Does Methodist Hospital Union County have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Methodist Hospital Union County. In a medical emergency, call 911.

Where is Methodist Hospital Union County?

4604 US Highway 60 West, Morganfield, KY 42437, in Union County, Kentucky.

What is the phone number of Methodist Hospital Union County?

(270) 389-5000, as listed by Medicare (CMS).

What is the Medicare star rating of Methodist Hospital Union County?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Methodist Hospital Union County

Quick answers

Does Methodist Hospital Union County have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Methodist Hospital Union County. In a medical emergency, call 911.
Where is Methodist Hospital Union County?: 4604 US Highway 60 West, Morganfield, KY 42437, in Union County, Kentucky.
What is the phone number of Methodist Hospital Union County?: (270) 389-5000, as listed by Medicare (CMS).
What is the Medicare star rating of Methodist Hospital Union County?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4]

Imaging and mammography
Laboratory
Physical therapy
Cardiopulmonary care
General surgery

Treatments^[6]

Procedures^[4][6]

Open, laparoscopic and robotic-assisted general surgery
General surgical procedures

Programs and centers^[4][5]

Swing Bed Program
Hospital-based ambulance service

Emergency care (hospital website)^[4][6]

Emergency room	Yes
Open 24/7	Yes

Doctors and clinicians (119)

119 doctors and other clinicians list Methodist Hospital Union County 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 (119)

Adesuwa O. Ighodaro, MDHospitalist
Ahmed Jawad, MDPulmonary Disease
Aisha Havill, NPNurse Practitioner
Akshay Goel, MDCardiovascular Disease (Cardiology)
Alexandria M. JonesNurse Practitioner
Alicia Nelson, NPNurse Practitioner
Amber B. CatlinNurse Practitioner
Amy S. Stott, NPNurse Practitioner
Amy Sullivan, NPNurse Practitioner
Andre V. MorganNurse Practitioner
Andrea H. MarvelNurse Practitioner
Bradley BilbroFamily Practice
Brenda Lee, NPNurse Practitioner
Brent E. Bland, CNACertified Registered Nurse Anesthetist (CRNA)
Brian D. Wellington, DOFamily Practice
Cameron HammackNurse Practitioner
Cameron M. Metzger, MDOrthopedic Surgery
Charles H. Futrell Jr., MDFamily Practice
Chase P. Moran, DOInternal Medicine
Chelsea Vance, NPNurse Practitioner
Christina ChumleyNurse Practitioner
Christopher Q. Miller, MDPathology
Crystal A. WilsonNurse Practitioner
David Ryon, MDPulmonary Disease

And 95 more: the button below opens the full list.

Other emergency rooms nearby

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

Crittenden Community Hospital22 mi · Marion, KY · Rural Emergency Hospital
Deaconess Henderson Hospital25 mi · Henderson, KY · Acute Care Hospital
Hardin County General Hospital & Clinic27 mi · Rosiclare, IL · Critical Access Hospital
Livingston Hospital and Healthcare Services, Inc30 mi · Salem, KY · Critical Access Hospital
Ferrell Hospital Community Foundations30 mi · Eldorado, IL · Critical Access Hospital

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Morganfield

Select Specialty Hospital-Evansville31 mi · Evansville, IN · Long-Term Acute Care Hospital

Hospitals in Union County · Hospitals near me

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

Morganfield Nursing and Rehabilitation Center4.5 mi · Morganfield, KY · 5 of 5 stars
Breckinridge Place6.4 mi · Morganfield, KY · 5 of 5 stars
Mount Vernon Nursing and Rehabilitation21 mi · Mount Vernon, IN · 5 of 5 stars

All nursing homes in the state →

Home health agencies

Marion Home Health Agency21 mi · Marion, KY · 1.5 of 5 stars

All home health agencies 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

Regional Health Care Affiliates, Inc. dba Health First Community Health Center- Union County4.4 mi · Morganfield, KY · Community health center
Regional Health Care Affiliates, Inc. dba. Health First Community Health Center- Clay12 mi · Clay, KY · Community health center
Shawneetown Community Health Center14 mi · Shawneetown, IL · Community health center

Clinics and urgent care

Deaconess Clinic Morganfield2.2 mi · Morganfield, KY · Rural health clinic
Sturgis Clinic5.8 mi · Sturgis, KY · Urgent care center
Deaconess Clinic Dixon RHC15 mi · Dixon, KY · Rural health clinic

Pharmacies

Fischbeck's Pharmacy, Inc.2.2 mi · Morganfield, KY · Community/retail pharmacy
FP Direct LLP2.2 mi · Morganfield, KY · Community/retail pharmacy
Union Pharm Inc2.2 mi · Morganfield, KY · Community/retail pharmacy

Assisted living nearby

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

Breckinridge Place2.2 mi · Morganfield, KY

About the Medicare star rating

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

Medicare quality data

What Methodist Hospital Union County 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)	4 of 5 stars
Overall rating of the hospital	5 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	2 of 5 stars
Patients got help quickly from staff	5 of 5 stars
Staff explained medicines	4 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	5 of 5 stars
Restfulness of Environment	5 of 5 stars
Care Coordination	4 of 5 stars
Symptoms After Stay	5 of 5 stars
Rated the hospital 9 or 10 out of 10	82%National average: 72%
Would definitely recommend the hospital	80%National average: 71%
Nurses “always” communicated well	84%National average: 80%
Doctors “always” communicated well	75%National average: 80%
“Always” got help as soon as they wanted	73%National average: 64%
Staff “always” explained medicines before giving them	68%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	85%National average: 73%
Completed surveys	152Response rate: 27%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Infections caught in the hospital

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

Clostridioides difficile (C. diff) intestinal infections	0.851No different from the national benchmark
Not reported to Medicare	Central line bloodstream infections (CLABSI); Catheter-associated urinary tract infections (CAUTI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

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

Deaths within 30 days: pneumonia patients	15.3%
Not reported to Medicare	Deaths within 30 days: heart attack patients; Deaths within 30 days: stroke patients; Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90); Complications after hip or knee replacement
Too few cases to report	Deaths within 30 days: heart failure patients; Deaths within 30 days: COPD patients

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	16.6%
Readmitted within 30 days: pneumonia	17.4%
Not reported to Medicare	Readmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to report	Readmitted within 30 days: heart failure; Readmitted within 30 days: COPD

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

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

Average (median) time patients spent in the emergency room before leaving (OP-18b)	114 minutesNational average: 162 minutes
Not reported to Medicare	Patients who left the emergency room before being seen (OP-22); Sepsis patients who got all the recommended early care (SEP-1)

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Kentucky Best hospitals in Kentucky

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Methodist Hospital Union County 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 →

$ 58 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Show the prices of 86 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES	$249	$87.15	$55.95 – $149.94
New patient office visit (about 30–44 minutes): 10 of 51 insurance plan rates Aetna — Commercial: $149.94 Aetna — Medicare Advantage: $74.03 Aetna Better Health — Managed Medicaid: $60.57 Alliance Coal — Commercial: $102.16 Amish and Mennonite Western KY — Commercial: $87.15 Anthem — HMO/PPO/Traditional: $88.06 Anthem — Medicare Advantage: $74.03 Anthem IN Off Exchange — Commercial: $88.06 Anthem IN On Exchange — Commercial: $88.06 Anthem KY Pathway — HMO: $88.06
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99245=RVU--> BILL 99203	$249	$87.15	$55.95 – $149.94
New patient office visit (about 30–44 minutes): 10 of 51 insurance plan rates Aetna — Commercial: $149.94 Aetna — Medicare Advantage: $74.03 Aetna Better Health — Managed Medicaid: $60.57 Alliance Coal — Commercial: $102.16 Amish and Mennonite Western KY — Commercial: $87.15 Anthem — HMO/PPO/Traditional: $88.06 Anthem — Medicare Advantage: $74.03 Anthem IN Off Exchange — Commercial: $88.06 Anthem IN On Exchange — Commercial: $88.06 Anthem KY Pathway — HMO: $88.06
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99204= RVU --> BILL 99203	$249	$87.15	$55.95 – $149.94
New patient office visit (about 30–44 minutes): 10 of 51 insurance plan rates Aetna — Commercial: $149.94 Aetna — Medicare Advantage: $74.03 Aetna Better Health — Managed Medicaid: $60.57 Alliance Coal — Commercial: $102.16 Amish and Mennonite Western KY — Commercial: $87.15 Anthem — HMO/PPO/Traditional: $88.06 Anthem — Medicare Advantage: $74.03 Anthem IN Off Exchange — Commercial: $88.06 Anthem IN On Exchange — Commercial: $88.06 Anthem KY Pathway — HMO: $88.06
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES	$369	$129.15	$90.81 – $213.35
New patient office visit (about 45–59 minutes): 10 of 51 insurance plan rates Aetna — Commercial: $213.35 Aetna — Medicare Advantage: $120.53 Aetna Better Health — Managed Medicaid: $102.79 Alliance Coal — Commercial: $166.33 Amish and Mennonite Western KY — Commercial: $129.15 Anthem — HMO/PPO/Traditional: $130.80 Anthem — Medicare Advantage: $120.53 Anthem IN Off Exchange — Commercial: $130.80 Anthem IN On Exchange — Commercial: $130.80 Anthem KY Pathway — HMO: $130.80
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	Not listed in the file
New patient office visit (about 45–59 minutes): rates for 1 insurance plan United Healthcare — Commercial: 70% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES	$451	$157.85	$123.49 – $270.33
New patient office visit (about 60–74 minutes): 10 of 51 insurance plan rates Aetna — Commercial: $270.33 Aetna — Medicare Advantage: $163.94 Aetna Better Health — Managed Medicaid: $131.98 Alliance Coal — Commercial: $226.24 Amish and Mennonite Western KY — Commercial: $157.85 Anthem — HMO/PPO/Traditional: $163.92 Anthem — Medicare Advantage: $163.94 Anthem IN Off Exchange — Commercial: $163.92 Anthem IN On Exchange — Commercial: $163.92 Anthem KY Pathway — HMO: $163.92
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99245=RVU--> BILL 99213	$170	$59.50	$40.36 – $102.65
Established patient office visit (about 20–29 minutes): 10 of 51 insurance plan rates Aetna — Commercial: $102.65 Aetna — Medicare Advantage: $59.53 Aetna Better Health — Managed Medicaid: $40.36 Alliance Coal — Commercial: $82.15 Amish and Mennonite Western KY — Commercial: $59.50 Anthem — HMO/PPO/Traditional: $55.76 Anthem — Medicare Advantage: $59.53 Anthem IN Off Exchange — Commercial: $55.76 Anthem IN On Exchange — Commercial: $55.76 Anthem KY Pathway — HMO: $55.76
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99214= RVU --> BILL 99213	$170	$59.50	$40.36 – $102.65
Established patient office visit (about 20–29 minutes): 10 of 51 insurance plan rates Aetna — Commercial: $102.65 Aetna — Medicare Advantage: $59.53 Aetna Better Health — Managed Medicaid: $40.36 Alliance Coal — Commercial: $82.15 Amish and Mennonite Western KY — Commercial: $59.50 Anthem — HMO/PPO/Traditional: $55.76 Anthem — Medicare Advantage: $59.53 Anthem IN Off Exchange — Commercial: $55.76 Anthem IN On Exchange — Commercial: $55.76 Anthem KY Pathway — HMO: $55.76
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99244 RVU--> BILL 99213	$170	$59.50	$40.36 – $102.65
Established patient office visit (about 20–29 minutes): 10 of 51 insurance plan rates Aetna — Commercial: $102.65 Aetna — Medicare Advantage: $59.53 Aetna Better Health — Managed Medicaid: $40.36 Alliance Coal — Commercial: $82.15 Amish and Mennonite Western KY — Commercial: $59.50 Anthem — HMO/PPO/Traditional: $55.76 Anthem — Medicare Advantage: $59.53 Anthem IN Off Exchange — Commercial: $55.76 Anthem IN On Exchange — Commercial: $55.76 Anthem KY Pathway — HMO: $55.76
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN	$248	$86.80	$61.98 – $146
Established patient office visit (about 30–39 minutes): 10 of 51 insurance plan rates Aetna — Commercial: $146 Aetna — Medicare Advantage: $87.66 Aetna Better Health — Managed Medicaid: $61.98 Alliance Coal — Commercial: $120.97 Amish and Mennonite Western KY — Commercial: $86.80 Anthem — HMO/PPO/Traditional: $86.13 Anthem — Medicare Advantage: $87.66 Anthem IN Off Exchange — Commercial: $86.13 Anthem IN On Exchange — Commercial: $86.13 Anthem KY Pathway — HMO: $86.13
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN	Not listed in the file	Not listed in the file	Not listed in the file
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan United Healthcare — Commercial: 70% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES	$250	$87.50	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $178.55
Office consultation with a specialist (moderate): 10 of 49 insurance plan rates Aetna — Commercial: $178.55 Aetna — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna Better Health — Managed Medicaid: $76.53 Alliance Coal — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Amish and Mennonite Western KY — Commercial: $87.50 Anthem — HMO/PPO/Traditional: $84.39 Anthem — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem IN Off Exchange — Commercial: $84.39 Anthem IN On Exchange — Commercial: $84.39 Anthem KY Pathway — HMO: $84.39
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES	$365	$127.75	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $252.75
Office consultation with a specialist (moderate to high): 10 of 49 insurance plan rates Aetna — Commercial: $252.75 Aetna — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna Better Health — Managed Medicaid: $121.37 Alliance Coal — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Amish and Mennonite Western KY — Commercial: $127.75 Anthem — HMO/PPO/Traditional: $124.56 Anthem — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem IN Off Exchange — Commercial: $124.56 Anthem IN On Exchange — Commercial: $124.56 Anthem KY Pathway — HMO: $124.56
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS	$135	$47.25	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $171.62
Preventive checkup, new patient, age 18–39: 10 of 51 insurance plan rates Aetna — Commercial: $171.62 Aetna — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna Better Health — Managed Medicaid: $77.60 Alliance Coal — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Amish and Mennonite Western KY — Commercial: $47.25 Anthem — HMO/PPO/Traditional: $94.40 Anthem — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem IN Off Exchange — Commercial: $94.40 Anthem IN On Exchange — Commercial: $94.40 Anthem KY Pathway — HMO: $94.40
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee · modifier 52 In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $94.40
Preventive checkup, new patient, age 18–39: 10 of 47 insurance plan rates Aetna — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna Better Health — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Alliance Coal — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — HMO/PPO/Traditional: $94.40 Anthem — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem IN Off Exchange — Commercial: $94.40 Anthem IN On Exchange — Commercial: $94.40 Anthem KY Pathway — HMO: $94.40 Anthem KY Pathway — HPN/PPO: $94.40
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS	$309	$108.15	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $202.11
Preventive checkup, new patient, age 40–64: 10 of 51 insurance plan rates Aetna — Commercial: $202.11 Aetna — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna Better Health — Managed Medicaid: $93.99 Alliance Coal — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Amish and Mennonite Western KY — Commercial: $108.15 Anthem — HMO/PPO/Traditional: $104.86 Anthem — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem IN Off Exchange — Commercial: $104.86 Anthem IN On Exchange — Commercial: $104.86 Anthem KY Pathway — HMO: $104.86
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee · modifier 52 In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $104.86
Preventive checkup, new patient, age 40–64: 10 of 47 insurance plan rates Aetna — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna Better Health — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Alliance Coal — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — HMO/PPO/Traditional: $104.86 Anthem — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem IN Off Exchange — Commercial: $104.86 Anthem IN On Exchange — Commercial: $104.86 Anthem KY Pathway — HMO: $104.86 Anthem KY Pathway — HPN/PPO: $104.86
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ED VISIT LOW MDM	$212	$74.20	$47.40 – $106.61
Emergency room visit (moderate): 10 of 51 insurance plan rates Aetna — Commercial: $106.61 Aetna — Medicare Advantage: $64.39 Aetna Better Health — Managed Medicaid: $47.40 Alliance Coal — Commercial: $88.86 Amish and Mennonite Western KY — Commercial: $74.20 Anthem — HMO/PPO/Traditional: $75.44 Anthem — Medicare Advantage: $64.39 Anthem IN Off Exchange — Commercial: $75.44 Anthem IN On Exchange — Commercial: $75.44 Anthem KY Pathway — HMO: $75.44
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL 3 VISIT 99283	$778	$365.66	$231.53 – $754.66
Emergency room visit (moderate): 10 of 48 insurance plan rates Aetna — Commercial: $754.66 Aetna — Medicare Advantage: $253.94 Aetna Better Health — Managed Medicaid: $267.17 Alliance Coal — Commercial: $373.44 Amish and Mennonite Western KY — Commercial: $373.44 Anthem — HMO/PPO/Traditional: $565.14 Anthem — Medicare Advantage: $248.96 Anthem IN Off Exchange — Commercial: $565.14 Anthem IN On Exchange — Commercial: $508.66 Anthem KY Pathway — HMO: $452.10
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL 3 VISIT 99283	$778	$365.66	$365.66 – $754.66
Emergency room visit (moderate): 10 of 21 insurance plan rates Aetna — Commercial: $754.66 Anthem — HMO/PPO/Traditional: $565.14 Anthem IN Off Exchange — Commercial: $565.14 Anthem IN On Exchange — Commercial: $508.66 Anthem KY Pathway — HMO: $452.10 Anthem KY Pathway — HPN/PPO: $508.66 Center Care Narrow — Commercial: $622.40 Center Care Open Access — Commercial: $700.20 Cigna — Commercial: $545.38 ClaimDoc — Commercial: $661.30
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ED VISIT MODERATE MDM	$315	$110.25	$74.05 – $165.27
Emergency room visit (moderately high): 10 of 51 insurance plan rates Aetna — Commercial: $164.74 Aetna — Medicare Advantage: $109.91 Aetna Better Health — Managed Medicaid: $74.05 Alliance Coal — Commercial: $151.68 Amish and Mennonite Western KY — Commercial: $110.25 Anthem — HMO/PPO/Traditional: $118.77 Anthem — Medicare Advantage: $109.91 Anthem IN Off Exchange — Commercial: $118.77 Anthem IN On Exchange — Commercial: $118.77 Anthem KY Pathway — HMO: $118.77
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL 4 VISIT 99284	$1,616	$759.52	$480.92 – $1,567.52
Emergency room visit (moderately high): 10 of 48 insurance plan rates Aetna — Commercial: $1,567.52 Aetna — Medicare Advantage: $527.46 Aetna Better Health — Managed Medicaid: $554.93 Alliance Coal — Commercial: $775.68 Amish and Mennonite Western KY — Commercial: $775.68 Anthem — HMO/PPO/Traditional: $1,173.86 Anthem — Medicare Advantage: $517.12 Anthem IN Off Exchange — Commercial: $1,173.86 Anthem IN On Exchange — Commercial: $1,056.54 Anthem KY Pathway — HMO: $939.06
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL 4 VISIT 99284	$1,616	$759.52	$759.52 – $1,567.52
Emergency room visit (moderately high): 10 of 21 insurance plan rates Aetna — Commercial: $1,567.52 Anthem — HMO/PPO/Traditional: $1,173.86 Anthem IN Off Exchange — Commercial: $1,173.86 Anthem IN On Exchange — Commercial: $1,056.54 Anthem KY Pathway — HMO: $939.06 Anthem KY Pathway — HPN/PPO: $1,056.54 Center Care Narrow — Commercial: $1,292.80 Center Care Open Access — Commercial: $1,454.40 Cigna — Commercial: $1,132.82 ClaimDoc — Commercial: $1,373.60
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ED VISIT HIGH MDM	$469	$164.15	$116.04 – $251.41
Emergency room visit (high): 10 of 51 insurance plan rates Aetna — Commercial: $251.41 Aetna — Medicare Advantage: $159.45 Aetna Better Health — Managed Medicaid: $116.04 Alliance Coal — Commercial: $220.04 Amish and Mennonite Western KY — Commercial: $164.15 Anthem — HMO/PPO/Traditional: $185.56 Anthem — Medicare Advantage: $159.45 Anthem IN Off Exchange — Commercial: $185.56 Anthem IN On Exchange — Commercial: $185.56 Anthem KY Pathway — HMO: $185.56
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL 5 VISIT 99285	$1,877	$882.19	$558.60 – $1,820.69
Emergency room visit (high): 10 of 48 insurance plan rates Aetna — Commercial: $1,820.69 Aetna — Medicare Advantage: $612.65 Aetna Better Health — Managed Medicaid: $644.56 Alliance Coal — Commercial: $900.96 Amish and Mennonite Western KY — Commercial: $900.96 Anthem — HMO/PPO/Traditional: $1,363.45 Anthem — Medicare Advantage: $600.64 Anthem IN Off Exchange — Commercial: $1,363.45 Anthem IN On Exchange — Commercial: $1,227.18 Anthem KY Pathway — HMO: $1,090.72
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL 5 VISIT 99285	$1,877	$882.19	$882.19 – $1,820.69
Emergency room visit (high): 10 of 21 insurance plan rates Aetna — Commercial: $1,820.69 Anthem — HMO/PPO/Traditional: $1,363.45 Anthem IN Off Exchange — Commercial: $1,363.45 Anthem IN On Exchange — Commercial: $1,227.18 Anthem KY Pathway — HMO: $1,090.72 Anthem KY Pathway — HPN/PPO: $1,227.18 Center Care Narrow — Commercial: $1,501.60 Center Care Open Access — Commercial: $1,689.30 Cigna — Commercial: $1,315.78 ClaimDoc — Commercial: $1,595.45

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG BASIC METABOLIC PANEL CALCIUM TOTAL	$49	$17.15	$5.08 – $17.15
Basic metabolic panel (blood test): 10 of 51 insurance plan rates Aetna — Commercial: $14.03 Aetna — Medicare Advantage: $8.46 Aetna Better Health — Managed Medicaid: $8.46 Alliance Coal — Commercial: $8.88 Amish and Mennonite Western KY — Commercial: $17.15 Anthem — HMO/PPO/Traditional: $5.11 Anthem — Medicare Advantage: $8.46 Anthem IN Off Exchange — Commercial: $5.11 Anthem IN On Exchange — Commercial: $5.11 Anthem KY Pathway — HMO: $5.11
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PROF CHEM8	$63	$29.61	$5.69 – $61.11
Basic metabolic panel (blood test): 10 of 48 insurance plan rates Aetna — Commercial: $61.11 Aetna — Medicare Advantage: $20.56 Aetna Better Health — Managed Medicaid: $8.46 Alliance Coal — Commercial: $10.58 Amish and Mennonite Western KY — Commercial: $30.24 Anthem — HMO/PPO/Traditional: $5.69 Anthem — Medicare Advantage: $20.16 Anthem IN Off Exchange — Commercial: $5.69 Anthem IN On Exchange — Commercial: $5.69 Anthem KY Pathway — HMO: $5.69
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC QUICK CHEM	$43	$20.21	$5.69 – $41.71
Basic metabolic panel (blood test): 10 of 48 insurance plan rates Aetna — Commercial: $41.71 Aetna — Medicare Advantage: $14.04 Aetna Better Health — Managed Medicaid: $8.46 Alliance Coal — Commercial: $10.58 Amish and Mennonite Western KY — Commercial: $20.64 Anthem — HMO/PPO/Traditional: $5.69 Anthem — Medicare Advantage: $13.76 Anthem IN Off Exchange — Commercial: $5.69 Anthem IN On Exchange — Commercial: $5.69 Anthem KY Pathway — HMO: $5.69
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPREHENSIVE METABOLIC PANEL	$67	$23.45	$5.99 – $23.45
Comprehensive metabolic panel (blood test): 10 of 51 insurance plan rates Aetna — Commercial: $18.91 Aetna — Medicare Advantage: $10.56 Aetna Better Health — Managed Medicaid: $10.56 Alliance Coal — Commercial: $11.09 Amish and Mennonite Western KY — Commercial: $23.45 Anthem — HMO/PPO/Traditional: $5.99 Anthem — Medicare Advantage: $10.56 Anthem IN Off Exchange — Commercial: $5.99 Anthem IN On Exchange — Commercial: $5.99 Anthem KY Pathway — HMO: $5.99
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG COMPREHENSIVE METABOLIC PANEL	$78	$27.30	$5.99 – $27.30
Comprehensive metabolic panel (blood test): 10 of 51 insurance plan rates Aetna — Commercial: $18.91 Aetna — Medicare Advantage: $10.56 Aetna Better Health — Managed Medicaid: $10.56 Alliance Coal — Commercial: $11.09 Amish and Mennonite Western KY — Commercial: $27.30 Anthem — HMO/PPO/Traditional: $5.99 Anthem — Medicare Advantage: $10.56 Anthem IN Off Exchange — Commercial: $5.99 Anthem IN On Exchange — Commercial: $5.99 Anthem KY Pathway — HMO: $5.99
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PROFILE	$106	$49.82	$7.15 – $102.82
Comprehensive metabolic panel (blood test): 10 of 48 insurance plan rates Aetna — Commercial: $102.82 Aetna — Medicare Advantage: $34.60 Aetna Better Health — Managed Medicaid: $10.56 Alliance Coal — Commercial: $13.20 Amish and Mennonite Western KY — Commercial: $50.88 Anthem — HMO/PPO/Traditional: $7.15 Anthem — Medicare Advantage: $33.92 Anthem IN Off Exchange — Commercial: $7.15 Anthem IN On Exchange — Commercial: $7.15 Anthem KY Pathway — HMO: $7.15
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$47.81 – $59.76
Obstetric blood test panel: 10 of 17 insurance plan rates Aetna Better Health — Managed Medicaid: $47.81 Alliance Coal — Commercial: $59.76 Anthem — HMO/PPO/Traditional: $53.28 Anthem IN Off Exchange — Commercial: $53.28 Anthem IN On Exchange — Commercial: $53.28 Anthem KY Pathway — HMO: $53.28 Anthem KY Pathway — HPN/PPO: $53.28 Anthem Pathway Essentials — Commercial: $47.81 Center Care Narrow — Commercial: $47.81 Center Care Open Access — Commercial: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG LIPID PANEL	$89	$31.15	$7.51 – $31.15
Cholesterol panel (lipid panel): 10 of 51 insurance plan rates Aetna — Commercial: $26.74 Aetna — Medicare Advantage: $13.39 Aetna Better Health — Managed Medicaid: $13.39 Alliance Coal — Commercial: $14.06 Amish and Mennonite Western KY — Commercial: $31.15 Anthem — HMO/PPO/Traditional: $7.51 Anthem — Medicare Advantage: $13.39 Anthem IN Off Exchange — Commercial: $7.51 Anthem IN On Exchange — Commercial: $7.51 Anthem KY Pathway — HMO: $7.51
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Doctor (professional) fee In the file: LIPID PROFILE	$89	$31.15	$7.51 – $31.15
Cholesterol panel (lipid panel): 10 of 51 insurance plan rates Aetna — Commercial: $26.74 Aetna — Medicare Advantage: $13.39 Aetna Better Health — Managed Medicaid: $13.39 Alliance Coal — Commercial: $14.06 Amish and Mennonite Western KY — Commercial: $31.15 Anthem — HMO/PPO/Traditional: $7.51 Anthem — Medicare Advantage: $13.39 Anthem IN Off Exchange — Commercial: $7.51 Anthem IN On Exchange — Commercial: $7.51 Anthem KY Pathway — HMO: $7.51
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PROFILE CORONARY RISK	$160	$75.20	$9.68 – $155.20
Cholesterol panel (lipid panel): 10 of 48 insurance plan rates Aetna — Commercial: $155.20 Aetna — Medicare Advantage: $52.22 Aetna Better Health — Managed Medicaid: $13.39 Alliance Coal — Commercial: $16.74 Amish and Mennonite Western KY — Commercial: $76.80 Anthem — HMO/PPO/Traditional: $9.68 Anthem — Medicare Advantage: $51.20 Anthem IN Off Exchange — Commercial: $9.68 Anthem IN On Exchange — Commercial: $9.68 Anthem KY Pathway — HMO: $9.68
Kidney function panel CPT 80069 · Inpatient or outpatient · Doctor (professional) fee In the file: RENAL PROFILE	$45	$15.75	$4.86 – $15.76
Kidney function panel: 10 of 51 insurance plan rates Aetna — Commercial: $15.76 Aetna — Medicare Advantage: $8.68 Aetna Better Health — Managed Medicaid: $8.68 Alliance Coal — Commercial: $9.11 Amish and Mennonite Western KY — Commercial: $15.75 Anthem — HMO/PPO/Traditional: $4.86 Anthem — Medicare Advantage: $8.68 Anthem IN Off Exchange — Commercial: $4.86 Anthem IN On Exchange — Commercial: $4.86 Anthem KY Pathway — HMO: $4.86
Kidney function panel CPT 80069 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG RENAL FUNCTION PANEL	$54	$18.90	$4.86 – $18.90
Kidney function panel: 10 of 51 insurance plan rates Aetna — Commercial: $15.76 Aetna — Medicare Advantage: $8.68 Aetna Better Health — Managed Medicaid: $8.68 Alliance Coal — Commercial: $9.11 Amish and Mennonite Western KY — Commercial: $18.90 Anthem — HMO/PPO/Traditional: $4.86 Anthem — Medicare Advantage: $8.68 Anthem IN Off Exchange — Commercial: $4.86 Anthem IN On Exchange — Commercial: $4.86 Anthem KY Pathway — HMO: $4.86
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL PROFILE	$175	$82.25	$5.69 – $169.75
Kidney function panel: 10 of 48 insurance plan rates Aetna — Commercial: $169.75 Aetna — Medicare Advantage: $57.12 Aetna Better Health — Managed Medicaid: $8.68 Alliance Coal — Commercial: $10.85 Amish and Mennonite Western KY — Commercial: $84 Anthem — HMO/PPO/Traditional: $5.69 Anthem — Medicare Advantage: $56 Anthem IN Off Exchange — Commercial: $5.69 Anthem IN On Exchange — Commercial: $5.69 Anthem KY Pathway — HMO: $5.69
Liver function panel CPT 80076 · Inpatient or outpatient · Doctor (professional) fee In the file: HEPATIC (LIVER) FUNCTION PANEL	$46	$16.10	$4.04 – $16.10
Liver function panel: 10 of 51 insurance plan rates Aetna — Commercial: $13.57 Aetna — Medicare Advantage: $8.17 Aetna Better Health — Managed Medicaid: $8.17 Alliance Coal — Commercial: $8.58 Amish and Mennonite Western KY — Commercial: $16.10 Anthem — HMO/PPO/Traditional: $4.04 Anthem — Medicare Advantage: $8.17 Anthem IN Off Exchange — Commercial: $4.04 Anthem IN On Exchange — Commercial: $4.04 Anthem KY Pathway — HMO: $4.04
Liver function panel CPT 80076 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG HEPATIC FUNCTION PANEL	$46	$16.10	$4.04 – $16.10
Liver function panel: 10 of 51 insurance plan rates Aetna — Commercial: $13.57 Aetna — Medicare Advantage: $8.17 Aetna Better Health — Managed Medicaid: $8.17 Alliance Coal — Commercial: $8.58 Amish and Mennonite Western KY — Commercial: $16.10 Anthem — HMO/PPO/Traditional: $4.04 Anthem — Medicare Advantage: $8.17 Anthem IN Off Exchange — Commercial: $4.04 Anthem IN On Exchange — Commercial: $4.04 Anthem KY Pathway — HMO: $4.04
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIVER HEPATIC PROFILE	$174	$81.78	$5.69 – $168.78
Liver function panel: 10 of 48 insurance plan rates Aetna — Commercial: $168.78 Aetna — Medicare Advantage: $56.79 Aetna Better Health — Managed Medicaid: $8.17 Alliance Coal — Commercial: $10.21 Amish and Mennonite Western KY — Commercial: $83.52 Anthem — HMO/PPO/Traditional: $5.69 Anthem — Medicare Advantage: $55.68 Anthem IN Off Exchange — Commercial: $5.69 Anthem IN On Exchange — Commercial: $5.69 Anthem KY Pathway — HMO: $5.69
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY	$23	$8.05	$2.35 – $8.05
Urine test (automated, with microscope): 10 of 51 insurance plan rates Aetna — Commercial: $5.77 Aetna — Medicare Advantage: $3.17 Aetna Better Health — Managed Medicaid: $3.17 Alliance Coal — Commercial: $3.33 Amish and Mennonite Western KY — Commercial: $8.05 Anthem — HMO/PPO/Traditional: $2.35 Anthem — Medicare Advantage: $3.17 Anthem IN Off Exchange — Commercial: $2.35 Anthem IN On Exchange — Commercial: $2.35 Anthem KY Pathway — HMO: $2.35
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Doctor (professional) fee In the file: URINALYSIS (UA)	$23	$8.05	$2.35 – $8.05
Urine test (automated, with microscope): 10 of 51 insurance plan rates Aetna — Commercial: $5.77 Aetna — Medicare Advantage: $3.17 Aetna Better Health — Managed Medicaid: $3.17 Alliance Coal — Commercial: $3.33 Amish and Mennonite Western KY — Commercial: $8.05 Anthem — HMO/PPO/Traditional: $2.35 Anthem — Medicare Advantage: $3.17 Anthem IN Off Exchange — Commercial: $2.35 Anthem IN On Exchange — Commercial: $2.35 Anthem KY Pathway — HMO: $2.35
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS W/MICRO CULTURE	$71	$33.37	$2.69 – $68.87
Urine test (automated, with microscope): 10 of 48 insurance plan rates Aetna — Commercial: $68.87 Aetna — Medicare Advantage: $23.17 Aetna Better Health — Managed Medicaid: $3.17 Alliance Coal — Commercial: $3.96 Amish and Mennonite Western KY — Commercial: $34.08 Anthem — HMO/PPO/Traditional: $2.69 Anthem — Medicare Advantage: $22.72 Anthem IN Off Exchange — Commercial: $2.69 Anthem IN On Exchange — Commercial: $2.69 Anthem KY Pathway — HMO: $2.69
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: POCT URINE QUALITATIVE DIPSTICK SPECIFIC GRAVITY	$18	$6.30	$2.09 – $6.30
Urine test (manual, without microscope): 10 of 51 insurance plan rates Aetna — Commercial: $4.84 Aetna — Medicare Advantage: $3.48 Aetna Better Health — Managed Medicaid: $3.48 Alliance Coal — Commercial: $3.65 Amish and Mennonite Western KY — Commercial: $6.30 Anthem — HMO/PPO/Traditional: $2.09 Anthem — Medicare Advantage: $3.48 Anthem IN Off Exchange — Commercial: $2.09 Anthem IN On Exchange — Commercial: $2.09 Anthem KY Pathway — HMO: $2.09
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: POCT URINE QUALITATIVE DIPSTICK BLOOD	$18	$6.30	$2.09 – $6.30
Urine test (manual, without microscope): 10 of 51 insurance plan rates Aetna — Commercial: $4.84 Aetna — Medicare Advantage: $3.48 Aetna Better Health — Managed Medicaid: $3.48 Alliance Coal — Commercial: $3.65 Amish and Mennonite Western KY — Commercial: $6.30 Anthem — HMO/PPO/Traditional: $2.09 Anthem — Medicare Advantage: $3.48 Anthem IN Off Exchange — Commercial: $2.09 Anthem IN On Exchange — Commercial: $2.09 Anthem KY Pathway — HMO: $2.09
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: POCT URINE QUALITATIVE DIPSTICK LEUKOCYTES	$18	$6.30	$2.09 – $6.30
Urine test (manual, without microscope): 10 of 51 insurance plan rates Aetna — Commercial: $4.84 Aetna — Medicare Advantage: $3.48 Aetna Better Health — Managed Medicaid: $3.48 Alliance Coal — Commercial: $3.65 Amish and Mennonite Western KY — Commercial: $6.30 Anthem — HMO/PPO/Traditional: $2.09 Anthem — Medicare Advantage: $3.48 Anthem IN Off Exchange — Commercial: $2.09 Anthem IN On Exchange — Commercial: $2.09 Anthem KY Pathway — HMO: $2.09
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Doctor (professional) fee In the file: POCT KETONE, URINE	$18	$6.30	$1.38 – $6.30
Urine test (automated, without microscope): 10 of 51 insurance plan rates Aetna — Commercial: $4.09 Aetna — Medicare Advantage: $2.25 Aetna Better Health — Managed Medicaid: $2.25 Alliance Coal — Commercial: $2.36 Amish and Mennonite Western KY — Commercial: $6.30 Anthem — HMO/PPO/Traditional: $1.38 Anthem — Medicare Advantage: $2.25 Anthem IN Off Exchange — Commercial: $1.38 Anthem IN On Exchange — Commercial: $1.38 Anthem KY Pathway — HMO: $1.38
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY	$18	$6.30	$1.38 – $6.30
Urine test (automated, without microscope): 10 of 51 insurance plan rates Aetna — Commercial: $4.09 Aetna — Medicare Advantage: $2.25 Aetna Better Health — Managed Medicaid: $2.25 Alliance Coal — Commercial: $2.36 Amish and Mennonite Western KY — Commercial: $6.30 Anthem — HMO/PPO/Traditional: $1.38 Anthem — Medicare Advantage: $2.25 Anthem IN Off Exchange — Commercial: $1.38 Anthem IN On Exchange — Commercial: $1.38 Anthem KY Pathway — HMO: $1.38
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC KETONE URINE	$17	$7.99	$1.91 – $16.49
Urine test (automated, without microscope): 10 of 48 insurance plan rates Aetna — Commercial: $16.49 Aetna — Medicare Advantage: $5.55 Aetna Better Health — Managed Medicaid: $2.25 Alliance Coal — Commercial: $2.81 Amish and Mennonite Western KY — Commercial: $8.16 Anthem — HMO/PPO/Traditional: $1.91 Anthem — Medicare Advantage: $5.44 Anthem IN Off Exchange — Commercial: $1.91 Anthem IN On Exchange — Commercial: $1.91 Anthem KY Pathway — HMO: $1.91
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Doctor (professional) fee In the file: PSA TOTAL, DIAGNOSTIC	$120	$42	$10.42 – $42
PSA (prostate specific antigen) blood test: 10 of 51 insurance plan rates Aetna — Commercial: $33.39 Aetna — Medicare Advantage: $18.39 Aetna Better Health — Managed Medicaid: $18.39 Alliance Coal — Commercial: $19.31 Amish and Mennonite Western KY — Commercial: $42 Anthem — HMO/PPO/Traditional: $10.42 Anthem — Medicare Advantage: $18.39 Anthem IN Off Exchange — Commercial: $10.42 Anthem IN On Exchange — Commercial: $10.42 Anthem KY Pathway — HMO: $10.42
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL	$50	$17.50	$10.42 – $33.39
PSA (prostate specific antigen) blood test: 10 of 51 insurance plan rates Aetna — Commercial: $33.39 Aetna — Medicare Advantage: $18.39 Aetna Better Health — Managed Medicaid: $18.39 Alliance Coal — Commercial: $19.31 Amish and Mennonite Western KY — Commercial: $17.50 Anthem — HMO/PPO/Traditional: $10.42 Anthem — Medicare Advantage: $18.39 Anthem IN Off Exchange — Commercial: $10.42 Anthem IN On Exchange — Commercial: $10.42 Anthem KY Pathway — HMO: $10.42
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA DIAGNOSTIC	$93	$43.71	$15.64 – $90.21
PSA (prostate specific antigen) blood test: 10 of 48 insurance plan rates Aetna — Commercial: $90.21 Aetna — Medicare Advantage: $30.36 Aetna Better Health — Managed Medicaid: $18.39 Alliance Coal — Commercial: $22.99 Amish and Mennonite Western KY — Commercial: $44.64 Anthem — HMO/PPO/Traditional: $15.64 Anthem — Medicare Advantage: $29.76 Anthem IN Off Exchange — Commercial: $15.64 Anthem IN On Exchange — Commercial: $15.64 Anthem KY Pathway — HMO: $15.64
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Doctor (professional) fee In the file: POCT THYROID STIMULATING HORMONE (TSH)	$96	$33.60	$10.08 – $33.60
Thyroid stimulating hormone (TSH) test: 10 of 51 insurance plan rates Aetna — Commercial: $30.48 Aetna — Medicare Advantage: $16.80 Aetna Better Health — Managed Medicaid: $16.80 Alliance Coal — Commercial: $17.64 Amish and Mennonite Western KY — Commercial: $33.60 Anthem — HMO/PPO/Traditional: $10.79 Anthem — Medicare Advantage: $16.80 Anthem IN Off Exchange — Commercial: $10.79 Anthem IN On Exchange — Commercial: $10.79 Anthem KY Pathway — HMO: $10.79
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG ASSAY OF THYROID STIMULATING HORMONE TSH	$96	$33.60	$10.08 – $33.60
Thyroid stimulating hormone (TSH) test: 10 of 51 insurance plan rates Aetna — Commercial: $30.48 Aetna — Medicare Advantage: $16.80 Aetna Better Health — Managed Medicaid: $16.80 Alliance Coal — Commercial: $17.64 Amish and Mennonite Western KY — Commercial: $33.60 Anthem — HMO/PPO/Traditional: $10.79 Anthem — Medicare Advantage: $16.80 Anthem IN Off Exchange — Commercial: $10.79 Anthem IN On Exchange — Commercial: $10.79 Anthem KY Pathway — HMO: $10.79
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH THIRD GENERATION	$151	$70.97	$14.28 – $146.47
Thyroid stimulating hormone (TSH) test: 10 of 48 insurance plan rates Aetna — Commercial: $146.47 Aetna — Medicare Advantage: $49.29 Aetna Better Health — Managed Medicaid: $16.80 Alliance Coal — Commercial: $21 Amish and Mennonite Western KY — Commercial: $72.48 Anthem — HMO/PPO/Traditional: $14.28 Anthem — Medicare Advantage: $48.32 Anthem IN Off Exchange — Commercial: $14.28 Anthem IN On Exchange — Commercial: $14.28 Anthem KY Pathway — HMO: $14.28
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC	$39	$13.65	$4.66 – $14.13
Complete blood count (CBC) with differential: 10 of 51 insurance plan rates Aetna — Commercial: $14.13 Aetna — Medicare Advantage: $7.77 Aetna Better Health — Managed Medicaid: $7.77 Alliance Coal — Commercial: $8.16 Amish and Mennonite Western KY — Commercial: $13.65 Anthem — HMO/PPO/Traditional: $4.86 Anthem — Medicare Advantage: $7.77 Anthem IN Off Exchange — Commercial: $4.86 Anthem IN On Exchange — Commercial: $4.86 Anthem KY Pathway — HMO: $4.86
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: MANUAL DIFFERENTIAL	$39	$13.65	$4.66 – $14.13
Complete blood count (CBC) with differential: 10 of 51 insurance plan rates Aetna — Commercial: $14.13 Aetna — Medicare Advantage: $7.77 Aetna Better Health — Managed Medicaid: $7.77 Alliance Coal — Commercial: $8.16 Amish and Mennonite Western KY — Commercial: $13.65 Anthem — HMO/PPO/Traditional: $4.86 Anthem — Medicare Advantage: $7.77 Anthem IN Off Exchange — Commercial: $4.86 Anthem IN On Exchange — Commercial: $4.86 Anthem KY Pathway — HMO: $4.86
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: CBC W MANUAL DIFFERENTIAL	$39	$13.65	$4.66 – $14.13
Complete blood count (CBC) with differential: 10 of 51 insurance plan rates Aetna — Commercial: $14.13 Aetna — Medicare Advantage: $7.77 Aetna Better Health — Managed Medicaid: $7.77 Alliance Coal — Commercial: $8.16 Amish and Mennonite Western KY — Commercial: $13.65 Anthem — HMO/PPO/Traditional: $4.86 Anthem — Medicare Advantage: $7.77 Anthem IN Off Exchange — Commercial: $4.86 Anthem IN On Exchange — Commercial: $4.86 Anthem KY Pathway — HMO: $4.86
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Doctor (professional) fee In the file: CBC W AUTO DIFF	$39	$13.65	$2.11 – $13.65
Complete blood count (CBC), automated: 10 of 51 insurance plan rates Aetna — Commercial: $11.76 Aetna — Medicare Advantage: $6.47 Aetna Better Health — Managed Medicaid: $6.47 Alliance Coal — Commercial: $6.79 Amish and Mennonite Western KY — Commercial: $13.65 Anthem — HMO/PPO/Traditional: $4.46 Anthem — Medicare Advantage: $6.47 Anthem IN Off Exchange — Commercial: $4.46 Anthem IN On Exchange — Commercial: $4.46 Anthem KY Pathway — HMO: $4.46
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG BLOOD COUNT COMPLETE AUTOMATED	$38	$13.30	$2.11 – $13.30
Complete blood count (CBC), automated: 10 of 51 insurance plan rates Aetna — Commercial: $11.76 Aetna — Medicare Advantage: $6.47 Aetna Better Health — Managed Medicaid: $6.47 Alliance Coal — Commercial: $6.79 Amish and Mennonite Western KY — Commercial: $13.30 Anthem — HMO/PPO/Traditional: $4.46 Anthem — Medicare Advantage: $6.47 Anthem IN Off Exchange — Commercial: $4.46 Anthem IN On Exchange — Commercial: $4.46 Anthem KY Pathway — HMO: $4.46
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Doctor (professional) fee In the file: POCT CBC W AUTO DIFF	$39	$13.65	$2.11 – $13.65
Complete blood count (CBC), automated: 10 of 51 insurance plan rates Aetna — Commercial: $11.76 Aetna — Medicare Advantage: $6.47 Aetna Better Health — Managed Medicaid: $6.47 Alliance Coal — Commercial: $6.79 Amish and Mennonite Western KY — Commercial: $13.65 Anthem — HMO/PPO/Traditional: $4.46 Anthem — Medicare Advantage: $6.47 Anthem IN Off Exchange — Commercial: $4.46 Anthem IN On Exchange — Commercial: $4.46 Anthem KY Pathway — HMO: $4.46
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG PROTHROMBIN TIME	$26	$9.10	$2.91 – $9.10
Blood clotting time test (prothrombin time, PT): 10 of 51 insurance plan rates Aetna — Commercial: $7.27 Aetna — Medicare Advantage: $4.29 Aetna Better Health — Managed Medicaid: $4.29 Alliance Coal — Commercial: $4.50 Amish and Mennonite Western KY — Commercial: $9.10 Anthem — HMO/PPO/Traditional: $2.91 Anthem — Medicare Advantage: $4.29 Anthem IN Off Exchange — Commercial: $2.91 Anthem IN On Exchange — Commercial: $2.91 Anthem KY Pathway — HMO: $2.91
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$66	$31.02	$3.34 – $64.02
Blood clotting time test (prothrombin time, PT): 10 of 48 insurance plan rates Aetna — Commercial: $64.02 Aetna — Medicare Advantage: $21.54 Aetna Better Health — Managed Medicaid: $4.29 Alliance Coal — Commercial: $5.36 Amish and Mennonite Western KY — Commercial: $31.68 Anthem — HMO/PPO/Traditional: $3.34 Anthem — Medicare Advantage: $21.12 Anthem IN Off Exchange — Commercial: $3.34 Anthem IN On Exchange — Commercial: $3.34 Anthem KY Pathway — HMO: $3.34
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ANTIPHOSPHOLIPID SYN PROTHROMBIN TIME	$24	$11.28	$3.34 – $23.28
Blood clotting time test (prothrombin time, PT): 10 of 48 insurance plan rates Aetna — Commercial: $23.28 Aetna — Medicare Advantage: $7.83 Aetna Better Health — Managed Medicaid: $4.29 Alliance Coal — Commercial: $5.36 Amish and Mennonite Western KY — Commercial: $11.52 Anthem — HMO/PPO/Traditional: $3.34 Anthem — Medicare Advantage: $7.68 Anthem IN Off Exchange — Commercial: $3.34 Anthem IN On Exchange — Commercial: $3.34 Anthem KY Pathway — HMO: $3.34
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD	$33	$11.55	$2.97 – $11.55
Blood clotting test (partial thromboplastin time, PTT): 10 of 51 insurance plan rates Aetna — Commercial: $10.91 Aetna — Medicare Advantage: $6.01 Aetna Better Health — Managed Medicaid: $6.01 Alliance Coal — Commercial: $6.31 Amish and Mennonite Western KY — Commercial: $11.55 Anthem — HMO/PPO/Traditional: $2.97 Anthem — Medicare Advantage: $6.01 Anthem IN Off Exchange — Commercial: $2.97 Anthem IN On Exchange — Commercial: $2.97 Anthem KY Pathway — HMO: $2.97
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Doctor (professional) fee In the file: APTT	$33	$11.55	$2.97 – $11.55
Blood clotting test (partial thromboplastin time, PTT): 10 of 51 insurance plan rates Aetna — Commercial: $10.91 Aetna — Medicare Advantage: $6.01 Aetna Better Health — Managed Medicaid: $6.01 Alliance Coal — Commercial: $6.31 Amish and Mennonite Western KY — Commercial: $11.55 Anthem — HMO/PPO/Traditional: $2.97 Anthem — Medicare Advantage: $6.01 Anthem IN Off Exchange — Commercial: $2.97 Anthem IN On Exchange — Commercial: $2.97 Anthem KY Pathway — HMO: $2.97
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC APTT B	$125	$58.75	$5.10 – $121.25
Blood clotting test (partial thromboplastin time, PTT): 10 of 48 insurance plan rates Aetna — Commercial: $121.25 Aetna — Medicare Advantage: $40.80 Aetna Better Health — Managed Medicaid: $6.01 Alliance Coal — Commercial: $7.51 Amish and Mennonite Western KY — Commercial: $60 Anthem — HMO/PPO/Traditional: $5.10 Anthem — Medicare Advantage: $40 Anthem IN Off Exchange — Commercial: $5.10 Anthem IN On Exchange — Commercial: $5.10 Anthem KY Pathway — HMO: $5.10

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL	$210	$73.50	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $131.33
CT scan of the head or brain, without contrast: 10 of 51 insurance plan rates Aetna — Commercial: $131.33 Aetna — Medicare Advantage: $36.40 Aetna Better Health — Managed Medicaid: $36.59 Alliance Coal — Commercial: $50.23 Amish and Mennonite Western KY — Commercial: $73.50 Anthem — HMO/PPO/Traditional: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — Medicare Advantage: $36.40 Anthem IN Off Exchange — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem IN On Exchange — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem KY Pathway — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN W/O CONTRAST	$1,993	$936.71	$212.43 – $1,933.21
CT scan of the head or brain, without contrast: 10 of 46 insurance plan rates Aetna — Commercial: $1,933.21 Aetna — Medicare Advantage: $650.52 Aetna Better Health — Managed Medicaid: $684.40 Alliance Coal — Commercial: $956.64 Amish and Mennonite Western KY — Commercial: $956.64 Anthem — HMO/PPO/Traditional: $518 Anthem — Medicare Advantage: $637.76 Anthem IN Off Exchange — Commercial: $518 Anthem IN On Exchange — Commercial: $518 Anthem KY Pathway — HMO: $518
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN W/O CONTRAST	$1,993	$936.71	$936.71 – $1,933.21
CT scan of the head or brain, without contrast: 10 of 21 insurance plan rates Aetna — Commercial: $1,933.21 Anthem — HMO/PPO/Traditional: $1,447.72 Anthem IN Off Exchange — Commercial: $1,447.72 Anthem IN On Exchange — Commercial: $1,303.02 Anthem KY Pathway — HMO: $1,158.13 Anthem KY Pathway — HPN/PPO: $1,303.02 Center Care Narrow — Commercial: $1,594.40 Center Care Open Access — Commercial: $1,793.70 Cigna — Commercial: $1,397.09 ClaimDoc — Commercial: $1,694.05
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN W&W/O CONTRAST	$3,270	$1,536.90	$725 – $3,171.90
MRI of the brain, before and after contrast: 10 of 46 insurance plan rates Aetna — Commercial: $3,171.90 Aetna — Medicare Advantage: $1,067.33 Aetna Better Health — Managed Medicaid: $1,122.92 Alliance Coal — Commercial: $1,569.60 Amish and Mennonite Western KY — Commercial: $1,569.60 Anthem — HMO/PPO/Traditional: $725 Anthem — Medicare Advantage: $1,046.40 Anthem IN Off Exchange — Commercial: $725 Anthem IN On Exchange — Commercial: $725 Anthem KY Pathway — HMO: $725
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI BRAIN W&W/O CONTRAST	$3,270	$1,536.90	$1,536.90 – $3,171.90
MRI of the brain, before and after contrast: 10 of 21 insurance plan rates Aetna — Commercial: $3,171.90 Anthem — HMO/PPO/Traditional: $2,375.33 Anthem IN Off Exchange — Commercial: $2,375.33 Anthem IN On Exchange — Commercial: $2,137.93 Anthem KY Pathway — HMO: $1,900.20 Anthem KY Pathway — HPN/PPO: $2,137.93 Center Care Narrow — Commercial: $2,616 Center Care Open Access — Commercial: $2,943 Cigna — Commercial: $2,292.27 ClaimDoc — Commercial: $2,779.50
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL	$432	$151.20	$86.40 – $302.40
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates Aetna — Commercial: $302.40 Alliance Coal — Commercial: $259.20 Amish and Mennonite Western KY — Commercial: $151.20 CareSource IN Marketplace — Commercial: $151.20 Center Care Narrow — Commercial: $259.20 Center Care Open Access — Commercial: $259.20 Cigna — Commercial: $259.20 ClaimDoc — Commercial: $259.20 Claritev (Formerly PHCS) — Commercial: $302.40 Coventry National Network — Commercial: $302.40
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG RADIOLOGIC EXAM CHEST 2 VIEWS	$42	$14.70	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $15.41
Chest X-ray, 2 views: 10 of 51 insurance plan rates Aetna — Commercial: $15.04 Aetna — Medicare Advantage: $9.40 Aetna Better Health — Managed Medicaid: $8.69 Alliance Coal — Commercial: $12.97 Amish and Mennonite Western KY — Commercial: $14.70 Anthem — HMO/PPO/Traditional: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — Medicare Advantage: $9.40 Anthem IN Off Exchange — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem IN On Exchange — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem KY Pathway — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS	$382	$179.54	$113.68 – $370.54
Chest X-ray, 2 views: 10 of 48 insurance plan rates Aetna — Commercial: $370.54 Aetna — Medicare Advantage: $124.68 Aetna Better Health — Managed Medicaid: $131.18 Alliance Coal — Commercial: $183.36 Amish and Mennonite Western KY — Commercial: $183.36 Anthem — HMO/PPO/Traditional: $277.48 Anthem — Medicare Advantage: $122.24 Anthem IN Off Exchange — Commercial: $277.48 Anthem IN On Exchange — Commercial: $249.75 Anthem KY Pathway — HMO: $221.98
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS	$382	$179.54	$179.54 – $370.54
Chest X-ray, 2 views: 10 of 21 insurance plan rates Aetna — Commercial: $370.54 Anthem — HMO/PPO/Traditional: $277.48 Anthem IN Off Exchange — Commercial: $277.48 Anthem IN On Exchange — Commercial: $249.75 Anthem KY Pathway — HMO: $221.98 Anthem KY Pathway — HPN/PPO: $249.75 Center Care Narrow — Commercial: $305.60 Center Care Open Access — Commercial: $343.80 Cigna — Commercial: $267.78 ClaimDoc — Commercial: $324.70
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS	$221	$77.35	$37.90 – $89.31
X-ray of the lower spine, at least 4 views: 10 of 51 insurance plan rates Aetna — Commercial: $89.31 Aetna — Medicare Advantage: $44.98 Aetna Better Health — Managed Medicaid: $38.13 Alliance Coal — Commercial: $62.07 Amish and Mennonite Western KY — Commercial: $77.35 Anthem — HMO/PPO/Traditional: $49.43 Anthem — Medicare Advantage: $44.98 Anthem IN Off Exchange — Commercial: $49.43 Anthem IN On Exchange — Commercial: $49.43 Anthem KY Pathway — HMO: $49.43
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR LUMBAR SPINE 4+ VIEWS	$919	$431.93	$212.43 – $891.43
X-ray of the lower spine, at least 4 views: 10 of 48 insurance plan rates Aetna — Commercial: $891.43 Aetna — Medicare Advantage: $299.96 Aetna Better Health — Managed Medicaid: $315.58 Alliance Coal — Commercial: $441.12 Amish and Mennonite Western KY — Commercial: $441.12 Anthem — HMO/PPO/Traditional: $667.56 Anthem — Medicare Advantage: $294.08 Anthem IN Off Exchange — Commercial: $667.56 Anthem IN On Exchange — Commercial: $600.84 Anthem KY Pathway — HMO: $534.03
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC XR LUMBAR SPINE 4+ VIEWS	$919	$431.93	$431.93 – $891.43
X-ray of the lower spine, at least 4 views: 10 of 21 insurance plan rates Aetna — Commercial: $891.43 Anthem — HMO/PPO/Traditional: $667.56 Anthem IN Off Exchange — Commercial: $667.56 Anthem IN On Exchange — Commercial: $600.84 Anthem KY Pathway — HMO: $534.03 Anthem KY Pathway — HPN/PPO: $600.84 Center Care Narrow — Commercial: $735.20 Center Care Open Access — Commercial: $827.10 Cigna — Commercial: $644.22 ClaimDoc — Commercial: $781.15
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL	$1,638	$573.30	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $573.30
MRI of the lower back (lumbar spine), without contrast: 10 of 51 insurance plan rates Aetna — Commercial: $230.06 Aetna — Medicare Advantage: $63.39 Aetna Better Health — Managed Medicaid: $63.56 Alliance Coal — Commercial: $87.48 Amish and Mennonite Western KY — Commercial: $573.30 Anthem — HMO/PPO/Traditional: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — Medicare Advantage: $63.39 Anthem IN Off Exchange — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem IN On Exchange — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem KY Pathway — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O CONTRAST	$2,047	$962.09	$473.46 – $1,985.59
MRI of the lower back (lumbar spine), without contrast: 10 of 46 insurance plan rates Aetna — Commercial: $1,985.59 Aetna — Medicare Advantage: $668.14 Aetna Better Health — Managed Medicaid: $702.94 Alliance Coal — Commercial: $982.56 Amish and Mennonite Western KY — Commercial: $982.56 Anthem — HMO/PPO/Traditional: $725 Anthem — Medicare Advantage: $655.04 Anthem IN Off Exchange — Commercial: $725 Anthem IN On Exchange — Commercial: $725 Anthem KY Pathway — HMO: $725
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O CONTRAST	$2,047	$962.09	$962.09 – $1,985.59
MRI of the lower back (lumbar spine), without contrast: 10 of 21 insurance plan rates Aetna — Commercial: $1,985.59 Anthem — HMO/PPO/Traditional: $1,486.94 Anthem IN Off Exchange — Commercial: $1,486.94 Anthem IN On Exchange — Commercial: $1,338.33 Anthem KY Pathway — HMO: $1,189.51 Anthem KY Pathway — HPN/PPO: $1,338.33 Center Care Narrow — Commercial: $1,637.60 Center Care Open Access — Commercial: $1,842.30 Cigna — Commercial: $1,434.95 ClaimDoc — Commercial: $1,739.95
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG CT PELVIS W/CONTRAST MATERIAL	$220	$77	$49.66 – $132.75
CT scan of the pelvis, with contrast: 10 of 51 insurance plan rates Aetna — Commercial: $132.75 Aetna — Medicare Advantage: $50.91 Aetna Better Health — Managed Medicaid: $49.66 Alliance Coal — Commercial: $70.26 Amish and Mennonite Western KY — Commercial: $77 Anthem — HMO/PPO/Traditional: $64.49 Anthem — Medicare Advantage: $50.91 Anthem IN Off Exchange — Commercial: $64.49 Anthem IN On Exchange — Commercial: $64.49 Anthem KY Pathway — HMO: $64.49
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W/CONTRAST	$2,591	$1,217.77	$355.01 – $2,513.27
CT scan of the pelvis, with contrast: 10 of 46 insurance plan rates Aetna — Commercial: $2,513.27 Aetna — Medicare Advantage: $845.70 Aetna Better Health — Managed Medicaid: $889.75 Alliance Coal — Commercial: $1,243.68 Amish and Mennonite Western KY — Commercial: $1,243.68 Anthem — HMO/PPO/Traditional: $518 Anthem — Medicare Advantage: $829.12 Anthem IN Off Exchange — Commercial: $518 Anthem IN On Exchange — Commercial: $518 Anthem KY Pathway — HMO: $518
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT PELVIS W/CONTRAST	$2,591	$1,217.77	$1,217.77 – $2,513.27
CT scan of the pelvis, with contrast: 10 of 21 insurance plan rates Aetna — Commercial: $2,513.27 Anthem — HMO/PPO/Traditional: $1,882.10 Anthem IN Off Exchange — Commercial: $1,882.10 Anthem IN On Exchange — Commercial: $1,694 Anthem KY Pathway — HMO: $1,505.63 Anthem KY Pathway — HPN/PPO: $1,694 Center Care Narrow — Commercial: $2,072.80 Center Care Open Access — Commercial: $2,331.90 Cigna — Commercial: $1,816.29 ClaimDoc — Commercial: $2,202.35
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JOINT W/O CONTRAST	$2,041	$959.27	$473.46 – $1,979.77
MRI of a leg joint (such as the knee), without contrast: 10 of 46 insurance plan rates Aetna — Commercial: $1,979.77 Aetna — Medicare Advantage: $666.18 Aetna Better Health — Managed Medicaid: $700.88 Alliance Coal — Commercial: $979.68 Amish and Mennonite Western KY — Commercial: $979.68 Anthem — HMO/PPO/Traditional: $725 Anthem — Medicare Advantage: $653.12 Anthem IN Off Exchange — Commercial: $725 Anthem IN On Exchange — Commercial: $725 Anthem KY Pathway — HMO: $725
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JOINT W/O CONTRAST	$2,041	$959.27	$959.27 – $1,979.77
MRI of a leg joint (such as the knee), without contrast: 10 of 21 insurance plan rates Aetna — Commercial: $1,979.77 Anthem — HMO/PPO/Traditional: $1,482.58 Anthem IN Off Exchange — Commercial: $1,482.58 Anthem IN On Exchange — Commercial: $1,334.41 Anthem KY Pathway — HMO: $1,186.03 Anthem KY Pathway — HPN/PPO: $1,334.41 Center Care Narrow — Commercial: $1,632.80 Center Care Open Access — Commercial: $1,836.90 Cigna — Commercial: $1,430.74 ClaimDoc — Commercial: $1,734.85
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL	$275	$96.25	$55 – $192.50
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates Aetna — Commercial: $192.50 Alliance Coal — Commercial: $165 Amish and Mennonite Western KY — Commercial: $96.25 CareSource IN Marketplace — Commercial: $96.25 Center Care Narrow — Commercial: $165 Center Care Open Access — Commercial: $165 Cigna — Commercial: $165 ClaimDoc — Commercial: $165 Claritev (Formerly PHCS) — Commercial: $192.50 Coventry National Network — Commercial: $192.50
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL	$320	$112	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $148.64
CT scan of the abdomen and pelvis, with contrast: 10 of 51 insurance plan rates Aetna — Commercial: $148.64 Aetna — Medicare Advantage: $78.25 Aetna Better Health — Managed Medicaid: $77.44 Alliance Coal — Commercial: $107.98 Amish and Mennonite Western KY — Commercial: $112 Anthem — HMO/PPO/Traditional: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — Medicare Advantage: $78.25 Anthem IN Off Exchange — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem IN On Exchange — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem KY Pathway — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABDOMEN AND PELVIS WITH CONTRAST	$5,070	$2,382.90	$518 – $4,917.90
CT scan of the abdomen and pelvis, with contrast: 10 of 46 insurance plan rates Aetna — Commercial: $4,917.90 Aetna — Medicare Advantage: $1,654.85 Aetna Better Health — Managed Medicaid: $1,741.04 Alliance Coal — Commercial: $2,433.60 Amish and Mennonite Western KY — Commercial: $2,433.60 Anthem — HMO/PPO/Traditional: $518 Anthem — Medicare Advantage: $1,622.40 Anthem IN Off Exchange — Commercial: $518 Anthem IN On Exchange — Commercial: $518 Anthem KY Pathway — HMO: $518
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABDOMEN AND PELVIS WITH CONTRAST	$5,070	$2,382.90	$2,382.90 – $4,917.90
CT scan of the abdomen and pelvis, with contrast: 10 of 21 insurance plan rates Aetna — Commercial: $4,917.90 Anthem — HMO/PPO/Traditional: $3,682.85 Anthem IN Off Exchange — Commercial: $3,682.85 Anthem IN On Exchange — Commercial: $3,314.77 Anthem KY Pathway — HMO: $2,946.18 Anthem KY Pathway — HPN/PPO: $3,314.77 Center Care Narrow — Commercial: $4,056 Center Care Open Access — Commercial: $4,563 Cigna — Commercial: $3,554.07 ClaimDoc — Commercial: $4,309.50
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION	$140	$49	$26.56 – $69.02
Ultrasound of the abdomen, complete: 10 of 51 insurance plan rates Aetna — Commercial: $69.02 Aetna — Medicare Advantage: $35.61 Aetna Better Health — Managed Medicaid: $34.91 Alliance Coal — Commercial: $49.14 Amish and Mennonite Western KY — Commercial: $49 Anthem — HMO/PPO/Traditional: $43.83 Anthem — Medicare Advantage: $35.61 Anthem IN Off Exchange — Commercial: $43.83 Anthem IN On Exchange — Commercial: $43.83 Anthem KY Pathway — HMO: $43.83
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE	$1,254	$589.38	$212.43 – $1,216.38
Ultrasound of the abdomen, complete: 10 of 48 insurance plan rates Aetna — Commercial: $1,216.38 Aetna — Medicare Advantage: $409.31 Aetna Better Health — Managed Medicaid: $430.62 Alliance Coal — Commercial: $601.92 Amish and Mennonite Western KY — Commercial: $601.92 Anthem — HMO/PPO/Traditional: $910.91 Anthem — Medicare Advantage: $401.28 Anthem IN Off Exchange — Commercial: $910.91 Anthem IN On Exchange — Commercial: $819.87 Anthem KY Pathway — HMO: $728.70
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE	$1,254	$589.38	$589.38 – $1,216.38
Ultrasound of the abdomen, complete: 10 of 21 insurance plan rates Aetna — Commercial: $1,216.38 Anthem — HMO/PPO/Traditional: $910.91 Anthem IN Off Exchange — Commercial: $910.91 Anthem IN On Exchange — Commercial: $819.87 Anthem KY Pathway — HMO: $728.70 Anthem KY Pathway — HPN/PPO: $819.87 Center Care Narrow — Commercial: $1,003.20 Center Care Open Access — Commercial: $1,128.60 Cigna — Commercial: $879.05 ClaimDoc — Commercial: $1,065.90
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION	$287	$100.45	$87.72 – $274.21
Pregnancy ultrasound (after the first trimester): 10 of 51 insurance plan rates Aetna — Commercial: $274.21 Aetna — Medicare Advantage: $116.80 Aetna Better Health — Managed Medicaid: $99.62 Alliance Coal — Commercial: $161.18 Amish and Mennonite Western KY — Commercial: $100.45 Anthem — HMO/PPO/Traditional: $132.87 Anthem — Medicare Advantage: $116.80 Anthem IN Off Exchange — Commercial: $132.87 Anthem IN On Exchange — Commercial: $132.87 Anthem KY Pathway — HMO: $132.87
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US PREGNANCY > 14 WEEKS SINGLE/FIRST GEST	$1,000	$470	$212.43 – $970
Pregnancy ultrasound (after the first trimester): 10 of 48 insurance plan rates Aetna — Commercial: $970 Aetna — Medicare Advantage: $326.40 Aetna Better Health — Managed Medicaid: $343.40 Alliance Coal — Commercial: $480 Amish and Mennonite Western KY — Commercial: $480 Anthem — HMO/PPO/Traditional: $726.40 Anthem — Medicare Advantage: $320 Anthem IN Off Exchange — Commercial: $726.40 Anthem IN On Exchange — Commercial: $653.80 Anthem KY Pathway — HMO: $581.10
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US PREGNANCY > 14 WEEKS SINGLE/FIRST GEST	$1,000	$470	$470 – $970
Pregnancy ultrasound (after the first trimester): 10 of 21 insurance plan rates Aetna — Commercial: $970 Anthem — HMO/PPO/Traditional: $726.40 Anthem IN Off Exchange — Commercial: $726.40 Anthem IN On Exchange — Commercial: $653.80 Anthem KY Pathway — HMO: $581.10 Anthem KY Pathway — HPN/PPO: $653.80 Center Care Narrow — Commercial: $800 Center Care Open Access — Commercial: $900 Cigna — Commercial: $701 ClaimDoc — Commercial: $850
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US TRANSVAGINAL	$207	$72.45	$71.33 – $171.95
Transvaginal ultrasound: 10 of 51 insurance plan rates Aetna — Commercial: $170.75 Aetna — Medicare Advantage: $102.07 Aetna Better Health — Managed Medicaid: $71.37 Alliance Coal — Commercial: $140.86 Amish and Mennonite Western KY — Commercial: $72.45 Anthem — HMO/PPO/Traditional: $71.33 Anthem — Medicare Advantage: $102.07 Anthem IN Off Exchange — Commercial: $71.33 Anthem IN On Exchange — Commercial: $71.33 Anthem KY Pathway — HMO: $71.33
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL	$1,104	$518.88	$212.43 – $1,070.88
Transvaginal ultrasound: 10 of 48 insurance plan rates Aetna — Commercial: $1,070.88 Aetna — Medicare Advantage: $360.35 Aetna Better Health — Managed Medicaid: $379.11 Alliance Coal — Commercial: $529.92 Amish and Mennonite Western KY — Commercial: $529.92 Anthem — HMO/PPO/Traditional: $801.95 Anthem — Medicare Advantage: $353.28 Anthem IN Off Exchange — Commercial: $801.95 Anthem IN On Exchange — Commercial: $721.80 Anthem KY Pathway — HMO: $641.53
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL	$1,104	$518.88	$518.88 – $1,070.88
Transvaginal ultrasound: 10 of 21 insurance plan rates Aetna — Commercial: $1,070.88 Anthem — HMO/PPO/Traditional: $801.95 Anthem IN Off Exchange — Commercial: $801.95 Anthem IN On Exchange — Commercial: $721.80 Anthem KY Pathway — HMO: $641.53 Anthem KY Pathway — HPN/PPO: $721.80 Center Care Narrow — Commercial: $883.20 Center Care Open Access — Commercial: $993.60 Cigna — Commercial: $773.90 ClaimDoc — Commercial: $938.40
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC UNILATERAL W/DIGITAL IMAGES W CAD	$227	$106.69	$67.56 – $300
Diagnostic mammogram, one breast: 10 of 48 insurance plan rates Aetna — Commercial: $220.19 Aetna — Medicare Advantage: $74.63 Aetna Better Health — Managed Medicaid: $77.95 Alliance Coal — Commercial: $74.63 Amish and Mennonite Western KY — Commercial: $108.96 Anthem — HMO/PPO/Traditional: $164.89 Anthem — Medicare Advantage: $74.63 Anthem IN Off Exchange — Commercial: $164.89 Anthem IN On Exchange — Commercial: $148.41 Anthem KY Pathway — HMO: $131.91
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC UNILATERAL W/DIGITAL IMAGES W CAD	$227	$106.69	$106.69 – $220.19
Diagnostic mammogram, one breast: 10 of 21 insurance plan rates Aetna — Commercial: $220.19 Anthem — HMO/PPO/Traditional: $164.89 Anthem IN Off Exchange — Commercial: $164.89 Anthem IN On Exchange — Commercial: $148.41 Anthem KY Pathway — HMO: $131.91 Anthem KY Pathway — HPN/PPO: $148.41 Center Care Narrow — Commercial: $181.60 Center Care Open Access — Commercial: $204.30 Cigna — Commercial: $159.13 ClaimDoc — Commercial: $192.95
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$165	$57.75	$33 – $115.50
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates Aetna — Commercial: $115.50 Alliance Coal — Commercial: $99 Amish and Mennonite Western KY — Commercial: $57.75 CareSource IN Marketplace — Commercial: $57.75 Center Care Narrow — Commercial: $99 Center Care Open Access — Commercial: $99 Cigna — Commercial: $99 ClaimDoc — Commercial: $99 Claritev (Formerly PHCS) — Commercial: $115.50 Coventry National Network — Commercial: $115.50
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC BILATERAL W/DIGITAL IMAGES W CAD	$521	$244.87	$95.06 – $505.37
Diagnostic mammogram, both breasts: 10 of 48 insurance plan rates Aetna — Commercial: $505.37 Aetna — Medicare Advantage: $95.06 Aetna Better Health — Managed Medicaid: $178.91 Alliance Coal — Commercial: $95.06 Amish and Mennonite Western KY — Commercial: $250.08 Anthem — HMO/PPO/Traditional: $378.45 Anthem — Medicare Advantage: $95.06 Anthem IN Off Exchange — Commercial: $378.45 Anthem IN On Exchange — Commercial: $340.63 Anthem KY Pathway — HMO: $302.75
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC BILATERAL W/DIGITAL IMAGES W CAD	$521	$244.87	$244.87 – $505.37
Diagnostic mammogram, both breasts: 10 of 21 insurance plan rates Aetna — Commercial: $505.37 Anthem — HMO/PPO/Traditional: $378.45 Anthem IN Off Exchange — Commercial: $378.45 Anthem IN On Exchange — Commercial: $340.63 Anthem KY Pathway — HMO: $302.75 Anthem KY Pathway — HPN/PPO: $340.63 Center Care Narrow — Commercial: $416.80 Center Care Open Access — Commercial: $468.90 Cigna — Commercial: $365.22 ClaimDoc — Commercial: $442.85
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$200	$70	$40 – $140
Diagnostic mammogram, both breasts: 10 of 17 insurance plan rates Aetna — Commercial: $140 Alliance Coal — Commercial: $120 Amish and Mennonite Western KY — Commercial: $70 CareSource IN Marketplace — Commercial: $70 Center Care Narrow — Commercial: $120 Center Care Open Access — Commercial: $120 Cigna — Commercial: $120 ClaimDoc — Commercial: $120 Claritev (Formerly PHCS) — Commercial: $140 Coventry National Network — Commercial: $140
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMOGRAM SCREENING BILATERAL W/DIGITAL IMAGES W CAD	$468	$219.96	$78.59 – $453.96
Screening mammogram, both breasts: 10 of 48 insurance plan rates Aetna — Commercial: $453.96 Aetna — Medicare Advantage: $78.59 Aetna Better Health — Managed Medicaid: $160.71 Alliance Coal — Commercial: $78.59 Amish and Mennonite Western KY — Commercial: $224.64 Anthem — HMO/PPO/Traditional: $148 Anthem — Medicare Advantage: $78.59 Anthem IN Off Exchange — Commercial: $148 Anthem IN On Exchange — Commercial: $148 Anthem KY Pathway — HMO: $148
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM SCREENING BILATERAL W/DIGITAL IMAGES W CAD	$468	$219.96	$219.96 – $453.96
Screening mammogram, both breasts: 10 of 21 insurance plan rates Aetna — Commercial: $453.96 Anthem — HMO/PPO/Traditional: $339.96 Anthem IN Off Exchange — Commercial: $339.96 Anthem IN On Exchange — Commercial: $305.98 Anthem KY Pathway — HMO: $271.95 Anthem KY Pathway — HPN/PPO: $305.98 Center Care Narrow — Commercial: $374.40 Center Care Open Access — Commercial: $421.20 Cigna — Commercial: $328.07 ClaimDoc — Commercial: $397.80
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$144	$50.40	$28.80 – $100.80
Screening mammogram, both breasts: 10 of 17 insurance plan rates Aetna — Commercial: $100.80 Alliance Coal — Commercial: $86.40 Amish and Mennonite Western KY — Commercial: $50.40 CareSource IN Marketplace — Commercial: $50.40 Center Care Narrow — Commercial: $86.40 Center Care Open Access — Commercial: $86.40 Cigna — Commercial: $86.40 ClaimDoc — Commercial: $86.40 Claritev (Formerly PHCS) — Commercial: $100.80 Coventry National Network — Commercial: $100.80

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R	$82	$28.70	$12.68 – $45.96
Electrocardiogram (ECG/EKG) with reading: 10 of 51 insurance plan rates Aetna — Commercial: $45.96 Aetna — Medicare Advantage: $12.68 Aetna Better Health — Managed Medicaid: $21.79 Alliance Coal — Commercial: $17.50 Amish and Mennonite Western KY — Commercial: $28.70 Anthem — HMO/PPO/Traditional: $17.70 Anthem — Medicare Advantage: $12.68 Anthem IN Off Exchange — Commercial: $17.70 Anthem IN On Exchange — Commercial: $17.70 Anthem KY Pathway — HMO: $17.70
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee In the file: PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I	$704	$246.40	$162.24 – $417.49
Left heart catheterization (diagnostic): 10 of 51 insurance plan rates Aetna — Commercial: $361.79 Aetna — Medicare Advantage: $208.65 Aetna Better Health — Managed Medicaid: $227.27 Alliance Coal — Commercial: $287.94 Amish and Mennonite Western KY — Commercial: $246.40 Anthem — HMO/PPO/Traditional: $249.63 Anthem — Medicare Advantage: $208.65 Anthem IN Off Exchange — Commercial: $249.63 Anthem IN On Exchange — Commercial: $249.63 Anthem KY Pathway — HMO: $249.63
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$2,861.85 – $6,725.35
Left heart catheterization (diagnostic): rates for 3 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $6,296.07 Encore/Encore Combined — Commercial: $6,725.35 United Healthcare — Medicare Advantage: $2,861.85
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$162.24 – $417.49
Left heart catheterization (diagnostic): 10 of 48 insurance plan rates Aetna — Commercial: $361.79 Aetna — Medicare Advantage: $208.65 Aetna Better Health — Managed Medicaid: $227.27 Alliance Coal — Commercial: $287.94 Anthem — HMO/PPO/Traditional: $249.63 Anthem — Medicare Advantage: $208.65 Anthem IN Off Exchange — Commercial: $249.63 Anthem IN On Exchange — Commercial: $249.63 Anthem KY Pathway — HMO: $249.63 Anthem KY Pathway — HPN/PPO: $249.63
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION	$1,783	$624.05	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,461.54
Heart rhythm study (electrophysiology evaluation): 10 of 51 insurance plan rates Aetna — Commercial: $1,461.54 Aetna — Medicare Advantage: $638.83 Aetna Better Health — Managed Medicaid: $697.01 Alliance Coal — Commercial: $881.59 Amish and Mennonite Western KY — Commercial: $624.05 Anthem — HMO/PPO/Traditional: $744.58 Anthem — Medicare Advantage: $638.83 Anthem IN Off Exchange — Commercial: $744.58 Anthem IN On Exchange — Commercial: $744.58 Anthem KY Pathway — HMO: $744.58
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$6,558.98 – $15,413.60
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $14,429.76 Encore/Encore Combined — Commercial: $15,413.60 United Healthcare — Medicare Advantage: $6,558.98
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$262.66 – $771.15
Heart rhythm study (electrophysiology evaluation): 10 of 48 insurance plan rates Aetna — Commercial: $771.15 Aetna — Medicare Advantage: $337.84 Aetna Better Health — Managed Medicaid: $487.01 Alliance Coal — Commercial: $466.22 Anthem — HMO/PPO/Traditional: $427.88 Anthem — Medicare Advantage: $337.84 Anthem IN Off Exchange — Commercial: $427.88 Anthem IN On Exchange — Commercial: $427.88 Anthem KY Pathway — HMO: $427.88 Anthem KY Pathway — HPN/PPO: $427.88
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION	$2,860	$1,001	$709.43 – $1,957.98
Heart rhythm study with ablation for atrial fibrillation: 10 of 51 insurance plan rates Aetna — Commercial: $1,732.98 Aetna — Medicare Advantage: $836.99 Aetna Better Health — Managed Medicaid: $877.43 Alliance Coal — Commercial: $1,155.05 Amish and Mennonite Western KY — Commercial: $1,001 Anthem — HMO/PPO/Traditional: $1,026.80 Anthem — Medicare Advantage: $836.99 Anthem IN Off Exchange — Commercial: $1,026.80 Anthem IN On Exchange — Commercial: $1,026.80 Anthem KY Pathway — HMO: $1,026.80
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$20,858.95 – $49,018.53
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $45,889.69 Encore/Encore Combined — Commercial: $49,018.53 United Healthcare — Medicare Advantage: $20,858.95
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$525	$183.75	$183.75 – $1,084.94
Sleep study (overnight, in a sleep lab): 10 of 51 insurance plan rates Aetna — Commercial: $1,084.94 Aetna — Medicare Advantage: $540.67 Aetna Better Health — Managed Medicaid: $542.42 Alliance Coal — Commercial: $746.12 Amish and Mennonite Western KY — Commercial: $183.75 Anthem — HMO/PPO/Traditional: $552.38 Anthem — Medicare Advantage: $540.67 Anthem IN Off Exchange — Commercial: $552.38 Anthem IN On Exchange — Commercial: $552.38 Anthem KY Pathway — HMO: $552.38
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$918.25 – $2,157.89
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $2,020.15 Encore/Encore Combined — Commercial: $2,157.89 United Healthcare — Medicare Advantage: $918.25
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$78.55 – $221.70
Sleep study (overnight, in a sleep lab): 10 of 48 insurance plan rates Aetna — Commercial: $209.80 Aetna — Medicare Advantage: $105.32 Aetna Better Health — Managed Medicaid: $130.12 Alliance Coal — Commercial: $145.34 Anthem — HMO/PPO/Traditional: $119.19 Anthem — Medicare Advantage: $105.32 Anthem IN Off Exchange — Commercial: $119.19 Anthem IN On Exchange — Commercial: $119.19 Anthem KY Pathway — HMO: $119.19 Anthem KY Pathway — HPN/PPO: $119.19

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Doctor (professional) fee In the file: PR THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES	$65	$22.75	$19.41 – $48.69
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 51 insurance plan rates Aetna — Commercial: $48.69 Aetna — Medicare Advantage: $26.48 Aetna Better Health — Managed Medicaid: $20.90 Alliance Coal — Commercial: $27.80 Amish and Mennonite Western KY — Commercial: $22.75 Anthem — HMO/PPO/Traditional: $22 Anthem — Medicare Advantage: $26.48 Anthem IN Off Exchange — Commercial: $22 Anthem IN On Exchange — Commercial: $22 Anthem KY Pathway — HMO: $22
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: HC OT THERAPEUTIC EXERCISE 15 MIN	$136	$63.92	$29.70 – $131.92
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 48 insurance plan rates Aetna — Commercial: $131.92 Aetna — Medicare Advantage: $44.39 Aetna Better Health — Managed Medicaid: $46.70 Alliance Coal — Commercial: $40.64 Amish and Mennonite Western KY — Commercial: $40.64 Anthem — HMO/PPO/Traditional: $29.70 Anthem — Medicare Advantage: $43.52 Anthem IN Off Exchange — Commercial: $29.70 Anthem IN On Exchange — Commercial: $29.70 Anthem KY Pathway — HMO: $29.70
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT THERAPEUTIC EXERCISE 15 MIN	$136	$63.92	$29.70 – $131.92
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 48 insurance plan rates Aetna — Commercial: $131.92 Aetna — Medicare Advantage: $44.39 Aetna Better Health — Managed Medicaid: $46.70 Alliance Coal — Commercial: $40.64 Amish and Mennonite Western KY — Commercial: $40.64 Anthem — HMO/PPO/Traditional: $29.70 Anthem — Medicare Advantage: $43.52 Anthem IN Off Exchange — Commercial: $29.70 Anthem IN On Exchange — Commercial: $29.70 Anthem KY Pathway — HMO: $29.70
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$238	$83.30	$47.60 – $166.60
Physical therapy evaluation (low complexity): 10 of 17 insurance plan rates Aetna — Commercial: $166.60 Alliance Coal — Commercial: $142.80 Amish and Mennonite Western KY — Commercial: $83.30 CareSource IN Marketplace — Commercial: $83.30 Center Care Narrow — Commercial: $142.80 Center Care Open Access — Commercial: $142.80 Cigna — Commercial: $142.80 ClaimDoc — Commercial: $142.80 Claritev (Formerly PHCS) — Commercial: $166.60 Coventry National Network — Commercial: $166.60
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVALUATION 75 MIN LOW COMPLX	$339	$159.33	$81.47 – $328.83
Physical therapy evaluation (low complexity): 10 of 48 insurance plan rates Aetna — Commercial: $328.83 Aetna — Medicare Advantage: $110.65 Aetna Better Health — Managed Medicaid: $116.41 Alliance Coal — Commercial: $139.04 Amish and Mennonite Western KY — Commercial: $139.04 Anthem — HMO/PPO/Traditional: $81.47 Anthem — Medicare Advantage: $108.48 Anthem IN Off Exchange — Commercial: $81.47 Anthem IN On Exchange — Commercial: $81.47 Anthem KY Pathway — HMO: $81.47
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVALUATION 90 MIN LOW COMPLX	$339	$159.33	$81.47 – $328.83
Physical therapy evaluation (low complexity): 10 of 48 insurance plan rates Aetna — Commercial: $328.83 Aetna — Medicare Advantage: $110.65 Aetna Better Health — Managed Medicaid: $116.41 Alliance Coal — Commercial: $139.04 Amish and Mennonite Western KY — Commercial: $139.04 Anthem — HMO/PPO/Traditional: $81.47 Anthem — Medicare Advantage: $108.48 Anthem IN Off Exchange — Commercial: $81.47 Anthem IN On Exchange — Commercial: $81.47 Anthem KY Pathway — HMO: $81.47
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$240	$84	$48 – $168
Physical therapy evaluation (moderate complexity): 10 of 17 insurance plan rates Aetna — Commercial: $168 Alliance Coal — Commercial: $144 Amish and Mennonite Western KY — Commercial: $84 CareSource IN Marketplace — Commercial: $84 Center Care Narrow — Commercial: $144 Center Care Open Access — Commercial: $144 Cigna — Commercial: $144 ClaimDoc — Commercial: $144 Claritev (Formerly PHCS) — Commercial: $168 Coventry National Network — Commercial: $168
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVALUATION 105 MIN MOD COMPLX	$379	$178.13	$81.47 – $367.63
Physical therapy evaluation (moderate complexity): 10 of 48 insurance plan rates Aetna — Commercial: $367.63 Aetna — Medicare Advantage: $123.71 Aetna Better Health — Managed Medicaid: $130.15 Alliance Coal — Commercial: $139.04 Amish and Mennonite Western KY — Commercial: $139.04 Anthem — HMO/PPO/Traditional: $81.47 Anthem — Medicare Advantage: $121.28 Anthem IN Off Exchange — Commercial: $81.47 Anthem IN On Exchange — Commercial: $81.47 Anthem KY Pathway — HMO: $81.47
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVALUATION 45 MIN MOD COMPLEX	$379	$178.13	$81.47 – $367.63
Physical therapy evaluation (moderate complexity): 10 of 48 insurance plan rates Aetna — Commercial: $367.63 Aetna — Medicare Advantage: $123.71 Aetna Better Health — Managed Medicaid: $130.15 Alliance Coal — Commercial: $139.04 Amish and Mennonite Western KY — Commercial: $139.04 Anthem — HMO/PPO/Traditional: $81.47 Anthem — Medicare Advantage: $121.28 Anthem IN Off Exchange — Commercial: $81.47 Anthem IN On Exchange — Commercial: $81.47 Anthem KY Pathway — HMO: $81.47
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$248	$86.80	$49.60 – $173.60
Physical therapy evaluation (high complexity): 10 of 17 insurance plan rates Aetna — Commercial: $173.60 Alliance Coal — Commercial: $148.80 Amish and Mennonite Western KY — Commercial: $86.80 CareSource IN Marketplace — Commercial: $86.80 Center Care Narrow — Commercial: $148.80 Center Care Open Access — Commercial: $148.80 Cigna — Commercial: $148.80 ClaimDoc — Commercial: $148.80 Claritev (Formerly PHCS) — Commercial: $173.60 Coventry National Network — Commercial: $173.60
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVALUATION 105 MIN HIGH COMPLX	$418	$196.46	$81.47 – $405.46
Physical therapy evaluation (high complexity): 10 of 48 insurance plan rates Aetna — Commercial: $405.46 Aetna — Medicare Advantage: $136.44 Aetna Better Health — Managed Medicaid: $143.54 Alliance Coal — Commercial: $139.04 Amish and Mennonite Western KY — Commercial: $139.04 Anthem — HMO/PPO/Traditional: $81.47 Anthem — Medicare Advantage: $133.76 Anthem IN Off Exchange — Commercial: $81.47 Anthem IN On Exchange — Commercial: $81.47 Anthem KY Pathway — HMO: $81.47
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVALUATION 75 MIN HIGH COMPLEX	$418	$196.46	$81.47 – $405.46
Physical therapy evaluation (high complexity): 10 of 48 insurance plan rates Aetna — Commercial: $405.46 Aetna — Medicare Advantage: $136.44 Aetna Better Health — Managed Medicaid: $143.54 Alliance Coal — Commercial: $139.04 Amish and Mennonite Western KY — Commercial: $139.04 Anthem — HMO/PPO/Traditional: $81.47 Anthem — Medicare Advantage: $133.76 Anthem IN Off Exchange — Commercial: $81.47 Anthem IN On Exchange — Commercial: $81.47 Anthem KY Pathway — HMO: $81.47
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 30 MINUTES	$159	$55.65	$41.27 – $114.59
Psychotherapy, 30 minutes: 10 of 51 insurance plan rates Aetna — Commercial: $108.02 Aetna — Medicare Advantage: $65.52 Aetna Better Health — Managed Medicaid: $46.94 Alliance Coal — Commercial: $90.42 Amish and Mennonite Western KY — Commercial: $55.65 Anthem — HMO/PPO/Traditional: $41.27 Anthem — Medicare Advantage: $65.52 Anthem IN Off Exchange — Commercial: $41.27 Anthem IN On Exchange — Commercial: $41.27 Anthem KY Pathway — HMO: $41.27
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$140.03 – $329.07
Psychotherapy, 30 minutes: rates for 3 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $308.07 Encore/Encore Combined — Commercial: $329.07 United Healthcare — Medicare Advantage: $140.03
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 45 MINUTES	$188	$65.80	$62.03 – $152.79
Psychotherapy, 45 minutes: 10 of 51 insurance plan rates Aetna — Commercial: $140.32 Aetna — Medicare Advantage: $86.43 Aetna Better Health — Managed Medicaid: $62.66 Alliance Coal — Commercial: $119.27 Amish and Mennonite Western KY — Commercial: $65.80 Anthem — HMO/PPO/Traditional: $74.56 Anthem — Medicare Advantage: $86.43 Anthem IN Off Exchange — Commercial: $74.56 Anthem IN On Exchange — Commercial: $74.56 Anthem KY Pathway — HMO: $74.56
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$140.03 – $329.07
Psychotherapy, 45 minutes: rates for 3 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $308.07 Encore/Encore Combined — Commercial: $329.07 United Healthcare — Medicare Advantage: $140.03
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 60 MINUTES	$298	$104.30	$91.58 – $228.92
Psychotherapy, 60 minutes: 10 of 51 insurance plan rates Aetna — Commercial: $205.59 Aetna — Medicare Advantage: $127.97 Aetna Better Health — Managed Medicaid: $93.67 Alliance Coal — Commercial: $176.60 Amish and Mennonite Western KY — Commercial: $104.30 Anthem — HMO/PPO/Traditional: $108.98 Anthem — Medicare Advantage: $127.97 Anthem IN Off Exchange — Commercial: $108.98 Anthem IN On Exchange — Commercial: $108.98 Anthem KY Pathway — HMO: $108.98
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$140.03 – $329.07
Psychotherapy, 60 minutes: rates for 3 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $308.07 Encore/Encore Combined — Commercial: $329.07 United Healthcare — Medicare Advantage: $140.03
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS	$243	$85.05	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $184.65
Family psychotherapy, without the patient: 10 of 51 insurance plan rates Aetna — Commercial: $137.84 Aetna — Medicare Advantage: $93.45 Aetna Better Health — Managed Medicaid: $75.73 Alliance Coal — Commercial: $128.96 Amish and Mennonite Western KY — Commercial: $85.05 Anthem — HMO/PPO/Traditional: $72.83 Anthem — Medicare Advantage: $93.45 Anthem IN Off Exchange — Commercial: $72.83 Anthem IN On Exchange — Commercial: $72.83 Anthem KY Pathway — HMO: $72.83
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$140.03 – $329.07
Family psychotherapy, without the patient: rates for 3 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $308.07 Encore/Encore Combined — Commercial: $329.07 United Healthcare — Medicare Advantage: $140.03
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS	$236	$82.60	$69.80 – $191.94
Family psychotherapy, with the patient: 10 of 51 insurance plan rates Aetna — Commercial: $146.20 Aetna — Medicare Advantage: $97.44 Aetna Better Health — Managed Medicaid: $78.18 Alliance Coal — Commercial: $134.47 Amish and Mennonite Western KY — Commercial: $82.60 Anthem — HMO/PPO/Traditional: $82.44 Anthem — Medicare Advantage: $97.44 Anthem IN Off Exchange — Commercial: $82.44 Anthem IN On Exchange — Commercial: $82.44 Anthem KY Pathway — HMO: $82.44
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$140.03 – $329.07
Family psychotherapy, with the patient: rates for 3 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $308.07 Encore/Encore Combined — Commercial: $329.07 United Healthcare — Medicare Advantage: $140.03
Group psychotherapy CPT 90853 · Inpatient or outpatient · Doctor (professional) fee In the file: PR GROUP PSYCHOTHERAPY	$120	$42	$18.82 – $45.42
Group psychotherapy: 10 of 51 insurance plan rates Aetna — Commercial: $43.73 Aetna — Medicare Advantage: $23.07 Aetna Better Health — Managed Medicaid: $18.82 Alliance Coal — Commercial: $31.84 Amish and Mennonite Western KY — Commercial: $42 Anthem — HMO/PPO/Traditional: $25.73 Anthem — Medicare Advantage: $23.07 Anthem IN Off Exchange — Commercial: $25.73 Anthem IN On Exchange — Commercial: $25.73 Anthem KY Pathway — HMO: $25.73
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$78.29 – $183.98
Group psychotherapy: rates for 3 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $172.24 Encore/Encore Combined — Commercial: $183.98 United Healthcare — Medicare Advantage: $78.29

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION	$1,895	$663.25	$263.73 – $738.97
Removal of breast growth (open surgery): 10 of 51 insurance plan rates Aetna — Commercial: $724.73 Aetna — Medicare Advantage: $379.76 Aetna Better Health — Managed Medicaid: $263.73 Alliance Coal — Commercial: $524.07 Amish and Mennonite Western KY — Commercial: $663.25 Anthem — HMO/PPO/Traditional: $433.37 Anthem — Medicare Advantage: $379.76 Anthem IN Off Exchange — Commercial: $433.37 Anthem IN On Exchange — Commercial: $433.37 Anthem KY Pathway — HMO: $433.37
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$3,347.68 – $7,867.05
Removal of breast growth (open surgery): rates for 3 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $7,364.90 Encore/Encore Combined — Commercial: $7,867.05 United Healthcare — Medicare Advantage: $3,347.68
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT	$6,157	$2,154.95	$1,154.08 – $4,055.24
Total hip replacement: 10 of 51 insurance plan rates Aetna — Commercial: $4,055.24 Aetna — Medicare Advantage: $1,162.26 Aetna Better Health — Managed Medicaid: $1,300.74 Alliance Coal — Commercial: $1,603.92 Amish and Mennonite Western KY — Commercial: $2,154.95 Anthem — HMO/PPO/Traditional: $1,462.75 Anthem — Medicare Advantage: $1,162.26 Anthem IN Off Exchange — Commercial: $1,462.75 Anthem IN On Exchange — Commercial: $1,462.75 Anthem KY Pathway — HMO: $1,462.75
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$11,558.85 – $27,163.30
Total hip replacement: rates for 3 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $25,429.47 Encore/Encore Combined — Commercial: $27,163.30 United Healthcare — Medicare Advantage: $11,558.85
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS	$6,094	$2,132.90	$1,152.73 – $4,049.89
Total knee replacement: 10 of 51 insurance plan rates Aetna — Commercial: $4,049.89 Aetna — Medicare Advantage: $1,160.83 Aetna Better Health — Managed Medicaid: $1,373.97 Alliance Coal — Commercial: $1,601.95 Amish and Mennonite Western KY — Commercial: $2,132.90 Anthem — HMO/PPO/Traditional: $1,536.43 Anthem — Medicare Advantage: $1,160.83 Anthem IN Off Exchange — Commercial: $1,536.43 Anthem IN On Exchange — Commercial: $1,536.43 Anthem KY Pathway — HMO: $1,536.43
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$11,558.85 – $27,163.30
Total knee replacement: rates for 3 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $25,429.47 Encore/Encore Combined — Commercial: $27,163.30 United Healthcare — Medicare Advantage: $11,558.85
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS	$3,876	$1,356.60	$152.82 – $1,356.60
Shoulder arthroscopy: shaving of shoulder bone: 10 of 51 insurance plan rates Aetna — Commercial: $536.66 Aetna — Medicare Advantage: $154.93 Aetna Better Health — Managed Medicaid: $610.22 Alliance Coal — Commercial: $213.80 Amish and Mennonite Western KY — Commercial: $1,356.60 Anthem — HMO/PPO/Traditional: $194.95 Anthem — Medicare Advantage: $154.93 Anthem IN Off Exchange — Commercial: $194.95 Anthem IN On Exchange — Commercial: $194.95 Anthem KY Pathway — HMO: $194.95
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG	$3,400	$1,190	$492.76 – $1,736.21
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 51 insurance plan rates Aetna — Commercial: $1,736.21 Aetna — Medicare Advantage: $492.76 Aetna Better Health — Managed Medicaid: $519.01 Alliance Coal — Commercial: $680.01 Amish and Mennonite Western KY — Commercial: $1,190 Anthem — HMO/PPO/Traditional: $598.98 Anthem — Medicare Advantage: $492.76 Anthem IN Off Exchange — Commercial: $598.98 Anthem IN On Exchange — Commercial: $598.98 Anthem KY Pathway — HMO: $598.98
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$2,842.77 – $6,680.51
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 3 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $6,254.09 Encore/Encore Combined — Commercial: $6,680.51 United Healthcare — Medicare Advantage: $2,842.77
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12	$1,200	$420	$200.07 – $699.79
Removal of tonsils and adenoids (under age 12): 10 of 51 insurance plan rates Aetna — Commercial: $699.79 Aetna — Medicare Advantage: $264.37 Aetna Better Health — Managed Medicaid: $209.24 Alliance Coal — Commercial: $364.83 Amish and Mennonite Western KY — Commercial: $420 Anthem — HMO/PPO/Traditional: $294.81 Anthem — Medicare Advantage: $264.37 Anthem IN Off Exchange — Commercial: $294.81 Anthem IN On Exchange — Commercial: $294.81 Anthem KY Pathway — HMO: $294.81
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$5,143.22 – $12,086.57
Removal of tonsils and adenoids (under age 12): rates for 3 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $11,315.08 Encore/Encore Combined — Commercial: $12,086.57 United Healthcare — Medicare Advantage: $5,143.22
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$905	$316.75	$109.54 – $539.29
Upper GI endoscopy (diagnostic): 10 of 51 insurance plan rates Aetna — Commercial: $539.29 Aetna — Medicare Advantage: $109.54 Aetna Better Health — Managed Medicaid: $159.52 Alliance Coal — Commercial: $151.17 Amish and Mennonite Western KY — Commercial: $316.75 Anthem — HMO/PPO/Traditional: $169.96 Anthem — Medicare Advantage: $109.54 Anthem IN Off Exchange — Commercial: $169.96 Anthem IN On Exchange — Commercial: $169.96 Anthem KY Pathway — HMO: $169.96
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$796.13 – $1,870.91
Upper GI endoscopy (diagnostic): rates for 4 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $1,751.49 Encore/Encore Combined — Commercial: $1,870.91 United Healthcare — Medicare Advantage: $796.13 United Healthcare — Commercial: 70% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE	$1,300	$455	$123.14 – $608.93
Upper GI endoscopy with biopsy: 10 of 51 insurance plan rates Aetna — Commercial: $608.93 Aetna — Medicare Advantage: $123.14 Aetna Better Health — Managed Medicaid: $179.22 Alliance Coal — Commercial: $169.93 Amish and Mennonite Western KY — Commercial: $455 Anthem — HMO/PPO/Traditional: $202.12 Anthem — Medicare Advantage: $123.14 Anthem IN Off Exchange — Commercial: $202.12 Anthem IN On Exchange — Commercial: $202.12 Anthem KY Pathway — HMO: $202.12
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$796.13 – $1,870.91
Upper GI endoscopy with biopsy: rates for 4 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $1,751.49 Encore/Encore Combined — Commercial: $1,870.91 United Healthcare — Medicare Advantage: $796.13 United Healthcare — Commercial: 70% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD	$1,269	$444.15	$164.81 – $759.37
Colonoscopy (diagnostic): 10 of 51 insurance plan rates Aetna — Commercial: $759.37 Aetna — Medicare Advantage: $164.81 Aetna Better Health — Managed Medicaid: $176.59 Alliance Coal — Commercial: $227.44 Amish and Mennonite Western KY — Commercial: $444.15 Anthem — HMO/PPO/Traditional: $237.55 Anthem — Medicare Advantage: $164.81 Anthem IN Off Exchange — Commercial: $237.55 Anthem IN On Exchange — Commercial: $237.55 Anthem KY Pathway — HMO: $237.55
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$802.69 – $3,548
Colonoscopy (diagnostic): 10 of 12 insurance plan rates Anthem — HMO/PPO/Traditional: $2,548 Anthem IN Off Exchange — Commercial: $2,548 Anthem IN On Exchange — Commercial: $2,293 Anthem KY Pathway — HMO: $2,038 Anthem KY Pathway — HPN/PPO: $2,293 Center Care Narrow — Commercial: $2,476 Center Care Open Access — Commercial: $2,814 Claritev (Formerly PHCS) — Commercial: $3,548 Encore Prime/Encore Elite/Encore Elite + — Commercial: $1,765.92 Encore/Encore Combined — Commercial: $1,886.32
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE	$1,517	$530.95	$179.29 – $818.41
Colonoscopy with biopsy: 10 of 51 insurance plan rates Aetna — Commercial: $818.41 Aetna — Medicare Advantage: $179.29 Aetna Better Health — Managed Medicaid: $191.77 Alliance Coal — Commercial: $247.42 Amish and Mennonite Western KY — Commercial: $530.95 Anthem — HMO/PPO/Traditional: $285.05 Anthem — Medicare Advantage: $179.29 Anthem IN Off Exchange — Commercial: $285.05 Anthem IN On Exchange — Commercial: $285.05 Anthem KY Pathway — HMO: $285.05
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$1,036.40 – $2,548
Colonoscopy with biopsy: rates for 9 insurance plans Anthem — HMO/PPO/Traditional: $2,548 Anthem IN Off Exchange — Commercial: $2,548 Anthem IN On Exchange — Commercial: $2,293 Anthem KY Pathway — HMO: $2,038 Anthem KY Pathway — HPN/PPO: $2,293 Encore Prime/Encore Elite/Encore Elite + — Commercial: $2,280.08 Encore/Encore Combined — Commercial: $2,435.54 United Healthcare — Commercial: $2,000 United Healthcare — Medicare Advantage: $1,036.40
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ	$1,698	$594.30	$226.11 – $1,102.62
Colonoscopy with removal of polyps (snare): 10 of 51 insurance plan rates Aetna — Commercial: $1,102.62 Aetna — Medicare Advantage: $226.11 Aetna Better Health — Managed Medicaid: $243.98 Alliance Coal — Commercial: $312.03 Amish and Mennonite Western KY — Commercial: $594.30 Anthem — HMO/PPO/Traditional: $355.98 Anthem — Medicare Advantage: $226.11 Anthem IN Off Exchange — Commercial: $355.98 Anthem IN On Exchange — Commercial: $355.98 Anthem KY Pathway — HMO: $355.98
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$1,036.40 – $2,548
Colonoscopy with removal of polyps (snare): rates for 9 insurance plans Anthem — HMO/PPO/Traditional: $2,548 Anthem IN Off Exchange — Commercial: $2,548 Anthem IN On Exchange — Commercial: $2,293 Anthem KY Pathway — HMO: $2,038 Anthem KY Pathway — HPN/PPO: $2,293 Encore Prime/Encore Elite/Encore Elite + — Commercial: $2,280.08 Encore/Encore Combined — Commercial: $2,435.54 United Healthcare — Commercial: $2,000 United Healthcare — Medicare Advantage: $1,036.40
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX	$1,202	$420.70	$204 – $539.04
Ultrasound of the lower bowel by endoscope: 10 of 51 insurance plan rates Aetna — Commercial: $539.04 Aetna — Medicare Advantage: $229.12 Aetna Better Health — Managed Medicaid: $247.04 Alliance Coal — Commercial: $316.19 Amish and Mennonite Western KY — Commercial: $420.70 Anthem — HMO/PPO/Traditional: $304.94 Anthem — Medicare Advantage: $229.12 Anthem IN Off Exchange — Commercial: $304.94 Anthem IN On Exchange — Commercial: $304.94 Anthem KY Pathway — HMO: $304.94
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$1,036.40 – $2,435.54
Ultrasound of the lower bowel by endoscope: rates for 4 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $2,280.08 Encore/Encore Combined — Commercial: $2,435.54 United Healthcare — Commercial: $2,000 United Healthcare — Medicare Advantage: $1,036.40
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLON CA SCRN NOT HI RSK IND	$709	$248.15	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $362.55
Screening colonoscopy (not high risk): 10 of 51 insurance plan rates Aetna — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — Medicare Advantage: $165.11 Aetna Better Health — Managed Medicaid: $150.28 Alliance Coal — Commercial: $227.85 Amish and Mennonite Western KY — Commercial: $248.15 Anthem — HMO/PPO/Traditional: $212.68 Anthem — Medicare Advantage: $165.11 Anthem IN Off Exchange — Commercial: $212.68 Anthem IN On Exchange — Commercial: $212.68 Anthem KY Pathway — HMO: $212.68
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$814.71 – $3,548
Screening colonoscopy (not high risk): 10 of 12 insurance plan rates Anthem — HMO/PPO/Traditional: $2,548 Anthem IN Off Exchange — Commercial: $2,548 Anthem IN On Exchange — Commercial: $2,293 Anthem KY Pathway — HMO: $2,038 Anthem KY Pathway — HPN/PPO: $2,293 Center Care Narrow — Commercial: $2,476 Center Care Open Access — Commercial: $2,814 Claritev (Formerly PHCS) — Commercial: $3,548 Encore Prime/Encore Elite/Encore Elite + — Commercial: $1,792.36 Encore/Encore Combined — Commercial: $1,914.57
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAPAROSCOPY SURG CHOLECYSTECTOMY	$2,906	$1,017.10	$522.64 – $1,961.76
Gallbladder removal by laparoscope: 10 of 51 insurance plan rates Aetna — Commercial: $1,961.76 Aetna — Medicare Advantage: $600.56 Aetna Better Health — Managed Medicaid: $522.64 Alliance Coal — Commercial: $828.77 Amish and Mennonite Western KY — Commercial: $1,017.10 Anthem — HMO/PPO/Traditional: $821.86 Anthem — Medicare Advantage: $600.56 Anthem IN Off Exchange — Commercial: $821.86 Anthem IN On Exchange — Commercial: $821.86 Anthem KY Pathway — HMO: $821.86
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$5,067.52 – $11,908.67
Gallbladder removal by laparoscope: rates for 9 insurance plans Anthem — HMO/PPO/Traditional: $8,809 Anthem IN Off Exchange — Commercial: $8,909 Anthem IN On Exchange — Commercial: $8,018 Anthem KY Pathway — HMO: $7,127 Anthem KY Pathway — HPN/PPO: $8,018 Encore Prime/Encore Elite/Encore Elite + — Commercial: $11,148.54 Encore/Encore Combined — Commercial: $11,908.67 United Healthcare — Medicare Advantage: $5,067.52 United Healthcare — Commercial: 70% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE	$1,761	$616.35	$350.04 – $1,177.15
Groin (inguinal) hernia repair, age 5 or older: 10 of 51 insurance plan rates Aetna — Commercial: $1,177.15 Aetna — Medicare Advantage: $476.13 Aetna Better Health — Managed Medicaid: $350.04 Alliance Coal — Commercial: $657.06 Amish and Mennonite Western KY — Commercial: $616.35 Anthem — HMO/PPO/Traditional: $561.70 Anthem — Medicare Advantage: $476.13 Anthem IN Off Exchange — Commercial: $561.70 Anthem IN On Exchange — Commercial: $561.70 Anthem KY Pathway — HMO: $561.70
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$3,038.47 – $7,140.40
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $6,684.63 Encore/Encore Combined — Commercial: $7,140.40 United Healthcare — Medicare Advantage: $3,038.47
Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PROSTATE NEEDLE BIOPSY ANY APPROACH	$667	$233.45	$69.83 – $347.01
Prostate biopsy: 10 of 51 insurance plan rates Aetna — Commercial: $304.12 Aetna — Medicare Advantage: $116.63 Aetna Better Health — Managed Medicaid: $69.83 Alliance Coal — Commercial: $160.95 Amish and Mennonite Western KY — Commercial: $233.45 Anthem — HMO/PPO/Traditional: $115.30 Anthem — Medicare Advantage: $116.63 Anthem IN Off Exchange — Commercial: $115.30 Anthem IN On Exchange — Commercial: $115.30 Anthem KY Pathway — HMO: $115.30
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Chest X-Ray	Not listed in the file	Not listed in the file	$1,788.85 – $4,203.80
Prostate biopsy: rates for 2 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $3,935.47 Encore/Encore Combined — Commercial: $4,203.80
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Screening Mammography	Not listed in the file	Not listed in the file	$1,788.85 – $4,203.80
Prostate biopsy: rates for 1 insurance plan United Healthcare — Medicare Advantage: $1,788.85
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT	$7,100	$2,485	$990.55 – $3,316.09
Prostate removal by laparoscope (radical prostatectomy): 10 of 51 insurance plan rates Aetna — Commercial: $3,316.09 Aetna — Medicare Advantage: $1,078.65 Aetna Better Health — Managed Medicaid: $1,223.28 Alliance Coal — Commercial: $1,488.54 Amish and Mennonite Western KY — Commercial: $2,485 Anthem — HMO/PPO/Traditional: $1,536.35 Anthem — Medicare Advantage: $1,078.65 Anthem IN Off Exchange — Commercial: $1,536.35 Anthem IN On Exchange — Commercial: $1,536.35 Anthem KY Pathway — HMO: $1,536.35
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$9,040.52 – $21,245.22
Prostate removal by laparoscope (radical prostatectomy): rates for 3 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $19,889.14 Encore/Encore Combined — Commercial: $21,245.22 United Healthcare — Medicare Advantage: $9,040.52
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C	$4,200	$1,470	$160.70 – $1,882.21
Hysteroscopy with biopsy of the uterus lining: 10 of 51 insurance plan rates Aetna — Commercial: $1,643.56 Aetna — Medicare Advantage: $209.03 Aetna Better Health — Managed Medicaid: $213.26 Alliance Coal — Commercial: $288.46 Amish and Mennonite Western KY — Commercial: $1,470 Anthem — HMO/PPO/Traditional: $325.71 Anthem — Medicare Advantage: $209.03 Anthem IN Off Exchange — Commercial: $325.71 Anthem IN On Exchange — Commercial: $325.71 Anthem KY Pathway — HMO: $325.71
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$2,745.75 – $6,452.51
Hysteroscopy with biopsy of the uterus lining: rates for 3 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $6,040.65 Encore/Encore Combined — Commercial: $6,452.51 United Healthcare — Medicare Advantage: $2,745.75
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$670	$234.50	$67.44 – $384.67
Spinal injection, lower back (epidural), with imaging guidance: 10 of 51 insurance plan rates Aetna — Commercial: $384.67 Aetna — Medicare Advantage: $89.34 Aetna Better Health — Managed Medicaid: $81.33 Alliance Coal — Commercial: $123.29 Amish and Mennonite Western KY — Commercial: $234.50 Anthem — HMO/PPO/Traditional: $98.37 Anthem — Medicare Advantage: $89.34 Anthem IN Off Exchange — Commercial: $98.37 Anthem IN On Exchange — Commercial: $98.37 Anthem KY Pathway — HMO: $98.37
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EPIDURAL LUMBAR SACRAL W IMAGING	$2,109	$991.23	$627.64 – $2,045.73
Spinal injection, lower back (epidural), with imaging guidance: 10 of 48 insurance plan rates Aetna — Commercial: $2,045.73 Aetna — Medicare Advantage: $688.38 Aetna Better Health — Managed Medicaid: $724.23 Alliance Coal — Commercial: $1,012.32 Amish and Mennonite Western KY — Commercial: $1,012.32 Anthem — HMO/PPO/Traditional: $1,531.98 Anthem — Medicare Advantage: $674.88 Anthem IN Off Exchange — Commercial: $1,531.98 Anthem IN On Exchange — Commercial: $1,378.86 Anthem KY Pathway — HMO: $1,225.54
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EPIDURAL LUMBAR SACRAL W IMAGING	$2,109	$991.23	$991.23 – $2,045.73
Spinal injection, lower back (epidural), with imaging guidance: 10 of 21 insurance plan rates Aetna — Commercial: $2,045.73 Anthem — HMO/PPO/Traditional: $1,531.98 Anthem IN Off Exchange — Commercial: $1,531.98 Anthem IN On Exchange — Commercial: $1,378.86 Anthem KY Pathway — HMO: $1,225.54 Anthem KY Pathway — HPN/PPO: $1,378.86 Center Care Narrow — Commercial: $1,687.20 Center Care Open Access — Commercial: $1,898.10 Cigna — Commercial: $1,478.41 ClaimDoc — Commercial: $1,792.65
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL	$730	$255.50	$88.25 – $431.74
Nerve root injection, lower back, with imaging guidance: 10 of 51 insurance plan rates Aetna — Commercial: $431.74 Aetna — Medicare Advantage: $99.81 Aetna Better Health — Managed Medicaid: $149.91 Alliance Coal — Commercial: $137.74 Amish and Mennonite Western KY — Commercial: $255.50 Anthem — HMO/PPO/Traditional: $94.69 Anthem — Medicare Advantage: $99.81 Anthem IN Off Exchange — Commercial: $94.69 Anthem IN On Exchange — Commercial: $94.69 Anthem KY Pathway — HMO: $94.69
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJECT FORAMEN EPIDURAL L/S SINGLE	$2,003	$941.41	$596.09 – $1,942.91
Nerve root injection, lower back, with imaging guidance: 10 of 48 insurance plan rates Aetna — Commercial: $1,942.91 Aetna — Medicare Advantage: $653.78 Aetna Better Health — Managed Medicaid: $687.83 Alliance Coal — Commercial: $961.44 Amish and Mennonite Western KY — Commercial: $961.44 Anthem — HMO/PPO/Traditional: $1,454.98 Anthem — Medicare Advantage: $640.96 Anthem IN Off Exchange — Commercial: $1,454.98 Anthem IN On Exchange — Commercial: $1,309.56 Anthem KY Pathway — HMO: $1,163.94
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJECT FORAMEN EPIDURAL L/S SINGLE	$2,003	$941.41	$941.41 – $1,942.91
Nerve root injection, lower back, with imaging guidance: 10 of 21 insurance plan rates Aetna — Commercial: $1,942.91 Anthem — HMO/PPO/Traditional: $1,454.98 Anthem IN Off Exchange — Commercial: $1,454.98 Anthem IN On Exchange — Commercial: $1,309.56 Anthem KY Pathway — HMO: $1,163.94 Anthem KY Pathway — HPN/PPO: $1,309.56 Center Care Narrow — Commercial: $1,602.40 Center Care Open Access — Commercial: $1,802.70 Cigna — Commercial: $1,404.10 ClaimDoc — Commercial: $1,702.55
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE	$1,935	$677.25	$284.77 – $1,113.95
Carpal tunnel release: 10 of 51 insurance plan rates Aetna — Commercial: $1,113.95 Aetna — Medicare Advantage: $397.34 Aetna Better Health — Managed Medicaid: $284.77 Alliance Coal — Commercial: $548.33 Amish and Mennonite Western KY — Commercial: $677.25 Anthem — HMO/PPO/Traditional: $475.44 Anthem — Medicare Advantage: $397.34 Anthem IN Off Exchange — Commercial: $475.44 Anthem IN On Exchange — Commercial: $475.44 Anthem KY Pathway — HMO: $475.44
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$1,695.72 – $3,984.94
Carpal tunnel release: rates for 3 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $3,730.58 Encore/Encore Combined — Commercial: $3,984.94 United Healthcare — Medicare Advantage: $1,695.72
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee In the file: PR POST-CATARACT LASER SURGERY	$1,314	$459.90	$192.76 – $621.06
Laser treatment of clouding after cataract surgery: 10 of 51 insurance plan rates Aetna — Commercial: $621.06 Aetna — Medicare Advantage: $271.70 Aetna Better Health — Managed Medicaid: $192.76 Alliance Coal — Commercial: $374.95 Amish and Mennonite Western KY — Commercial: $459.90 Anthem — HMO/PPO/Traditional: $259.30 Anthem — Medicare Advantage: $271.70 Anthem IN Off Exchange — Commercial: $259.30 Anthem IN On Exchange — Commercial: $259.30 Anthem KY Pathway — HMO: $259.30
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$510.50 – $1,199.68
Laser treatment of clouding after cataract surgery: rates for 3 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $1,123.10 Encore/Encore Combined — Commercial: $1,199.68 United Healthcare — Medicare Advantage: $510.50
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Doctor (professional) fee In the file: PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP	$3,841	$1,344.35	$424.10 – $1,401.17
Cataract removal with lens implant: 10 of 51 insurance plan rates Aetna — Commercial: $1,401.17 Aetna — Medicare Advantage: $478.19 Aetna Better Health — Managed Medicaid: $424.10 Alliance Coal — Commercial: $659.90 Amish and Mennonite Western KY — Commercial: $1,344.35 Anthem — HMO/PPO/Traditional: $692.63 Anthem — Medicare Advantage: $478.19 Anthem IN Off Exchange — Commercial: $692.63 Anthem IN On Exchange — Commercial: $692.63 Anthem KY Pathway — HMO: $692.63
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$2,046.66 – $4,809.65
Cataract removal with lens implant: rates for 3 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $4,502.65 Encore/Encore Combined — Commercial: $4,809.65 United Healthcare — Medicare Advantage: $2,046.66

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM	$6,700	$2,345	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,666.72
Vaginal delivery, with care before and after: 10 of 51 insurance plan rates Aetna — Commercial: $3,550.05 Aetna — Medicare Advantage: $2,178 Aetna Better Health — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Alliance Coal — Commercial: $3,005.64 Amish and Mennonite Western KY — Commercial: $2,345 Anthem — HMO/PPO/Traditional: $2,304.73 Anthem — Medicare Advantage: $2,178 Anthem IN Off Exchange — Commercial: $2,304.73 Anthem IN On Exchange — Commercial: $2,304.73 Anthem KY Pathway — HMO: $2,304.73
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM	$7,200	$2,520	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $4,057.18
Cesarean delivery (C-section), with care before and after: 10 of 51 insurance plan rates Aetna — Commercial: $4,057.18 Aetna — Medicare Advantage: $2,420.54 Aetna Better Health — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Alliance Coal — Commercial: $3,340.35 Amish and Mennonite Western KY — Commercial: $2,520 Anthem — HMO/PPO/Traditional: $2,584.99 Anthem — Medicare Advantage: $2,420.54 Anthem IN Off Exchange — Commercial: $2,584.99 Anthem IN On Exchange — Commercial: $2,584.99 Anthem KY Pathway — HMO: $2,584.99
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB	$6,026	$2,109.10	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,831.96
Vaginal delivery after a previous C-section, with care before and after: 10 of 51 insurance plan rates Aetna — Commercial: $2,847.16 Aetna — Medicare Advantage: $2,282.75 Aetna Better Health — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Alliance Coal — Commercial: $3,150.19 Amish and Mennonite Western KY — Commercial: $2,109.10 Anthem — HMO/PPO/Traditional: $2,207 Anthem — Medicare Advantage: $2,282.75 Anthem IN Off Exchange — Commercial: $2,207 Anthem IN On Exchange — Commercial: $2,207 Anthem KY Pathway — HMO: $2,207

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$162,003.17 – $187,321.05
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 2 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $162,003.17 Encore/Encore Combined — Commercial: $187,321.05
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$31,942.58 – $36,934.58
Hip or knee replacement (major joint of the leg), without major complications: rates for 2 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $31,942.58 Encore/Encore Combined — Commercial: $36,934.58
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$40,427.93 – $46,746.01
Neck (cervical) spinal fusion, without complications: rates for 2 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $40,427.93 Encore/Encore Combined — Commercial: $46,746.01
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$20,545.99 – $23,756.92
Uterus and ovary surgery (not for cancer), without complications: rates for 2 insurance plans Encore Prime/Encore Elite/Encore Elite + — Commercial: $20,545.99 Encore/Encore Combined — Commercial: $23,756.92

Source: Methodist Hospital Union County’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 13, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Critical Access Hospital
Address	4604 US Highway 60 West, Morganfield, KY 42437
County	Union County
State	Kentucky
Phone	(270) 389‑5000
Emergency services	Yes
Ownership	Voluntary non-profit - Church
Medicare overall rating	Not rated by CMS
CMS Certification Number	181306
Name in Medicare records	METHODIST HOSPITAL UNION COUNTY
Profile level	Medicare data + hospital website
Name on the hospital’s website	Deaconess Union County Hospital
Official website	deaconess.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Deaconess Union County Hospital — deaconess.com
Swing Bed — deaconess.com
Deaconess Union County Hospital - Kentucky | Deaconess — deaconess.com