Quick answers
- Does Georgetown Community Hospital have an emergency room?
- Yes. Medicare (CMS) data lists emergency services at Georgetown Community Hospital. In a medical emergency, call 911.
- Where is Georgetown Community Hospital?
- 1140 Lexington Road, Georgetown, KY 40324, in Scott County, Kentucky.
- What is the phone number of Georgetown Community Hospital?
- (502) 868-1100, as listed by Medicare (CMS).
- What is the Medicare star rating of Georgetown Community Hospital?
- 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
- Does Medicare reduce its payments to Georgetown Community Hospital for hospital-acquired conditions?
- No. For fiscal year 2026, CMS lists no Medicare payment reduction for Georgetown Community Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.1743; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).
Specialties and care areas[4]
- Bariatrics & Weight Loss
- Breast Health
- Cancer Care
- Cardiology
- Dermatology
- Diabetes Care
- Digestive Care
- Ear, Nose & Throat
- General Surgery
- Gynecology
- Nephrology
- Neurology
- Orthopedic Care & Sports Medicine
- Primary Care
- Urology
- Women & Babies
- Diagnostic Imaging
- Laboratory
- Respiratory Services
Treatments[4][9][10]
- Interventional pain management
- Physical, speech and occupational therapy
- Children's therapy
- Pulmonary rehabilitation
- Respiratory services
- Sleep clinic
- Robotic-assisted surgery
Programs and centers[4][6]
- Hospitalist Program
- Walk-In Care
- Bariatrics & Weight Loss
- Breast Health
- Women & Babies
- Interventional Pain Management
- Pulmonary Rehabilitation
- Sleep Clinic
- Children's Therapy
- Physical, Speech & Occupational Therapy
Emergency care (hospital website)[4][5][7][11]
| Emergency room | Yes |
|---|---|
| Open 24/7 | Yes |
| Stroke designation | Acute Stroke Ready Hospital |
Visiting and practical information
Recognition[7]
- Accredited Chest Pain Center (American College of Cardiology)
Doctors and clinicians (184)
184 doctors and other clinicians list Georgetown Community Hospital 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
- Physician Assistant28
- Family Practice26
- Nurse Practitioner24
- Diagnostic Radiology16
- Certified Registered Nurse Anesthetist (CRNA)14
- Internal Medicine9
- Orthopedic Surgery9
- Ophthalmology7
- Cardiovascular Disease (Cardiology)5
- Anesthesiology5
- General Surgery4
- Emergency Medicine4
Doctors with a page on this site (184)
- Aaron M. Ricca, MDOphthalmology
- Abbi ChandlerNurse Practitioner
- Adrian N. Chaffin, DOFamily Practice
- Alanna R. Beaudette, CNACertified Registered Nurse Anesthetist (CRNA)
- Allen T. Griffin, MDInfectious Disease
- Allison L. ChristianPhysician Assistant
- Amanda G. Estep, MDFamily Practice
- Amjed Katmeh, MDFamily Practice
- Amy A. Barko, DPMPodiatry
- Andrew J. Alexander, MDInfectious Disease
- Andrew P. Balbaugh, MDInternal Medicine
- Anita J. Spirek, MDObstetrics/Gynecology
- Anne-Margaret E. Brown, NPNurse Practitioner
- Anthony J. Lopez, MDAnesthesiology
- Anthony Marano, MDInterventional Cardiology
- Ashley HenegarPhysician Assistant
- Autumn R. Ballard, PAPhysician Assistant
- Benjamin P. Lyon, MDInternal Medicine
- Blake A. Isernhagen, MDOphthalmology
- Brett L. Stoner, CNACertified Registered Nurse Anesthetist (CRNA)
- Brian D. Smith, MDFamily Practice
- Brittany N. Williams, MDDiagnostic Radiology
- Caleb W. Dawson, MDGeneral Surgery
- Candace Jones-Martin, NPNurse Practitioner
And 160 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
- Saint Joseph Hospital11 mi · Lexington, KY · Acute Care Hospital
- University of Kentucky Hospital11 mi · Lexington, KY · Acute Care Hospital
- Lexington VA Medical Center11 mi · Lexington, KY · Federal/VA Acute Care Hospital
- Baptist Health Lexington12 mi · Lexington, KY · Acute Care Hospital
- Bluegrass Community Hospital13 mi · Versailles, KY · Critical Access Hospital
Find the closest emergency room to where you are → · Compare ER wait times
Other hospitals near Georgetown
- Eastern State Hospital7.8 mi · Lexington, KY · Psychiatric Hospital
- Cardinal Hill Rehabilitation Hospital9.6 mi · Lexington, KY · Inpatient Rehabilitation Hospital
- Continuing Care Hospital, Inc11 mi · Lexington, KY · Long-Term Acute Care Hospital
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
- Signature Healthcare of Georgetown0.8 mi · Georgetown, KY · 2 of 5 stars
- Dover Nursing & Rehabilitation Center2.5 mi · Georgetown, KY · 1 of 5 stars
- The Home Place at Midway7.8 mi · Midway, KY · 2 of 5 stars
All nursing homes in the state →
Hospice providers
- Hospice of the Bluegrass, Inc dba Bluegrass Care N10.0 mi · Lexington, KY · 3 of 5 stars
All hospice providers in the state →
Home health agencies
- Enhabit Home Health of Kentucky10.0 mi · Lexington, KY · 3 of 5 stars
- Centerwell Home Health10 mi · Lexington, KY · 4.5 of 5 stars
- Frankfort Regional Healthcare at Home10 mi · Lexington, KY · 4.5 of 5 stars
All home health agencies in the state →
Dialysis facilities
- FMC - Georgetown Dialysis Clinic4.2 mi · Georgetown, KY · 1 of 5 stars
- DCI - Lexington6.3 mi · Lexington, KY · 4 of 5 stars
- FMC - Lexington North6.3 mi · Lexington, KY · 3 of 5 stars
Outpatient surgery centers nearby
Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.
- Shriners Hospital for Children Ambulatory Surgery9.1 mi · Lexington, KY
- CHI Saint Joseph Health Outpatient Surgery Center10.0 mi · Lexington, KY
- Commonwealth Eye Surgicenter10.0 mi · Lexington, KY
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
- Northside Elementary Healthy Kids Clinic6.7 mi · Midway, KY · Community health center
- Booker T. Washington HealthFirst Bluegrass School Clinic8.7 mi · Lexington, KY · Community health center
- HealthFirst Bluegrass Newtown- Dental9.1 mi · Lexington, KY · Community health center
Clinics and urgent care
- Scott County Primary Care4.2 mi · Georgetown, KY · Rural health clinic
- Veridion Healt LLC4.2 mi · Georgetown, KY · Urgent care center
- American Current Care P.A.6.3 mi · Lexington, KY · Urgent care center
Pharmacies
- CMKRX LLC4.2 mi · Georgetown, KY · Community/retail pharmacy
- Georgetown KY Pharmacy LLC4.2 mi · Georgetown, KY · Community/retail pharmacy
- Kroger Limited Partnership I4.2 mi · Georgetown, KY · Community/retail pharmacy
Assisted living nearby
Licensed homes from the official state license list, by straight-line distance.
- Hometown Manor of Georgetown4.2 mi · Georgetown, KY
- Storypoint Georgetown4.2 mi · Georgetown, KY
- The Meadows at Windsor Gardens4.2 mi · Georgetown, KY
- Windsor Gardens of Georgetown4.2 mi · Georgetown, KY
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 Georgetown Community Hospital 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 hospital | 3 of 5 stars |
| Would recommend the hospital | 3 of 5 stars |
| Nurses communicated well | 4 of 5 stars |
| Doctors communicated well | 3 of 5 stars |
| Patients got help quickly from staff | 3 of 5 stars |
| Staff explained medicines | 3 of 5 stars |
| Information about recovery at home | 4 of 5 stars |
| Room and bathroom kept clean | 3 of 5 stars |
| Restfulness of Environment | 4 of 5 stars |
| Care Coordination | 3 of 5 stars |
| Symptoms After Stay | 3 of 5 stars |
| Rated the hospital 9 or 10 out of 10 | 70%National average: 72% |
| Would definitely recommend the hospital | 67%National average: 71% |
| Nurses “always” communicated well | 79%National average: 80% |
| Doctors “always” communicated well | 81%National average: 80% |
| “Always” got help as soon as they wanted | 64%National average: 64% |
| Staff “always” explained medicines before giving them | 64%National average: 62% |
| Were given information about recovery at home | 89%National average: 86% |
| Room and bathroom “always” clean | 71%National average: 73% |
| Completed surveys | 357Response rate: 19% |
Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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.
| Clostridioides difficile (C. diff) intestinal infections | 0No different from the national benchmark |
|---|---|
| Not reported to Medicare | Central line bloodstream infections (CLABSI); Catheter-associated urinary tract infections (CAUTI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections |
Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 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 failure patients | 10% |
|---|---|
| Deaths within 30 days: pneumonia patients | 15.9% |
| Serious complications (patient safety indicator PSI-90) | 0.92No different from the national rate |
| Not reported to Medicare | Deaths within 30 days: coronary bypass surgery (CABG) |
| Too few cases to report | Deaths within 30 days: heart attack patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients; Complications after hip or knee replacement |
Source: Complications and Deaths - Hospital — CMS, released October 20, 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) | 17.3% |
|---|---|
| Readmitted within 30 days: heart failure | 22.4% |
| Readmitted within 30 days: pneumonia | 17.9% |
| Readmitted within 30 days: COPD | 20.7% |
| Not reported to Medicare | Readmitted within 30 days: coronary bypass surgery |
| Too few cases to report | Readmitted within 30 days: heart attack; Readmitted within 30 days: hip or knee replacement |
Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 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) | 144 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) | 78%National average: 66% |
Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.
Medicare payment programs
Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Georgetown Community Hospital, fiscal year 2026 (October 2025 to September 2026).
Show the Medicare payment program results
Hospital-Acquired Condition Reduction Program
What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.
CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.
| Medicare payment reduction, fiscal year 2026 | NoCMS lists no payment reduction for this hospital. |
|---|---|
| Total HAC Score | 0.1743Lower is better. Hospitals above the 75th percentile of all scores get the reduction. |
Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.
Hospital Readmissions Reduction Program
What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.
CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).
| Heart failure | 1.0326More readmissions than expected |
|---|---|
| Pneumonia | 1.0432More readmissions than expected |
| No result published | Heart attack; COPD (chronic lung disease); Hip or knee replacement; Coronary bypass surgery (CABG) (not reported, or too few cases) |
Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.
Hospital Value-Based Purchasing Program
What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.
CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.
| Total Performance Score | 44.00 out of 100Median of the 2,455 hospitals in the program: 29.50 |
|---|---|
| Clinical outcomes (deaths and complications) | 20.00 out of 100 |
| Person and community engagement (patient survey) | 41.00 out of 100 |
| Safety (infections and sepsis care) | 75.00 out of 100 |
| Efficiency and cost reduction (Medicare spending) | 40.00 out of 100 |
Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.
Medicare spending per patient (MSPB)
What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.
CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.
| Medicare spending per patient, ratio | 0.96Below the national median hospital (1.00): Medicare spent less |
|---|
Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.
ER wait times and Medicare ratings nearby
How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.
Prices
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 69 common services exactly as Georgetown Community Hospital 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 →
Show the prices of 69 common services
Office and emergency visits
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e | $948.75 | $379.50 | $273.52 – $948.75 |
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e | Not listed in the file | Not listed in the file | Not listed in the file |
New patient office visit (about 30–44 minutes): 10 of 14 insurance plan rates
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e | $2,362.25 | $944.90 | $681.04 – $2,362.25 |
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e | Not listed in the file | Not listed in the file | Not listed in the file |
New patient office visit (about 45–59 minutes): 10 of 14 insurance plan rates
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e | $1,703 | $681.20 | $490.97 – $1,703 |
| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e | Not listed in the file | Not listed in the file | Not listed in the file |
New patient office visit (about 60–74 minutes): 10 of 14 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history | $698.98 | $279.59 | $201.52 – $698.98 |
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history | Not listed in the file | Not listed in the file | Not listed in the file |
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history | $1,170.03 | $468.01 | $337.32 – $1,170.03 |
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history | Not listed in the file | Not listed in the file | Not listed in the file |
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination | $1,643.65 | $728.33 | $272.04 – $1,820.83 |
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination | Not listed in the file | Not listed in the file | $2,120 |
Emergency room visit (moderate): 10 of 30 insurance plan rates
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| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination | $2,912.43 | $1,164.97 | $418.36 – $2,912.43 |
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination | Not listed in the file | Not listed in the file | $2,120 |
Emergency room visit (moderately high): 10 of 30 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination | $4,697.44 | $1,878.98 | $602.36 – $4,697.44 |
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination | Not listed in the file | Not listed in the file | $2,120 |
Emergency room visit (high): 10 of 30 insurance plan rates
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Lab tests
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Ch | $665.72 | $266.29 | $5.69 – $665.72 |
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Ch | Not listed in the file | Not listed in the file | $7.17 |
Basic metabolic panel (blood test): 10 of 30 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon | $1,168.02 | $467.21 | $7.15 – $1,168.02 |
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon | Not listed in the file | Not listed in the file | $8.98 |
Comprehensive metabolic panel (blood test): 10 of 30 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholester | $879.53 | $351.81 | $9.68 – $879.53 |
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholester | Not listed in the file | Not listed in the file | $9.68 |
Cholesterol panel (lipid panel): 10 of 30 insurance plan rates
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| Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chlo | $455.91 | $182.36 | $5.69 – $455.91 |
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chlo | Not listed in the file | Not listed in the file | $5.69 |
Kidney function panel: 10 of 30 insurance plan rates
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| Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase | $766.60 | $306.64 | $5.69 – $766.60 |
| Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase | Not listed in the file | Not listed in the file | $5.69 |
Liver function panel: 10 of 30 insurance plan rates
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| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, | $300.58 | $120.23 | $2.69 – $300.58 |
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, | Not listed in the file | Not listed in the file | $3.39 |
Urine test (automated, with microscope): 10 of 30 insurance plan rates
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| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, | $146.63 | $58.65 | $2.05 – $146.63 |
| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, | Not listed in the file | Not listed in the file | $2.05 |
Urine test (manual, without microscope): 10 of 30 insurance plan rates
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| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, | $268.29 | $107.32 | $1.91 – $268.29 |
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, | Not listed in the file | Not listed in the file | $1.91 |
Urine test (automated, without microscope): 10 of 30 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate specific antigen (PSA); total | $413.56 | $165.42 | $15.64 – $413.56 |
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate specific antigen (PSA); total | Not listed in the file | Not listed in the file | $15.64 |
PSA (prostate specific antigen) blood test: 10 of 30 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyroid stimulating hormone (TSH) | $669.72 | $267.89 | $14.28 – $669.72 |
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyroid stimulating hormone (TSH) | Not listed in the file | Not listed in the file | $14.28 |
Thyroid stimulating hormone (TSH) test: 10 of 30 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | $387.32 | $154.93 | $6.61 – $387.32 |
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | Not listed in the file | Not listed in the file | $6.61 |
Complete blood count (CBC) with differential: 10 of 30 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | $443.82 | $177.53 | $5.50 – $443.82 |
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | Not listed in the file | Not listed in the file | $5.50 |
Complete blood count (CBC), automated: 10 of 30 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time | $62.55 | $83.92 | $3.34 – $209.81 |
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time | Not listed in the file | Not listed in the file | $4.20 |
Blood clotting time test (prothrombin time, PT): 10 of 30 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: Prothrombin time | $68.18 | $27.27 | $3.34 – $209.81 |
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time, partial (PTT); plasma or whole blood | $312.69 | $125.08 | $5.10 – $312.69 |
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time, partial (PTT); plasma or whole blood | Not listed in the file | Not listed in the file | $5.10 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 30 insurance plan rates
| |||
Imaging (X-ray, CT, MRI, ultrasound, mammogram)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Computed tomography, head or brain; without contrast material | $4,321.06 | $1,728.42 | $104.48 – $4,321.06 |
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Computed tomography, head or brain; without contrast material | Not listed in the file | Not listed in the file | $326 |
CT scan of the head or brain, without contrast: 10 of 30 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Computed tomography, head or brain; without contrast material | $4,709.96 | $1,883.98 | $104.48 – $4,321.06 |
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and furth | $9,138.36 | $3,655.34 | $350.87 – $9,138.36 |
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and furth | Not listed in the file | Not listed in the file | $543 |
MRI of the brain, before and after contrast: 10 of 30 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and furth | $9,960.81 | $3,984.32 | $350.87 – $9,138.36 |
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Radiologic examination, chest; 2 views | $1,063.12 | $425.25 | $86.51 – $1,063.12 |
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Radiologic examination, chest; 2 views | Not listed in the file | Not listed in the file | Not listed in the file |
Chest X-ray, 2 views: 10 of 30 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Radiologic examination, chest; 2 views | $1,158.80 | $463.52 | $86.51 – $1,063.12 |
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views | $2,091.93 | $836.77 | $104.48 – $2,091.93 |
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views | Not listed in the file | Not listed in the file | Not listed in the file |
X-ray of the lower spine, at least 4 views: 10 of 30 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views | $2,280.20 | $912.08 | $104.48 – $2,091.93 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material | $7,716.15 | $3,086.46 | $237.49 – $7,716.15 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material | Not listed in the file | Not listed in the file | $543 |
MRI of the lower back (lumbar spine), without contrast: 10 of 30 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material | $8,410.60 | $3,364.24 | $237.49 – $7,716.15 |
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Computed tomography, pelvis; with contrast material(s) | $5,545.55 | $2,218.22 | $174.90 – $5,545.55 |
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Computed tomography, pelvis; with contrast material(s) | Not listed in the file | Not listed in the file | $494 |
CT scan of the pelvis, with contrast: 10 of 30 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Computed tomography, pelvis; with contrast material(s) | $6,044.65 | $2,417.86 | $174.90 – $5,545.55 |
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material | $6,703.46 | $2,681.38 | $237.49 – $6,703.46 |
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material | Not listed in the file | Not listed in the file | $565 |
MRI of a leg joint (such as the knee), without contrast: 10 of 30 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material | $7,306.77 | $2,922.71 | $237.49 – $6,703.46 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Computed tomography, abdomen and pelvis; with contrast material(s) | $11,409.82 | $4,563.93 | $326 – $11,409.82 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Computed tomography, abdomen and pelvis; with contrast material(s) | Not listed in the file | Not listed in the file | $494 |
CT scan of the abdomen and pelvis, with contrast: 10 of 30 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Computed tomography, abdomen and pelvis; with contrast material(s) | $12,436.70 | $4,974.68 | $326 – $11,409.82 |
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound, abdominal, real time with image documentation; complete | $3,278.11 | $1,311.24 | $104.48 – $3,278.11 |
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound, abdominal, real time with image documentation; complete | Not listed in the file | Not listed in the file | Not listed in the file |
Ultrasound of the abdomen, complete: 10 of 30 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Ultrasound, abdominal, real time with image documentation; complete | $3,573.14 | $1,429.26 | $104.48 – $3,278.11 |
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 day | $724.21 | $289.68 | $104.48 – $724.21 |
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 day | Not listed in the file | Not listed in the file | Not listed in the file |
Pregnancy ultrasound (after the first trimester): 10 of 30 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 day | $789.39 | $315.76 | $104.48 – $724.21 |
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound, transvaginal | $2,543.81 | $1,017.52 | $104.48 – $2,543.81 |
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound, transvaginal | Not listed in the file | Not listed in the file | Not listed in the file |
Transvaginal ultrasound: 10 of 30 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Ultrasound, transvaginal | $2,772.75 | $1,109.10 | $104.48 – $2,543.81 |
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral | $853.05 | $341.22 | $110.24 – $853.05 |
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral | Not listed in the file | Not listed in the file | Not listed in the file |
Diagnostic mammogram, one breast: 10 of 30 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral | $1,051.26 | $420.50 | $110.24 – $853.05 |
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral | $1,031.73 | $412.69 | $138.80 – $1,031.73 |
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral | Not listed in the file | Not listed in the file | Not listed in the file |
Diagnostic mammogram, both breasts: 10 of 30 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral | $1,560.14 | $624.06 | $138.80 – $1,031.73 |
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed | $875.46 | $350.18 | $112.30 – $875.46 |
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed | Not listed in the file | Not listed in the file | Not listed in the file |
Screening mammogram, both breasts: 10 of 30 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed | $569.64 | $227.86 | $112.30 – $875.46 |
Heart tests and sleep study
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report | $372.65 | $149.06 | $107.43 – $372.65 |
| Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report | Not listed in the file | Not listed in the file | Not listed in the file |
Electrocardiogram (ECG/EKG) with reading: 10 of 14 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist | $11,942.38 | $4,776.95 | $999.57 – $11,942.38 |
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist | Not listed in the file | Not listed in the file | Not listed in the file |
Sleep study (overnight, in a sleep lab): 10 of 30 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist | $13,017.19 | $5,206.88 | $999.57 – $11,942.38 |
Physical therapy and mental health
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexib | $276.36 | $110.54 | $27.05 – $276.36 |
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexib | Not listed in the file | Not listed in the file | $86 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 30 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexib | $301.23 | $120.49 | $27.05 – $276.36 |
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact | $418.23 | $167.29 | $86 – $418.23 |
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact | Not listed in the file | Not listed in the file | $131 |
Physical therapy evaluation (low complexity): 10 of 30 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact | $455.87 | $182.35 | $86 – $418.23 |
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or | $487.94 | $195.18 | $86 – $487.94 |
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or | Not listed in the file | Not listed in the file | $86 |
Physical therapy evaluation (moderate complexity): 10 of 30 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or | $531.85 | $212.74 | $86 – $487.94 |
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o | $557.65 | $223.06 | $86 – $557.65 |
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o | Not listed in the file | Not listed in the file | $131 |
Physical therapy evaluation (high complexity): 10 of 30 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o | $607.84 | $243.14 | $86 – $557.65 |
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psychotherapy, 30 minutes with patient | $1,004.62 | $401.85 | $157.86 – $1,004.62 |
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psychotherapy, 30 minutes with patient | Not listed in the file | Not listed in the file | Not listed in the file |
Psychotherapy, 30 minutes: 10 of 30 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psychotherapy, 45 minutes with patient | $1,337.48 | $534.99 | $157.86 – $1,337.48 |
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psychotherapy, 45 minutes with patient | Not listed in the file | Not listed in the file | Not listed in the file |
Psychotherapy, 45 minutes: 10 of 30 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psychotherapy, 60 minutes with patient | $730.96 | $292.38 | $157.86 – $730.96 |
| Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psychotherapy, 60 minutes with patient | Not listed in the file | Not listed in the file | Not listed in the file |
Psychotherapy, 60 minutes: 10 of 30 insurance plan rates
| |||
Procedures and surgery
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19 | $15,374.30 | $6,149.72 | $3,762.19 – $15,374.30 |
| Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19 | Not listed in the file | Not listed in the file | Not listed in the file |
Removal of breast growth (open surgery): 10 of 30 insurance plan rates
| |||
| Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft | $64,848.37 | $25,939.35 | $12,641.39 – $64,848.37 |
| Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft | Not listed in the file | Not listed in the file | Not listed in the file |
Total hip replacement: 10 of 30 insurance plan rates
| |||
| Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) | $53,673.05 | $21,469.22 | $12,641.39 – $53,673.05 |
| Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) | Not listed in the file | Not listed in the file | Not listed in the file |
Total knee replacement: 10 of 30 insurance plan rates
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) rele | $8,685.07 | $3,474.03 | $2,503.91 – $25,504 |
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) rele | Not listed in the file | Not listed in the file | $16,833 |
Shoulder arthroscopy: shaving of shoulder bone: 10 of 14 insurance plan rates
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articula | $23,741.69 | $9,496.68 | $3,187.76 – $23,741.69 |
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articula | Not listed in the file | Not listed in the file | $14,773 |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 30 insurance plan rates
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tonsillectomy and adenoidectomy; younger than age 12 | $16,581.77 | $6,632.71 | $4,780.52 – $16,581.77 |
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tonsillectomy and adenoidectomy; younger than age 12 | Not listed in the file | Not listed in the file | $6,805 |
Removal of tonsils and adenoids (under age 12): 10 of 30 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (sep | $11,812.68 | $4,725.07 | $921.13 – $11,812.68 |
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (sep | Not listed in the file | Not listed in the file | $7,045 |
Upper GI endoscopy (diagnostic): 10 of 30 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | $11,812.68 | $4,725.07 | $921.13 – $11,812.68 |
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | Not listed in the file | Not listed in the file | $7,045 |
Upper GI endoscopy with biopsy: 10 of 30 insurance plan rates
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| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) | $11,812.68 | $4,725.07 | $895.74 – $11,812.68 |
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) | Not listed in the file | Not listed in the file | $5,819 |
Colonoscopy (diagnostic): 10 of 30 insurance plan rates
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| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy, flexible; with biopsy, single or multiple | $11,998.81 | $4,799.52 | $1,158.42 – $11,998.80 |
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy, flexible; with biopsy, single or multiple | Not listed in the file | Not listed in the file | $8,817 |
Colonoscopy with biopsy: 10 of 30 insurance plan rates
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| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique | $11,812.68 | $4,725.07 | $1,158.42 – $11,812.68 |
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique | Not listed in the file | Not listed in the file | $5,819 |
Colonoscopy with removal of polyps (snare): 10 of 30 insurance plan rates
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| Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | $11,490.65 | $4,596.26 | $895.74 – $11,490.65 |
| Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | Not listed in the file | Not listed in the file | $3,189 |
Screening colonoscopy (not high risk): 10 of 30 insurance plan rates
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| Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopy, surgical; cholecystectomy | $59,038.92 | $23,615.57 | $5,732.14 – $59,038.92 |
| Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopy, surgical; cholecystectomy | Not listed in the file | Not listed in the file | $18,376 |
Gallbladder removal by laparoscope: 10 of 30 insurance plan rates
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| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Repair initial inguinal hernia, age 5 years or older; reducible | $21,573.22 | $8,629.29 | $3,467.23 – $21,573.22 |
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Repair initial inguinal hernia, age 5 years or older; reducible | Not listed in the file | Not listed in the file | $12,254 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 30 insurance plan rates
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| Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy, prostate; needle or punch, single or multiple, any approach | $12,509.93 | $5,003.97 | $2,012.62 – $12,509.93 |
| Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy, prostate; needle or punch, single or multiple, any approach | Not listed in the file | Not listed in the file | Not listed in the file |
Prostate biopsy: 10 of 30 insurance plan rates
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| Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; | $74,120.70 | $29,648.28 | $10,228.82 – $74,120.70 |
| Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; | Not listed in the file | Not listed in the file | Not listed in the file |
Prostate removal by laparoscope (radical prostatectomy): 10 of 30 insurance plan rates
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| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C | $20,722.65 | $8,289.06 | $3,123.82 – $20,722.65 |
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C | Not listed in the file | Not listed in the file | $15,126 |
Hysteroscopy with biopsy of the uterus lining: 10 of 30 insurance plan rates
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| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neur | $5,742.59 | $2,297.04 | $680.39 – $5,742.59 |
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neur | Not listed in the file | Not listed in the file | Not listed in the file |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 30 insurance plan rates
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| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, sing | $5,743.39 | $2,297.36 | $874.69 – $5,743.39 |
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, sing | Not listed in the file | Not listed in the file | Not listed in the file |
Nerve root injection, lower back, with imaging guidance: 10 of 30 insurance plan rates
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| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel | $11,320.48 | $4,528.19 | $1,918.56 – $11,320.48 |
| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel | Not listed in the file | Not listed in the file | $11,027 |
Carpal tunnel release: 10 of 30 insurance plan rates
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| Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irriga | $17,188.25 | $6,875.30 | $2,240.77 – $17,188.25 |
| Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irriga | Not listed in the file | Not listed in the file | $12,907 |
Cataract removal with lens implant: 10 of 30 insurance plan rates
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Hospital stays (whole stay, MS-DRG)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: spinal fusion except cervical | $138,668.71 | $55,467.48 | $4,419.42 – $138,668.71 |
| Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: spinal fusion except cervical | Not listed in the file | Not listed in the file | $32,675.18 |
Spinal fusion (not neck), without major complications: 10 of 12 insurance plan rates
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| 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 Repla | $82,260.54 | $32,904.22 | $2,209.71 – $82,260.54 |
| 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 Repla | Not listed in the file | Not listed in the file | $23,502.76 |
Hip or knee replacement (major joint of the leg), without major complications: 10 of 30 insurance plan rates
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| Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion without | $50,923.85 | $20,369.54 | $2,209.71 – $50,923.85 |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion without | Not listed in the file | Not listed in the file | $3,152 |
Neck (cervical) spinal fusion, without complications: 10 of 30 insurance plan rates
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Source: Georgetown Community Hospital’s standard charges file (centerpointhealth.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 10, 2026; retrieved November 1, 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 type | Acute Care Hospital |
|---|---|
| Address | 1140 Lexington Road, Georgetown, KY 40324 |
| County | Scott County |
| State | Kentucky |
| Phone | (502) 868‑1100 |
| Emergency services | Yes |
| Ownership | Proprietary |
| Medicare overall rating | 3 of 5 stars |
| Birthing-friendly designation | Yes (meets CMS criteria) |
| CMS Certification Number | 180101 |
| Name in Medicare records | GEORGETOWN COMMUNITY HOSPITAL |
| Profile level | Medicare data + hospital website |
| Name on the hospital’s website | Centerpoint Health - Georgetown |
| Official website | centerpointhealth.com |
| Corrections | Report an error or suggest an update → |
Sources
- Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this hospital
- U.S. Census Bureau Geocoder — map position used for distances
From the hospital’s website
Numbers match the citations above. Checked 2026-10-30.
- Centerpoint Health - Georgetown — centerpointhealth.com
- Centerpoint Health — centerpointhealth.com
- Department Phone Directory — centerpointhealth.com
- Emergency Care | Central Kentucky Emergency Rooms (ER) — centerpointhealth.com
- Georgetown Patient Guide — centerpointhealth.com
- General Surgery & Surgical Services | Central Kentucky — centerpointhealth.com
- Minimally Invasive Robotic Surgery | Central Kentucky — centerpointhealth.com
- Stroke Symptoms & Care | Central Kentucky Emergency Services — centerpointhealth.com