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Acute Care Hospital

Jackson Purchase Medical Center

Mayfield, Kentucky · Graves County · Emergency services listed

Summary

Jackson Purchase Medical Center is an acute care hospital in Mayfield, Kentucky. Medicare data lists emergency services. CMS overall star rating: 1 of 5 stars. Its official website lists 57 services, specialties and programs. Medicare lists 175 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

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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). 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
1 of 5 stars1 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
107Beds (hospital website)
57Services listed

Quick answers

Does Jackson Purchase Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Jackson Purchase Medical Center. In a medical emergency, call 911.
Where is Jackson Purchase Medical Center?
1099 Medical Center Circle, Mayfield, KY 42066, in Graves County, Kentucky.
What is the phone number of Jackson Purchase Medical Center?
(270) 251-4585, as listed by Medicare (CMS).
What is the Medicare star rating of Jackson Purchase Medical Center?
1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

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

Conditions treated[8][11][12][14][16][17]

Treatments[15]

  • Stress tests
  • Echocardiogram
  • Nuclear imaging
  • 12-lead electrocardiogram (EKG)
  • 24-hour Holter monitoring
  • 48-hour Holter monitoring
  • Event monitoring
  • Mobile telemetry

Procedures[15][16]

  • Diagnostic cardiac catheterization

Programs and centers[7][8][10][11][12][16][18]

  • Chest Pain Center (ACC accredited)
  • Cardiac rehabilitation
  • Congestive heart failure support
  • Emergency mental health services
  • Adult inpatient behavioral health unit
  • Geriatric inpatient behavioral health unit
  • New Beginnings Birthing Center

Emergency care (hospital website)[5]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingHours subject to change; ICU limited to set windows; most entrances locked 6 p.m.-6 a.m. except the ER entrance. Page last updated 2023[6]
ParkingAmple parking near each entrance and in front of the facility; handicap spaces available[6]
Interpreters and languagesInterpreter services available for patients; ask your nurse[6]

Recognition[4][5][8][16][18]

  • Accredited Chest Pain Center
  • Joint Commission accredited
  • American College of Cardiology Chest Pain Center accreditation

Doctors and clinicians (175)

175 doctors and other clinicians list Jackson Purchase Medical Center 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 (175)

And 151 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 →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers 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 Jackson Purchase Medical Center 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 well4 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home2 of 5 stars
Room and bathroom kept clean5 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1063%National average: 72%
Would definitely recommend the hospital58%National average: 71%
Nurses “always” communicated well77%National average: 80%
Doctors “always” communicated well77%National average: 80%
Staff “always” explained medicines before giving them60%National average: 62%
Were given information about recovery at home81%National average: 86%
Room and bathroom “always” clean79%National average: 74%
Area around the room “always” quiet at night52%National average: 60%
Completed surveys329Response 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)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)2.602No different from the national benchmark
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0.195Better 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 patientsToo few cases to report
Deaths within 30 days: heart failure patients12.5%
Deaths within 30 days: pneumonia patients15.3%
Deaths within 30 days: COPD patients6.8%
Deaths within 30 days: stroke patients11.7%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)1.07No 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 attackToo few cases to report
Readmitted within 30 days: heart failure21.5%
Readmitted within 30 days: pneumonia17.1%
Readmitted within 30 days: COPD21.1%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
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)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)132 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)59%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.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 65 common services exactly as Jackson Purchase Medical Center 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 · 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 $636.02 $254.41 $228.90 – $636.02
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 13 insurance plan rates
  • Aetna — Aetna Medicare: 42% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Anthem HIX: 35.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — BCBS of KY HMO/PPO: 44.99% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
  • Christian Health Aid — Christian Health: 75% (a percentage in the contract, not a dollar amount)
  • KY Health Cooperative — KY Health: 75% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 85% (a percentage in the contract, not a dollar amount)
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 $842.81 $337.12 $303.33 – $842.81
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 13 insurance plan rates
  • Aetna — Aetna Medicare: 42% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Anthem HIX: 35.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — BCBS of KY HMO/PPO: 44.99% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
  • Christian Health Aid — Christian Health: 75% (a percentage in the contract, not a dollar amount)
  • KY Health Cooperative — KY Health: 75% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 85% (a percentage in the contract, not a dollar amount)
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 $1,153.16 $461.26 $415.02 – $1,153.16
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 13 insurance plan rates
  • Aetna — Aetna Medicare: 42% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Anthem HIX: 35.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — BCBS of KY HMO/PPO: 44.99% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
  • Christian Health Aid — Christian Health: 75% (a percentage in the contract, not a dollar amount)
  • KY Health Cooperative — KY Health: 75% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 85% (a percentage in the contract, not a dollar amount)
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 $483.32 $193.33 $173.95 – $483.32
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 13 insurance plan rates
  • Aetna — Aetna Medicare: 42% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Anthem HIX: 35.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — BCBS of KY HMO/PPO: 44.99% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
  • Christian Health Aid — Christian Health: 75% (a percentage in the contract, not a dollar amount)
  • KY Health Cooperative — KY Health: 75% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 85% (a percentage in the contract, not a dollar amount)
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 $636.02 $254.41 $228.90 – $636.02
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 13 insurance plan rates
  • Aetna — Aetna Medicare: 42% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Anthem HIX: 35.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — BCBS of KY HMO/PPO: 44.99% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
  • Christian Health Aid — Christian Health: 75% (a percentage in the contract, not a dollar amount)
  • KY Health Cooperative — KY Health: 75% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 85% (a percentage in the contract, not a dollar amount)
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 $1,665.24 $666.10 $265.04 – $2,812
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 $2,812
Emergency room visit (moderate): 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $2,250
  • BCBS of KY — BCBS of KY HMO/PPO: $2,812
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
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 $2,898.89 $1,159.56 $407.60 – $2,898.89
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 $2,812
Emergency room visit (moderately high): 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $2,250
  • BCBS of KY — BCBS of KY HMO/PPO: $2,812
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
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 $5,807.16 $2,322.86 $586.87 – $5,807.16
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 $2,812
Emergency room visit (high): 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $2,250
  • BCBS of KY — BCBS of KY HMO/PPO: $2,812
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)

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: Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Ch $394.85 $157.94 $5.69 – $394.85
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 $8.46
Basic metabolic panel (blood test): 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $5.69
  • BCBS of KY — BCBS of KY HMO/PPO: $5.69
  • UHC — UHC All Payer: $8.46
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 130% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
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 $599.68 $239.87 $7.15 – $599.68
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 $7.15
Comprehensive metabolic panel (blood test): 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $7.15
  • BCBS of KY — BCBS of KY HMO/PPO: $7.15
  • UHC — UHC All Payer: $10.56
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 130% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or $730 $292 $47.81 – $730
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or Not listed in the file Not listed in the file $53.28
Obstetric blood test panel: 10 of 24 insurance plan rates
  • BCBS of KY — Anthem HIX: $53.28
  • BCBS of KY — BCBS of KY HMO/PPO: $53.28
  • UHC — UHC All Payer: $47.81
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
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 $470.91 $188.36 $9.68 – $470.91
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 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $9.68
  • BCBS of KY — BCBS of KY HMO/PPO: $9.68
  • UHC — UHC All Payer: $13.39
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 130% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
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 $373.54 $149.42 $5.69 – $373.54
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 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $5.69
  • BCBS of KY — BCBS of KY HMO/PPO: $5.69
  • UHC — UHC All Payer: $8.68
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 130% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
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 $515.08 $206.03 $5.69 – $515.08
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 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $5.69
  • BCBS of KY — BCBS of KY HMO/PPO: $5.69
  • UHC — UHC All Payer: $8.17
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 130% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
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, $160.15 $64.06 $2.69 – $160.15
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 $3.17
Urine test (automated, with microscope): 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $2.69
  • BCBS of KY — BCBS of KY HMO/PPO: $2.69
  • UHC — UHC All Payer: $3.17
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 130% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
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, $136.93 $54.77 $2.05 – $136.93
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 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $2.05
  • BCBS of KY — BCBS of KY HMO/PPO: $2.05
  • UHC — UHC All Payer: $3.48
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 130% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
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, $225.10 $90.04 $1.91 – $225.10
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 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $1.91
  • BCBS of KY — BCBS of KY HMO/PPO: $1.91
  • UHC — UHC All Payer: $2.25
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 130% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate specific antigen (PSA); total $284.15 $113.66 $15.64 – $284.15
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 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $15.64
  • BCBS of KY — BCBS of KY HMO/PPO: $15.64
  • UHC — UHC All Payer: $18.39
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 130% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyroid stimulating hormone (TSH) $242.64 $97.06 $14.28 – $242.64
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 $16.80
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $14.28
  • BCBS of KY — BCBS of KY HMO/PPO: $14.28
  • UHC — UHC All Payer: $16.80
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 130% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
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 $304.88 $121.95 $6.61 – $304.88
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 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $6.61
  • BCBS of KY — BCBS of KY HMO/PPO: $6.61
  • UHC — UHC All Payer: $7.77
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 130% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
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) $399.60 $159.84 $5.50 – $399.60
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 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $5.50
  • BCBS of KY — BCBS of KY HMO/PPO: $5.50
  • UHC — UHC All Payer: $6.47
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 130% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time $161.26 $64.50 $3.34 – $161.26
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 $3.34
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $3.34
  • BCBS of KY — BCBS of KY HMO/PPO: $3.34
  • UHC — UHC All Payer: $4.29
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 130% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
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 $205.40 $82.16 $5.10 – $205.40
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 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $5.10
  • BCBS of KY — BCBS of KY HMO/PPO: $5.10
  • UHC — UHC All Payer: $6.01
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 130% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)

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: Computed tomography, head or brain; without contrast material $5,290.01 $2,116 $101.79 – $5,290.01
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 $375
CT scan of the head or brain, without contrast: 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $371
  • BCBS of KY — BCBS of KY HMO/PPO: $464
  • UHC — UHC All Payer: $375
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
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 $5,766.11 $2,306.44 $101.79 – $5,290.01
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 $9,639.87 $3,855.95 $341.85 – $9,639.87
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 $565
MRI of the brain, before and after contrast: 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $618
  • BCBS of KY — BCBS of KY HMO/PPO: $773
  • UHC — UHC All Payer: $565
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
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 $10,507.46 $4,202.98 $341.85 – $9,639.87
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Radiologic examination, chest; 2 views $402.06 $160.82 $84.28 – $402.06
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 25 insurance plan rates
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Anthem HIX: 35.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — BCBS of KY HMO/PPO: 44.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Radiologic examination, chest; 2 views $438.25 $175.30 $84.28 – $402.06
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 $1,224.87 $489.95 $101.79 – $1,224.87
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 25 insurance plan rates
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Anthem HIX: 35.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — BCBS of KY HMO/PPO: 44.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
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 $1,335.11 $534.04 $101.79 – $1,224.87
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 $8,126.07 $3,250.43 $231.38 – $8,126.07
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 $773
MRI of the lower back (lumbar spine), without contrast: 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $618
  • BCBS of KY — BCBS of KY HMO/PPO: $773
  • UHC — UHC All Payer: $565
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
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 $8,857.42 $3,542.97 $231.38 – $8,126.07
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) $5,526.80 $2,210.72 $170.40 – $5,526.80
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 $375
CT scan of the pelvis, with contrast: 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $371
  • BCBS of KY — BCBS of KY HMO/PPO: $464
  • UHC — UHC All Payer: $375
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
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) $6,024.21 $2,409.68 $170.40 – $5,526.80
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 $2,607.23 $1,042.89 $231.38 – $2,607.23
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 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $618
  • BCBS of KY — BCBS of KY HMO/PPO: $773
  • UHC — UHC All Payer: $565
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
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 $2,841.88 $1,136.75 $231.38 – $2,607.23
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) $12,479.05 $4,991.62 $341.85 – $12,479.05
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 $464
CT scan of the abdomen and pelvis, with contrast: 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $371
  • BCBS of KY — BCBS of KY HMO/PPO: $464
  • UHC — UHC All Payer: $375
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
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) $13,602.16 $5,440.86 $341.85 – $12,479.05
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 $3,194.13 $1,277.65 $101.79 – $3,194.13
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 25 insurance plan rates
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Anthem HIX: 35.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — BCBS of KY HMO/PPO: 44.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
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 $3,481.60 $1,392.64 $101.79 – $3,194.13
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 $1,501.57 $600.63 $101.79 – $1,501.57
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 25 insurance plan rates
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Anthem HIX: 35.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — BCBS of KY HMO/PPO: 44.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
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 $1,636.71 $654.68 $101.79 – $1,501.57
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound, transvaginal $2,191.16 $876.46 $101.79 – $2,191.16
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 25 insurance plan rates
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Anthem HIX: 35.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — BCBS of KY HMO/PPO: 44.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Ultrasound, transvaginal $2,388.36 $955.34 $101.79 – $2,191.16
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 $319.39 $127.76 $110.24 – $319.39
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 25 insurance plan rates
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Anthem HIX: 35.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — BCBS of KY HMO/PPO: 44.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
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 $348.14 $139.26 $110.24 – $319.39
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 $411.21 $164.48 $138.80 – $411.21
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 25 insurance plan rates
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Anthem HIX: 35.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — BCBS of KY HMO/PPO: 44.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
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 $448.22 $179.29 $138.80 – $411.21
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 $279.16 $111.66 $100.47 – $279.16
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 25 insurance plan rates
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Anthem HIX: 35.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — BCBS of KY HMO/PPO: 44.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
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 $254.95 $101.98 $100.47 – $279.16

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
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 $10,543.89 $4,217.56 $973.87 – $10,543.89
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 25 insurance plan rates
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Anthem HIX: 35.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — BCBS of KY HMO/PPO: 44.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
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 $11,492.84 $4,597.14 $973.87 – $10,543.89

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: Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexib $339.48 $135.79 $27.05 – $339.48
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 $99
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $99
  • BCBS of KY — BCBS of KY HMO/PPO: $124
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
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 $370.03 $148.01 $27.05 – $339.48
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 $726.28 $290.51 $92.13 – $726.28
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 $124
Physical therapy evaluation (low complexity): 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $99
  • BCBS of KY — BCBS of KY HMO/PPO: $124
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
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 $791.65 $316.66 $92.13 – $726.28
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 $726.28 $290.51 $92.13 – $726.28
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 $99
Physical therapy evaluation (moderate complexity): 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $99
  • BCBS of KY — BCBS of KY HMO/PPO: $124
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
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 $791.65 $316.66 $92.13 – $726.28
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 $726.28 $290.51 $92.13 – $726.28
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 $99
Physical therapy evaluation (high complexity): 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $99
  • BCBS of KY — BCBS of KY HMO/PPO: $124
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of TN — BCBS of TN: 74% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
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 $791.65 $316.66 $92.13 – $726.28

Procedures and surgery

ServiceHospital chargeCash priceInsurance 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 $30,053.51 $12,021.40 $1,845 – $30,053.50
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 $1,845
Removal of breast growth (open surgery): 10 of 25 insurance plan rates
  • BCBS of TN — BCBS of TN: $1,845
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Anthem HIX: 35.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — BCBS of KY HMO/PPO: 44.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
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 $74,545.19 $29,818.08 $1,845 – $74,545.19
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 $1,845
Total hip replacement: 10 of 25 insurance plan rates
  • BCBS of TN — BCBS of TN: $1,845
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Anthem HIX: 35.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — BCBS of KY HMO/PPO: 44.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
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) $60,617.48 $24,246.99 $3,602 – $60,617.48
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 $3,602
Total knee replacement: 10 of 25 insurance plan rates
  • BCBS of TN — BCBS of TN: $3,602
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Anthem HIX: 35.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — BCBS of KY HMO/PPO: 44.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
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 $19,881.75 $7,952.70 $1,845 – $29,872
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 $29,872
Shoulder arthroscopy: shaving of shoulder bone: 10 of 12 insurance plan rates
  • BCBS of KY — Anthem HIX: $23,898
  • BCBS of KY — BCBS of KY HMO/PPO: $29,872
  • BCBS of TN — BCBS of TN: $1,845
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
  • Christian Health Aid — Christian Health: 75% (a percentage in the contract, not a dollar amount)
  • KY Health Cooperative — KY Health: 75% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 85% (a percentage in the contract, not a dollar amount)
  • Prime Health — Prime Health: 85% (a percentage in the contract, not a dollar amount)
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 $40,376.97 $16,150.79 $2,278 – $40,376.97
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 $15,617
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $15,617
  • BCBS of KY — BCBS of KY HMO/PPO: $19,521
  • BCBS of TN — BCBS of TN: $2,278
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
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 $25,979.08 $10,391.63 $2,594 – $25,979.08
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 $2,594
Removal of tonsils and adenoids (under age 12): 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $9,886
  • BCBS of KY — BCBS of KY HMO/PPO: $12,358
  • BCBS of TN — BCBS of TN: $2,594
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
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 $12,159.38 $4,863.75 $897.45 – $12,159.38
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 $6,093
Upper GI endoscopy (diagnostic): 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $6,093
  • BCBS of KY — BCBS of KY HMO/PPO: $7,616
  • BCBS of TN — BCBS of TN: $1,202
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
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 $14,176.97 $5,670.79 $897.45 – $14,176.97
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 $7,616
Upper GI endoscopy with biopsy: 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $6,093
  • BCBS of KY — BCBS of KY HMO/PPO: $7,616
  • BCBS of TN — BCBS of TN: $1,613
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
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) $13,936.89 $5,574.76 $872.71 – $13,936.89
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 $6,550
Colonoscopy (diagnostic): 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $6,550
  • BCBS of KY — BCBS of KY HMO/PPO: $8,187
  • BCBS of TN — BCBS of TN: $1,613
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy, flexible; with biopsy, single or multiple $13,023.65 $5,209.46 $1,128.64 – $13,023.65
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 $1,613
Colonoscopy with biopsy: 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $6,550
  • BCBS of KY — BCBS of KY HMO/PPO: $8,187
  • BCBS of TN — BCBS of TN: $1,613
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
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 $13,919.28 $5,567.71 $1,128.64 – $13,919.28
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 $6,550
Colonoscopy with removal of polyps (snare): 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $6,550
  • BCBS of KY — BCBS of KY HMO/PPO: $8,187
  • BCBS of TN — BCBS of TN: $1,613
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and $16,406.40 $6,562.56 $1,128.64 – $16,406.40
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and Not listed in the file Not listed in the file $1,613
Ultrasound of the lower bowel by endoscope: 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $6,550
  • BCBS of KY — BCBS of KY HMO/PPO: $8,187
  • BCBS of TN — BCBS of TN: $1,613
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
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 $12,731.24 $5,092.50 $872.71 – $12,731.24
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 $2,994
Screening colonoscopy (not high risk): 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $2,395
  • BCBS of KY — BCBS of KY HMO/PPO: $2,994
  • BCBS of TN — BCBS of TN: $1,202
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopy, surgical; cholecystectomy $33,407.24 $13,362.89 $5,584.77 – $33,407.24
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 $7,360
Gallbladder removal by laparoscope: 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $14,024
  • BCBS of KY — BCBS of KY HMO/PPO: $17,530
  • BCBS of TN — BCBS of TN: $7,360
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
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 $25,340.65 $10,136.26 $2,278 – $25,340.65
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 $10,191
Groin (inguinal) hernia repair, age 5 or older: 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $10,191
  • BCBS of KY — BCBS of KY HMO/PPO: $12,739
  • BCBS of TN — BCBS of TN: $2,278
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy, prostate; needle or punch, single or multiple, any approach $22,436.04 $8,974.42 $1,613 – $22,436.04
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 $1,613
Prostate biopsy: 10 of 25 insurance plan rates
  • BCBS of TN — BCBS of TN: $1,613
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Anthem HIX: 35.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — BCBS of KY HMO/PPO: 44.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
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 $27,433.64 $10,973.46 $1,845 – $27,433.64
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 $1,845
Hysteroscopy with biopsy of the uterus lining: 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $12,184
  • BCBS of KY — BCBS of KY HMO/PPO: $15,230
  • BCBS of TN — BCBS of TN: $1,845
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
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 $4,588.55 $1,835.42 $662.89 – $4,588.55
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 $1,613
Spinal injection, lower back (epidural), with imaging guidance: 10 of 25 insurance plan rates
  • BCBS of TN — BCBS of TN: $1,613
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Anthem HIX: 35.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — BCBS of KY HMO/PPO: 44.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
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 $4,555.66 $1,822.26 $852.20 – $4,555.66
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 $1,202
Nerve root injection, lower back, with imaging guidance: 10 of 25 insurance plan rates
  • BCBS of TN — BCBS of TN: $1,202
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Anthem HIX: 35.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — BCBS of KY HMO/PPO: 44.99% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel $31,087.34 $12,434.94 $1,613 – $31,087.34
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 $11,856
Carpal tunnel release: 10 of 25 insurance plan rates
  • BCBS of KY — Anthem HIX: $11,856
  • BCBS of KY — BCBS of KY HMO/PPO: $14,820
  • BCBS of TN — BCBS of TN: $1,613
  • Aetna — Aetna Medicare: 103% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of KY — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): 65% (a percentage in the contract, not a dollar amount)
  • Bluegrass Family Health — Baptist Health Medicare: 102% (a percentage in the contract, not a dollar amount)
  • CenterCare Network — CenterCare: 75% (a percentage in the contract, not a dollar amount)
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance 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 $132,761.94 $53,104.78 $3,570 – $132,761.94
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 $2,896
Spinal fusion (not neck), without major complications: rates for 10 insurance plans
  • BCBS of TN — BCBS of TN: $3,465
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): $1,806
  • CenterCare Network — CenterCare: $1,785
  • Multiplan — Multiplan: $1,950
  • UHC — UHC All Payer: $2,896
  • CHA (Community Health Alliance) — CHA (Community Health Alliance): 77% (a percentage in the contract, not a dollar amount)
  • Christian Health Aid — Christian Health: 75% (a percentage in the contract, not a dollar amount)
  • KY Health Cooperative — KY Health: 75% (a percentage in the contract, not a dollar amount)
  • Prime Health — Prime Health: 85% (a percentage in the contract, not a dollar amount)
  • Prime Health — Prime Health Indigent: 50% (a percentage in the contract, not a dollar amount)
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 $70,430.75 $28,172.30 $1,785 – $70,430.75
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 $13,924.83
Hip or knee replacement (major joint of the leg), without major complications: 10 of 25 insurance plan rates
  • Aetna — Aetna Medicare: $13,678.66
  • Aetna — Managed Medicare 100%: $13,924.83
  • BCBS of KY — Anthem HIX: $18,100.80
  • BCBS of KY — BCBS of KY HMO/PPO: $22,626
  • BCBS of KY — Managed Medicare 100%: $13,924.83
  • BCBS of TN — BCBS of TN: $3,465
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): $1,806
  • Bluegrass Family Health — Baptist Health Medicare: $14,203.34
  • CenterCare Network — CenterCare: $1,785
  • Humana — Humana Medicare: $14,342.58
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 $39,778.08 $15,911.23 $1,785 – $39,778.08
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 Not listed in the file Not listed in the file $8,852.66
Uterus and ovary surgery (not for cancer), without complications: 10 of 25 insurance plan rates
  • Aetna — Aetna Medicare: $8,696.16
  • Aetna — Managed Medicare 100%: $8,852.66
  • BCBS of KY — Anthem HIX: $11,507.52
  • BCBS of KY — BCBS of KY HMO/PPO: $14,384.40
  • BCBS of KY — Managed Medicare 100%: $8,852.66
  • BCBS of TN — BCBS of TN: $2,689
  • Bluegrass Family Health — Baptist Health (formally Bluegrass): $1,806
  • Bluegrass Family Health — Baptist Health Medicare: $9,029.72
  • CenterCare Network — CenterCare: $1,785
  • Humana — Humana Medicare: $9,118.25

Source: Jackson Purchase Medical Center’s standard charges file (jacksonpurchase.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 typeAcute Care Hospital
Address1099 Medical Center Circle, Mayfield, KY 42066
CountyGraves County
StateKentucky
Phone(270) 251‑4585
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall rating1 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number180116
Name in Medicare recordsJACKSON PURCHASE MEDICAL CENTER
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(270) 251‑4100[4]
Official websitejacksonpurchase.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 2026-10-30.

  1. About - Jackson Purchase Medical Center — jacksonpurchase.com
  2. Emergency Room - Jackson Purchase Medical Center — jacksonpurchase.com
  3. Visiting Hours - Jackson Purchase Medical Center — jacksonpurchase.com
  4. Jackson Purchase Medical Center | Mayfield, KY Hospital — jacksonpurchase.com
  5. Chest Pain Awareness | Mayfield, KY Emergency Services — jacksonpurchase.com
  6. Emergency Mental Health Services | Mayfield, KY — jacksonpurchase.com
  7. Adult Inpatient Behavioral Health | Mayfield, KY — jacksonpurchase.com
  8. Geriatric Inpatient Behavioral Health | Mayfield, KY — jacksonpurchase.com
  9. Heart Attack Symptoms | Mayfield, KY Emergency Services — jacksonpurchase.com
  10. Heart Screenings & Imaging | Mayfield, KY — jacksonpurchase.com
  11. Cardiology Services & Heart Health | Mayfield, KY — jacksonpurchase.com
  12. General Cardiology | Mayfield, KY — jacksonpurchase.com
  13. Chest Pain Center — jacksonpurchase.com