $256.80
  • Alliance Coal — Commercial: $964.86
  • Anthem — Managed Medicaid: $256.80
  • Anthem — Medicare Advantage: $643.24
  • Anthem — Medicare Select: $643.24
  • Anthem Baptist Health System Corporate Employees — Commercial: $553.40
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $688.87
  • Anthem Blue Traditional — Commercial (Traditional): $707.91
  • Anthem Pathway of Kentucky — HMO/HPN: $633.87
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $547 $257.09 $89.34 – $257.09
Spinal injection, lower back (epidural), with imaging guidance: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $89.34
  • Aetna Better Health of Kentucky — Managed Medicaid: $186.33
  • Anthem — Managed Medicaid: $186.33
  • Anthem — Medicare Advantage: $89.34
  • Anthem — Medicare Select: $89.34
  • Anthem Baptist Health System Corporate Employees — Commercial: $98.37
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $98.37
  • Anthem Blue Traditional — Commercial (Traditional): $98.37
  • Anthem Pathway of Kentucky — HMO/HPN: $98.37
  • Center Care — Commercial: $132.47
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJECT FORAMEN EPIDURAL L/S SINGLE RT $4,191.79 $544.94 $503.01 – $3,600.75
Nerve root injection, lower back, with imaging guidance: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $847.81
  • Aetna Better Health of Kentucky — Managed Medicaid: $503.01
  • Alliance Coal — Commercial: $1,271.72
  • Anthem — Managed Medicaid: $503.01
  • Anthem — Medicare Advantage: $847.81
  • Anthem — Medicare Select: $847.81
  • Anthem Baptist Health System Corporate Employees — Commercial: $1,084
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $1,349.34
  • Anthem Blue Traditional — Commercial (Traditional): $1,386.64
  • Anthem Pathway of Kentucky — HMO/HPN: $1,241.61
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJECT FORAMEN EPIDURAL L/S SINGLE $2,476.78 $321.99 $297.21 – $2,127.55
Nerve root injection, lower back, with imaging guidance: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $847.81
  • Aetna Better Health of Kentucky — Managed Medicaid: $297.21
  • Alliance Coal — Commercial: $1,271.72
  • Anthem — Managed Medicaid: $297.21
  • Anthem — Medicare Advantage: $847.81
  • Anthem — Medicare Select: $847.81
  • Anthem Baptist Health System Corporate Employees — Commercial: $640.50
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $797.28
  • Anthem Blue Traditional — Commercial (Traditional): $819.32
  • Anthem Pathway of Kentucky — HMO/HPN: $733.62
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL $4,189.42 $544.63 $502.73 – $3,598.71
Nerve root injection, lower back, with imaging guidance: 10 of 29 insurance plan rates
  • Aetna — Medicare Advantage: $847.81
  • Aetna Better Health of Kentucky — Managed Medicaid: $502.73
  • Alliance Coal — Commercial: $1,271.72
  • Anthem — Managed Medicaid: $502.73
  • Anthem — Medicare Advantage: $847.81
  • Anthem — Medicare Select: $847.81
  • Anthem Baptist Health System Corporate Employees — Commercial: $1,083.38
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $1,348.57
  • Anthem Blue Traditional — Commercial (Traditional): $1,385.86
  • Anthem Pathway of Kentucky — HMO/HPN: $1,240.91
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE $1,186 $557.42 $284.77 – $557.42
Carpal tunnel release: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $397.34
  • Aetna Better Health of Kentucky — Managed Medicaid: $284.77
  • Anthem — Managed Medicaid: $284.77
  • Anthem — Medicare Advantage: $397.34
  • Anthem — Medicare Select: $397.34
  • Anthem Baptist Health System Corporate Employees — Commercial: $494.77
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $494.77
  • Anthem Blue Traditional — Commercial (Traditional): $494.77
  • Anthem Pathway of Kentucky — HMO/HPN: $494.77
  • Center Care — Commercial: $467.46
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $1,795.92 – $3,771.43
Carpal tunnel release: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $1,795.92
  • Alliance Coal — Commercial: $2,693.88
  • Anthem — Medicare Advantage: $1,795.92
  • Anthem — Medicare Select: $1,795.92
  • Deaconess Onecare — Commercial: $3,771.43
  • Essence Healthcare — Medicare Advantage: $1,840.82
  • Humana — Medicare Advantage: $1,795.92
  • NonContracted — NonContracted: $2,873.47
  • Signature — Medicare Advantage: $1,795.92
  • UMWA — Medicare Advantage: $1,795.92
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee In the file: PR POST-CATARACT LASER SURGERY $694 $326.18 $192.76 – $357.16
Laser treatment of clouding after cataract surgery: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $271.70
  • Aetna Better Health of Kentucky — Managed Medicaid: $192.76
  • Anthem — Managed Medicaid: $192.76
  • Anthem — Medicare Advantage: $271.70
  • Anthem — Medicare Select: $271.70
  • Anthem Baptist Health System Corporate Employees — Commercial: $357.16
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $357.16
  • Anthem Blue Traditional — Commercial (Traditional): $357.16
  • Anthem Pathway of Kentucky — HMO/HPN: $357.16
  • Center Care — Commercial: $316.28
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $540.67 – $1,135.41
Laser treatment of clouding after cataract surgery: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $540.67
  • Alliance Coal — Commercial: $811.01
  • Anthem — Medicare Advantage: $540.67
  • Anthem — Medicare Select: $540.67
  • Deaconess Onecare — Commercial: $1,135.41
  • Essence Healthcare — Medicare Advantage: $554.19
  • Humana — Medicare Advantage: $540.67
  • NonContracted — NonContracted: $865.07
  • Signature — Medicare Advantage: $540.67
  • UMWA — Medicare Advantage: $540.67
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Doctor (professional) fee In the file: PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP $1,614 $758.58 $424.10 – $815.73
Cataract removal with lens implant: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $478.19
  • Aetna Better Health of Kentucky — Managed Medicaid: $424.10
  • Anthem — Managed Medicaid: $424.10
  • Anthem — Medicare Advantage: $478.19
  • Anthem — Medicare Select: $478.19
  • Center Care — Commercial: $815.73
  • Essence Healthcare — Medicare Advantage: $478.19
  • Humana — Medicare Advantage: $478.19
  • Humana of Kentucky — Managed Medicaid: $424.10
  • Molina Passport of Kentucky — Managed Medicaid: $424.10
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $2,167.59 – $4,551.94
Cataract removal with lens implant: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $2,167.59
  • Alliance Coal — Commercial: $3,251.39
  • Anthem — Medicare Advantage: $2,167.59
  • Anthem — Medicare Select: $2,167.59
  • Deaconess Onecare — Commercial: $4,551.94
  • Essence Healthcare — Medicare Advantage: $2,221.78
  • Humana — Medicare Advantage: $2,167.59
  • NonContracted — NonContracted: $3,468.14
  • Signature — Medicare Advantage: $2,167.59
  • UMWA — Medicare Advantage: $2,167.59

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM $5,153 $2,421.91 $2,114.85 – $2,421.91
Vaginal delivery, with care before and after: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $2,178
  • Anthem — Medicare Advantage: $2,178
  • Anthem — Medicare Select: $2,178
  • Center Care — Commercial: $2,114.85
  • Essence Healthcare — Medicare Advantage: $2,178
  • Humana — Medicare Advantage: $2,178
  • Self-pay — Self-pay: $2,421.91
  • Signature — Medicare Advantage: $2,178
  • UMWA — Medicare Advantage: $2,178
  • United Healthcare — Managed Medicaid: $2,178
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM $5,687 $2,672.89 $2,394.82 – $2,672.89
Cesarean delivery (C-section), with care before and after: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $2,420.54
  • Anthem — Medicare Advantage: $2,420.54
  • Anthem — Medicare Select: $2,420.54
  • Center Care — Commercial: $2,394.82
  • Essence Healthcare — Medicare Advantage: $2,420.54
  • Humana — Medicare Advantage: $2,420.54
  • Self-pay — Self-pay: $2,672.89
  • Signature — Medicare Advantage: $2,420.54
  • UMWA — Medicare Advantage: $2,420.54
  • United Healthcare — Managed Medicaid: $2,420.54
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB $5,385 $2,530.95 $2,227.27 – $2,530.95
Vaginal delivery after a previous C-section, with care before and after: rates for 10 insurance plans
  • Aetna — Medicare Advantage: $2,282.75
  • Anthem — Medicare Advantage: $2,282.75
  • Anthem — Medicare Select: $2,282.75
  • Center Care — Commercial: $2,227.27
  • Essence Healthcare — Medicare Advantage: $2,282.75
  • Humana — Medicare Advantage: $2,282.75
  • Self-pay — Self-pay: $2,530.95
  • Signature — Medicare Advantage: $2,282.75
  • UMWA — Medicare Advantage: $2,282.75
  • United Healthcare — Managed Medicaid: $2,282.75

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $66,968.26 – $154,678.78
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $73,656.56
  • Aetna Better Health of Kentucky — Managed Medicaid: $74,846.88
  • Alliance Coal — Commercial: $110,484.84
  • Anthem — Managed Medicaid: $74,846.88
  • Anthem — Medicare Advantage: $73,656.56
  • Anthem — Medicare Select: $73,656.56
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $136,205.75
  • Anthem Pathway of Kentucky — HMO/HPN: $122,589.03
  • Deaconess Onecare — Commercial: $154,678.78
  • Essence Healthcare — Medicare Advantage: $75,497.97
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $13,084.29 – $30,221.21
Hip or knee replacement (major joint of the leg), without major complications: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $14,391.05
  • Aetna Better Health of Kentucky — Managed Medicaid: $14,623.62
  • Alliance Coal — Commercial: $21,586.58
  • Anthem — Managed Medicaid: $14,623.62
  • Anthem — Medicare Advantage: $14,391.05
  • Anthem — Medicare Select: $14,391.05
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $26,611.95
  • Anthem Pathway of Kentucky — HMO/HPN: $23,951.51
  • Deaconess Onecare — Commercial: $30,221.21
  • Essence Healthcare — Medicare Advantage: $14,750.83
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $16,427.02 – $37,942
Neck (cervical) spinal fusion, without complications: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $18,067.62
  • Aetna Better Health of Kentucky — Managed Medicaid: $18,359.61
  • Alliance Coal — Commercial: $27,101.43
  • Anthem — Managed Medicaid: $18,359.61
  • Anthem — Medicare Advantage: $18,067.62
  • Anthem — Medicare Select: $18,067.62
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $33,410.66
  • Anthem Pathway of Kentucky — HMO/HPN: $30,070.54
  • Deaconess Onecare — Commercial: $37,942
  • Essence Healthcare — Medicare Advantage: $18,519.31
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $8,317.60 – $19,408.68
Uterus and ovary surgery (not for cancer), without complications: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $9,242.23
  • Aetna Better Health of Kentucky — Managed Medicaid: $9,296.14
  • Alliance Coal — Commercial: $13,863.35
  • Anthem — Managed Medicaid: $9,296.14
  • Anthem — Medicare Advantage: $9,242.23
  • Anthem — Medicare Select: $9,242.23
  • Anthem Blue Preferred/Blue Access — HMO/HIC/PPO: $16,917.04
  • Anthem Pathway of Kentucky — HMO/HPN: $15,225.82
  • Deaconess Onecare — Commercial: $19,408.68
  • Essence Healthcare — Medicare Advantage: $9,473.29

Source: Baptist Health Deaconess Madisonville’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 3, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeAcute Care Hospital
Address900 Hospital Drive, Madisonville, KY 42431
CountyHopkins County
StateKentucky
Phone(270) 825‑5100
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number180093
Name in Medicare recordsBAPTIST HEALTH DEACONESS MADISONVILLE
Profile levelMedicare data + hospital website
Official websitebaptisthealthdeaconess.com
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

  1. Baptist Health Deaconess - Baptist Health Deaconess Madisonville — baptisthealthdeaconess.com
  2. Baptist Health Deaconess - Services — baptisthealthdeaconess.com
  3. Baptist Health Deaconess - Emergency Care — baptisthealthdeaconess.com
  4. Baptist Health Deaconess - For You - Visitation — baptisthealthdeaconess.com