Does Trigg County Hospital have an emergency room?

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

Where is Trigg County Hospital?

254 Main Street, Cadiz, KY 42211, in Trigg County, Kentucky.

What is the phone number of Trigg County Hospital?

(270) 522-3215, as listed by Medicare (CMS).

What is the Medicare star rating of Trigg County Hospital?

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.

Trigg County Hospital — Phone, Address, ER & Ratings

Quick answers

Does Trigg County Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Trigg County Hospital. In a medical emergency, call 911.
Where is Trigg County Hospital?: 254 Main Street, Cadiz, KY 42211, in Trigg County, Kentucky.
What is the phone number of Trigg County Hospital?: (270) 522-3215, as listed by Medicare (CMS).
What is the Medicare star rating of Trigg County Hospital?: 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][6][9][10][11][13]}

Conditions treated^[6][10][13]

Chest pain
Congestive heart failure
Shortness of breath
Heart arrhythmia
Heart disease
High cholesterol
Hypertension
Cataracts
Depression
Anxiety
Grief and loss

Treatments^[7][9][13]

Physical and occupational therapy
Speech and language pathology
Cardiac rehabilitation
Outpatient counseling
Psychiatric evaluation and medication management
Epidural steroid injections

Procedures^[5][9][11]

Appendectomy
Cholecystectomy
Cataract surgery
Hernia repair
Colonoscopy
Endoscopy
Excision of skin lesions
Foot and ankle surgery
Mediport insertion
Mass removal
Sinus surgery
3D mammography
Bone density/DEXA
CT scan
Coronary calcium screening
Coronary CT angiography
Low-dose lung cancer screening CT
MRI
Ultrasound
X-ray

Programs and centers^{[5][7][9][13]}

Ambulatory surgery center
Cardiac rehabilitation
Trigg County Hospital Behavioral Health

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Interpreters and languages	Financial assistance and website information are available in other languages on request through the Business Office^[14]

Doctors and clinicians (90)

90 doctors and other clinicians list Trigg County Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (90)

Abbey L. StoneNurse Practitioner
Abhijay Jalota, MDNephrology
Adam D. Lyles, MDDiagnostic Radiology
Alexander E. Lanigan, MDOtolaryngology
Ali R. Homayuni, MDInterventional Cardiology
Alison C. Sasseen, NPNurse Practitioner
Alyssa BeachCertified Clinical Nurse Specialist (CNS)
Amber C. Lane, ODOptometry
Amy Parsons, MDPathology
Angela AcreeNurse Practitioner
Aung Myo Hein, MDInternal Medicine
Basem M. Ali, MDInternal Medicine
Betty D. Sandlin, CNACertified Registered Nurse Anesthetist (CRNA)
Billie D. StokesNurse Practitioner
Bruce E. Burton, MDDiagnostic Radiology
Cheryl A. VinsonNurse Practitioner
Chester L. Crump, MDFamily Practice
Christopher A. RushingNurse Practitioner
Christy OliphantNurse Practitioner
Connie G. Lynn, CNACertified Registered Nurse Anesthetist (CRNA)
David S. Goldberg, MDInternal Medicine
Dawn B. CampCertified Clinical Nurse Specialist (CNS)
Don L. Perkins, MDFamily Practice
Folaranmi Ajiboye, MDEmergency Medicine

And 66 more: the button below opens the full list.

Other emergency rooms nearby

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

Jennie Stuart Medical Center18 mi · Hopkinsville, KY · Acute Care Hospital
Caldwell Medical Center18 mi · Princeton, KY · Critical Access Hospital
Blanchfield ACH (FT Campbell)25 mi · Fort Campbell, KY · Military Hospital (Department of Defense)
Marshall County Hospital30 mi · Benton, KY · Critical Access Hospital
Murray-Calloway County Hospital32 mi · Murray, KY · Acute Care Hospital

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

Other hospitals near Cadiz

Cumberland Hall Hospital20 mi · Hopkinsville, KY · Psychiatric Hospital
Western State Hospital21 mi · Hopkinsville, KY · Psychiatric Hospital

Hospitals in Trigg 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

Shady Lawn Nursing and Rehabilitation Center2.6 mi · Cadiz, KY · 4 of 5 stars
Bradford Heights Nursing & Rehabilitation17 mi · Hopkinsville, KY · 1 of 5 stars
Christian Health Center18 mi · Hopkinsville, KY · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Pennyroyal Hospice20 mi · Hopkinsville, KY · 5 of 5 stars

All hospice providers in the state →

Home health agencies

Caretenders3.5 mi · Cadiz, KY · 3 of 5 stars
Caldwell County Home Health18 mi · Princeton, KY · 3.5 of 5 stars
Centerwell Home Health20 mi · Hopkinsville, KY · 5 of 5 stars

All home health agencies in the state →

Dialysis facilities

FMC - Trigg County3.5 mi · Cadiz, KY · 2 of 5 stars
DaVita Christian County Dialysis20 mi · Hopkinsville, KY · 2 of 5 stars
DaVita Hopkinsville Dialysis20 mi · Hopkinsville, KY · 3 of 5 stars

All dialysis facilities in the state →

Community care nearby

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

Community health centers

Regional Health Care Affiliates, Inc dba. Health First Community Health Center- Princeton16 mi · Princeton, KY · Community health center
Community Medical Clinic, Princeton18 mi · Princeton, KY · Community health center
Community Medical Clinic, Hopkinsville18 mi · Hopkinsville, KY · Community health center

Clinics and urgent care

Main Street Rural Health Clinic3.5 mi · Cadiz, KY · Rural health clinic
Trigg County Primary Care3.5 mi · Cadiz, KY · Rural health clinic
Western Kentucky Medical Group3.5 mi · Cadiz, KY · Rural health clinic

Pharmacies

Wisegroup LLC3.5 mi · Cadiz, KY · Community/retail pharmacy

Assisted living nearby

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

Barkley Plantation Assisted Living3.5 mi · Cadiz, 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 Trigg County Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

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)	16.2%
Not reported to Medicare	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 attack; Readmitted within 30 days: heart failure; Readmitted within 30 days: pneumonia; 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)	128 minutesNational average: 162 minutes
Not reported to Medicare	Patients who left the emergency room before being seen (OP-22)
Too few cases to report	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.

Not reported to Medicare: the patient survey, infections caught in the hospital, complications and deaths. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

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 43 common services exactly as Trigg County Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Show the prices of 43 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 In the file: PRO FEE NEW PATIENT LEVEL 3 PF	$178.50	$71.40	$50.72 – $169.58
New patient office visit (about 30–44 minutes): rates for 10 insurance plans Aetna — Default: $169.58 Aetna Medicare Advantage — Default: $55.34 Ambetter — Default: $110.59 Blue Cross Blue Shield of KY Anthem — Default: $119.17 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $50.72 Humana Advantage Care Plans Med Advantage — Default: $108.38 Medicare A KY J15 — Default: $50.73 UHC Medicare Solution — Default: $100.11 United Healthcare — Default: $88.28 VA Community Care Network VACCN Region 1-3 Optum — Default: $51.76
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: CLINIC FACILITY NEW PATIENT LEVEL 3	$126.50	$50.60	$35.95 – $120.18
New patient office visit (about 30–44 minutes): rates for 9 insurance plans Aetna — Default: $120.18 Aetna Medicare Advantage — Default: $39.22 Ambetter — Default: $63.46 Blue Cross Blue Shield of KY Anthem — Default: $84.45 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $35.95 Humana Advantage Care Plans Med Advantage — Default: $35.96 Medicare A KY J15 — Default: $35.96 UHC Medicare Solution — Default: $36.68 VA Community Care Network VACCN Region 1-3 Optum — Default: $36.68
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: PRO FEE NEW PATIENT LEVEL 3 - 99203	$189.50	$75.80	$53.86 – $180.02
New patient office visit (about 30–44 minutes): rates for 8 insurance plans Aetna — Default: $180.02 Aetna Medicare Advantage — Default: $58.74 Ambetter — Default: $95.08 Blue Cross Blue Shield of KY Anthem — Default: $126.51 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $53.86 Humana Advantage Care Plans Med Advantage — Default: $78.45 Medicare A KY J15 — Default: $78.45 United Healthcare — Default: $88.50
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: PRO FEE NEW PATIENT LEVEL 4 PF	$273.50	$109.40	$77.73 – $259.82
New patient office visit (about 45–59 minutes): rates for 10 insurance plans Aetna — Default: $259.82 Aetna Medicare Advantage — Default: $84.78 Ambetter — Default: $167.52 Blue Cross Blue Shield of KY Anthem — Default: $182.59 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $77.73 Humana Advantage Care Plans Med Advantage — Default: $164.17 Medicare A KY J15 — Default: $77.73 UHC Medicare Solution — Default: $150.80 United Healthcare — Default: $135.87 VA Community Care Network VACCN Region 1-3 Optum — Default: $79.32
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: CLINIC FACILITY NEW PATIENT LEVEL 4	$193.50	$77.40	$55 – $183.82
New patient office visit (about 45–59 minutes): rates for 9 insurance plans Aetna — Default: $183.82 Aetna Medicare Advantage — Default: $59.98 Ambetter — Default: $97.09 Blue Cross Blue Shield of KY Anthem — Default: $129.18 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $55 Humana Advantage Care Plans Med Advantage — Default: $55 Medicare A KY J15 — Default: $55 UHC Medicare Solution — Default: $56.12 VA Community Care Network VACCN Region 1-3 Optum — Default: $56.12
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: PRO FEE NEW PATIENT LEVEL 4 - 99204	$290	$116	$82.42 – $275.50
New patient office visit (about 45–59 minutes): rates for 8 insurance plans Aetna — Default: $275.50 Aetna Medicare Advantage — Default: $89.90 Ambetter — Default: $145.49 Blue Cross Blue Shield of KY Anthem — Default: $193.60 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $82.42 Humana Advantage Care Plans Med Advantage — Default: $128.22 Medicare A KY J15 — Default: $128.22 United Healthcare — Default: $135.43
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: PRO FEE NEW PATIENT LEVEL 5 PF	$345.50	$138.20	$98.20 – $328.22
New patient office visit (about 60–74 minutes): rates for 10 insurance plans Aetna — Default: $328.22 Aetna Medicare Advantage — Default: $107.10 Ambetter — Default: $223.82 Blue Cross Blue Shield of KY Anthem — Default: $230.66 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $98.20 Humana Advantage Care Plans Med Advantage — Default: $219.34 Medicare A KY J15 — Default: $98.20 UHC Medicare Solution — Default: $199.46 United Healthcare — Default: $171.11 VA Community Care Network VACCN Region 1-3 Optum — Default: $100.20
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: CLINIC FACILITY NEW PATIENT LEVEL 5	$244	$97.60	$69.34 – $231.80
New patient office visit (about 60–74 minutes): rates for 9 insurance plans Aetna — Default: $231.80 Aetna Medicare Advantage — Default: $75.64 Ambetter — Default: $122.41 Blue Cross Blue Shield of KY Anthem — Default: $162.89 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $69.34 Humana Advantage Care Plans Med Advantage — Default: $69.34 Medicare A KY J15 — Default: $69.34 UHC Medicare Solution — Default: $70.76 VA Community Care Network VACCN Region 1-3 Optum — Default: $70.76
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: PRO FEE NEW PATIENT LEVEL 5 - 99205	$366.50	$146.60	$104.15 – $348.18
New patient office visit (about 60–74 minutes): rates for 8 insurance plans Aetna — Default: $348.18 Aetna Medicare Advantage — Default: $113.62 Ambetter — Default: $183.86 Blue Cross Blue Shield of KY Anthem — Default: $244.68 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $104.15 Humana Advantage Care Plans Med Advantage — Default: $175.61 Medicare A KY J15 — Default: $175.61 United Healthcare — Default: $171.16
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: PRO FEE EST PT OFFICE VISIT LEVEL 3 PF	$121	$48.40	$34.39 – $114.95
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans Aetna — Default: $114.95 Aetna Medicare Advantage — Default: $37.51 Ambetter — Default: $89.52 Blue Cross Blue Shield of KY Anthem — Default: $80.78 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $34.39 Humana Advantage Care Plans Med Advantage — Default: $87.73 Medicare A KY J15 — Default: $34.39 UHC Medicare Solution — Default: $81.63 United Healthcare — Default: $58.32 VA Community Care Network VACCN Region 1-3 Optum — Default: $35.09
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: TELEHEALTH PRO FEE BH EST PT LEVEL 3 PF	$121	$48.40	$34.39 – $114.95
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans Aetna — Default: $114.95 Aetna Medicare Advantage — Default: $37.51 Ambetter — Default: $89.52 Blue Cross Blue Shield of KY Anthem — Default: $80.78 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $34.39 Humana Advantage Care Plans Med Advantage — Default: $87.73 Medicare A KY J15 — Default: $34.39 UHC Medicare Solution — Default: $81.63 United Healthcare — Default: $58.32 VA Community Care Network VACCN Region 1-3 Optum — Default: $35.09
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: PRO FEE BEHAVIORAL HEALTH EST PT LEVEL 3 PF	$121	$48.40	$34.39 – $114.95
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans Aetna — Default: $114.95 Aetna Medicare Advantage — Default: $37.51 Ambetter — Default: $89.52 Blue Cross Blue Shield of KY Anthem — Default: $80.78 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $34.39 Humana Advantage Care Plans Med Advantage — Default: $87.73 Medicare A KY J15 — Default: $34.39 UHC Medicare Solution — Default: $81.63 United Healthcare — Default: $58.32 VA Community Care Network VACCN Region 1-3 Optum — Default: $35.09
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: PRO FEE OFFICE VISIT EST PT LEVEL 4 PF	$178	$71.20	$50.59 – $169.10
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans Aetna — Default: $169.10 Aetna Medicare Advantage — Default: $55.18 Ambetter — Default: $127.80 Blue Cross Blue Shield of KY Anthem — Default: $118.83 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $50.59 Humana Advantage Care Plans Med Advantage — Default: $125.24 Medicare A KY J15 — Default: $50.59 UHC Medicare Solution — Default: $115.25 United Healthcare — Default: $87.82 VA Community Care Network VACCN Region 1-3 Optum — Default: $51.62
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: TELEHEALTH PRO FEE BH EST PT LEVEL 4 PF	$132	$52.80	$37.51 – $127.80
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans Aetna — Default: $125.40 Aetna Medicare Advantage — Default: $40.92 Ambetter — Default: $127.80 Blue Cross Blue Shield of KY Anthem — Default: $88.12 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $37.51 Humana Advantage Care Plans Med Advantage — Default: $125.24 Medicare A KY J15 — Default: $37.51 UHC Medicare Solution — Default: $115.25 United Healthcare — Default: $87.82 VA Community Care Network VACCN Region 1-3 Optum — Default: $38.28
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: PRO FEE BEHAVIORAL HEALTH EST PT LEVEL 4PF	$132	$52.80	$37.51 – $127.80
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans Aetna — Default: $125.40 Aetna Medicare Advantage — Default: $40.92 Ambetter — Default: $127.80 Blue Cross Blue Shield of KY Anthem — Default: $88.12 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $37.51 Humana Advantage Care Plans Med Advantage — Default: $125.24 Medicare A KY J15 — Default: $37.51 UHC Medicare Solution — Default: $115.25 United Healthcare — Default: $87.82 VA Community Care Network VACCN Region 1-3 Optum — Default: $38.28
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: PRO FEE CONSULT LEVEL 3 PF	$305.50	$122.20	$86.83 – $290.22
Office consultation with a specialist (moderate): rates for 8 insurance plans Aetna — Default: $290.22 Aetna Medicare Advantage — Default: $94.70 Blue Cross Blue Shield of KY Anthem — Default: $203.95 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $86.83 Medicare A KY J15 — Default: $86.83 UHC Medicare Solution — Default: $101.12 United Healthcare — Default: $118.98 VA Community Care Network VACCN Region 1-3 Optum — Default: $88.60
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: PRO FEE CONSULT LEVEL 3	$324	$129.60	$92.08 – $307.80
Office consultation with a specialist (moderate): rates for 6 insurance plans Aetna — Default: $307.80 Aetna Medicare Advantage — Default: $100.44 Ambetter — Default: $162.55 Blue Cross Blue Shield of KY Anthem — Default: $216.30 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $92.08 United Healthcare — Default: $151.31
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: PRO FEE OFFICE CONSULT COMP/MODERATE PF	$411.50	$164.60	$116.95 – $390.92
Office consultation with a specialist (moderate to high): rates for 8 insurance plans Aetna — Default: $390.92 Aetna Medicare Advantage — Default: $127.56 Blue Cross Blue Shield of KY Anthem — Default: $274.72 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $116.95 Medicare A KY J15 — Default: $116.95 UHC Medicare Solution — Default: $144.39 United Healthcare — Default: $175.63 VA Community Care Network VACCN Region 1-3 Optum — Default: $119.34
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: PRO FEE OFFICE CONSULT COMP/MODERATE	$436.50	$174.60	$124.05 – $414.68
Office consultation with a specialist (moderate to high): rates for 6 insurance plans Aetna — Default: $414.68 Aetna Medicare Advantage — Default: $135.32 Ambetter — Default: $218.98 Blue Cross Blue Shield of KY Anthem — Default: $291.41 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $124.05 United Healthcare — Default: $203.85
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: PRO FEE PREV VISIT NEW PT AGE 18-39 PF	$123	$49.20	$34.96 – $116.85
Preventive checkup, new patient, age 18–39: rates for 8 insurance plans Aetna — Default: $116.85 Aetna Medicare Advantage — Default: $38.13 Blue Cross Blue Shield of KY Anthem — Default: $82.11 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $34.96 Medicare A KY J15 — Default: $34.96 UHC Medicare Solution — Default: $116.06 United Healthcare — Default: $115.08 VA Community Care Network VACCN Region 1-3 Optum — Default: $35.67
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: PREVENTIVE CARE NEW PT AGE 18-39	$102.50	$41	$29.13 – $126.94
Preventive checkup, new patient, age 18–39: rates for 7 insurance plans Aetna — Default: $97.38 Aetna Medicare Advantage — Default: $126.94 Ambetter — Default: $51.42 Blue Cross Blue Shield of KY Anthem — Default: $68.43 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $29.13 Humana Advantage Care Plans Med Advantage — Default: $29.14 Medicare A KY J15 — Default: $29.14
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: PRO FEE PREV VISIT NEW PT AGE 18-39	$130.50	$52.20	$37.08 – $123.98
Preventive checkup, new patient, age 18–39: rates for 6 insurance plans Aetna — Default: $123.98 Aetna Medicare Advantage — Default: $40.46 Ambetter — Default: $65.46 Blue Cross Blue Shield of KY Anthem — Default: $87.12 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $37.08 United Healthcare — Default: $60.94
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: PRO FEE PREV VISIT NEW PT AGE 40-64 PF	$178.50	$71.40	$50.72 – $169.58
Preventive checkup, new patient, age 40–64: rates for 8 insurance plans Aetna — Default: $169.58 Aetna Medicare Advantage — Default: $55.34 Blue Cross Blue Shield of KY Anthem — Default: $119.17 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $50.72 Medicare A KY J15 — Default: $50.73 UHC Medicare Solution — Default: $134.08 United Healthcare — Default: $135.07 VA Community Care Network VACCN Region 1-3 Optum — Default: $51.76
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: PREVENTIVE CARE NEW PT AGE 40-64	$102.50	$41	$29.13 – $126.94
Preventive checkup, new patient, age 40–64: rates for 7 insurance plans Aetna — Default: $97.38 Aetna Medicare Advantage — Default: $126.94 Ambetter — Default: $51.42 Blue Cross Blue Shield of KY Anthem — Default: $68.43 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $29.13 Humana Advantage Care Plans Med Advantage — Default: $29.14 Medicare A KY J15 — Default: $29.14
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: PRO FEE PREV VISIT NEW PT AGE 40-64	$189.50	$75.80	$53.86 – $180.02
Preventive checkup, new patient, age 40–64: rates for 6 insurance plans Aetna — Default: $180.02 Aetna Medicare Advantage — Default: $58.74 Ambetter — Default: $95.08 Blue Cross Blue Shield of KY Anthem — Default: $126.51 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $53.86 United Healthcare — Default: $88.50
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ER VISIT LEVEL III	$491	$196.40	$139.54 – $466.45
Emergency room visit (moderate): rates for 10 insurance plans Aetna — Default: $466.45 Aetna Medicare Advantage — Default: $152.21 Ambetter — Default: $246.33 Blue Cross Blue Shield of KY Anthem — Default: $327.79 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $139.54 Humana Advantage Care Plans Med Advantage — Default: $139.54 Medicare A KY J15 — Default: $139.54 UHC Medicare Solution — Default: $142.39 United Healthcare — Default: $229.30 VA Community Care Network VACCN Region 1-3 Optum — Default: $142.39
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ER PROF COMP EXAM PF	$287	$114.80	$59.50 – $272.65
Emergency room visit (moderate): rates for 10 insurance plans Aetna — Default: $272.65 Aetna Medicare Advantage — Default: $88.97 Ambetter — Default: $67.87 Blue Cross Blue Shield of KY Anthem — Default: $191.60 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $81.57 Humana Advantage Care Plans Med Advantage — Default: $66.51 Medicare A KY J15 — Default: $81.57 UHC Medicare Solution — Default: $65.08 United Healthcare — Default: $59.50 VA Community Care Network VACCN Region 1-3 Optum — Default: $83.23
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ER PROF COMP EXAM	$304.50	$121.80	$76.49 – $289.28
Emergency room visit (moderate): rates for 8 insurance plans Aetna — Default: $289.28 Aetna Medicare Advantage — Default: $94.40 Ambetter — Default: $152.76 Blue Cross Blue Shield of KY Anthem — Default: $203.28 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $86.53 Humana Advantage Care Plans Med Advantage — Default: $76.49 Medicare A KY J15 — Default: $76.49 United Healthcare — Default: $142.20
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ER VISIT LEVEL IV	$785	$314	$223.10 – $745.75
Emergency room visit (moderately high): rates for 10 insurance plans Aetna — Default: $745.75 Aetna Medicare Advantage — Default: $243.35 Ambetter — Default: $393.83 Blue Cross Blue Shield of KY Anthem — Default: $524.07 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $223.10 Humana Advantage Care Plans Med Advantage — Default: $223.10 Medicare A KY J15 — Default: $223.10 UHC Medicare Solution — Default: $227.65 United Healthcare — Default: $366.60 VA Community Care Network VACCN Region 1-3 Optum — Default: $227.65
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ER PROF COMP EXAM PF	$417	$166.80	$110.31 – $396.15
Emergency room visit (moderately high): rates for 10 insurance plans Aetna — Default: $396.15 Aetna Medicare Advantage — Default: $129.27 Ambetter — Default: $115.58 Blue Cross Blue Shield of KY Anthem — Default: $278.39 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $118.51 Humana Advantage Care Plans Med Advantage — Default: $113.27 Medicare A KY J15 — Default: $118.51 UHC Medicare Solution — Default: $111.09 United Healthcare — Default: $110.31 VA Community Care Network VACCN Region 1-3 Optum — Default: $120.93
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ER PROF COMP EXAM	$442.50	$177	$125.75 – $420.38
Emergency room visit (moderately high): rates for 8 insurance plans Aetna — Default: $420.38 Aetna Medicare Advantage — Default: $137.18 Ambetter — Default: $221.99 Blue Cross Blue Shield of KY Anthem — Default: $295.41 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $125.75 Humana Advantage Care Plans Med Advantage — Default: $130.26 Medicare A KY J15 — Default: $130.26 United Healthcare — Default: $206.65
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ER LEVEL V	$1,162	$464.80	$330.24 – $1,103.90
Emergency room visit (high): rates for 10 insurance plans Aetna — Default: $1,103.90 Aetna Medicare Advantage — Default: $360.22 Ambetter — Default: $582.98 Blue Cross Blue Shield of KY Anthem — Default: $775.75 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $330.24 Humana Advantage Care Plans Med Advantage — Default: $330.24 Medicare A KY J15 — Default: $330.24 UHC Medicare Solution — Default: $336.98 United Healthcare — Default: $542.65 VA Community Care Network VACCN Region 1-3 Optum — Default: $336.98
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ER LEVEL V PROF FEE PF	$436	$174.40	$123.91 – $414.20
Emergency room visit (high): rates for 10 insurance plans Aetna — Default: $414.20 Aetna Medicare Advantage — Default: $135.16 Ambetter — Default: $167.57 Blue Cross Blue Shield of KY Anthem — Default: $291.07 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $123.91 Humana Advantage Care Plans Med Advantage — Default: $164.22 Medicare A KY J15 — Default: $123.91 UHC Medicare Solution — Default: $161.21 United Healthcare — Default: $164.56 VA Community Care Network VACCN Region 1-3 Optum — Default: $126.44
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ER LEVEL V PROFEE PF	$1,095	$438	$161.21 – $1,040.25
Emergency room visit (high): rates for 10 insurance plans Aetna — Default: $1,040.25 Aetna Medicare Advantage — Default: $339.45 Ambetter — Default: $167.57 Blue Cross Blue Shield of KY Anthem — Default: $731.02 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $311.20 Humana Advantage Care Plans Med Advantage — Default: $164.22 Medicare A KY J15 — Default: $311.20 UHC Medicare Solution — Default: $161.21 United Healthcare — Default: $164.56 VA Community Care Network VACCN Region 1-3 Optum — Default: $317.55

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: METABOLIC PANEL	$158.50	$63.40	$45.04 – $150.58
Basic metabolic panel (blood test): rates for 10 insurance plans Aetna — Default: $150.58 Aetna Medicare Advantage — Default: $49.14 Ambetter — Default: $79.51 Blue Cross Blue Shield of KY Anthem — Default: $105.81 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $45.04 Humana Advantage Care Plans Med Advantage — Default: $45.05 Medicare A KY J15 — Default: $45.05 UHC Medicare Solution — Default: $45.96 United Healthcare — Default: $74.02 VA Community Care Network VACCN Region 1-3 Optum — Default: $45.96
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: DAILY METABOLIC PANEL	$152	$60.80	$43.20 – $144.40
Basic metabolic panel (blood test): rates for 10 insurance plans Aetna — Default: $144.40 Aetna Medicare Advantage — Default: $47.12 Ambetter — Default: $76.26 Blue Cross Blue Shield of KY Anthem — Default: $101.48 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $43.20 Humana Advantage Care Plans Med Advantage — Default: $43.20 Medicare A KY J15 — Default: $43.20 UHC Medicare Solution — Default: $44.08 United Healthcare — Default: $70.98 VA Community Care Network VACCN Region 1-3 Optum — Default: $44.08
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMP METABOLIC PANEL	$188.50	$75.40	$53.57 – $179.08
Comprehensive metabolic panel (blood test): rates for 10 insurance plans Aetna — Default: $179.08 Aetna Medicare Advantage — Default: $58.44 Ambetter — Default: $94.56 Blue Cross Blue Shield of KY Anthem — Default: $125.84 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $53.57 Humana Advantage Care Plans Med Advantage — Default: $53.58 Medicare A KY J15 — Default: $53.58 UHC Medicare Solution — Default: $54.66 United Healthcare — Default: $88.03 VA Community Care Network VACCN Region 1-3 Optum — Default: $54.66
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: DAILY COMP METABOLIC PANEL	$163.50	$65.40	$46.47 – $155.32
Comprehensive metabolic panel (blood test): rates for 10 insurance plans Aetna — Default: $155.32 Aetna Medicare Advantage — Default: $50.68 Ambetter — Default: $82.04 Blue Cross Blue Shield of KY Anthem — Default: $109.15 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $46.47 Humana Advantage Care Plans Med Advantage — Default: $46.47 Medicare A KY J15 — Default: $46.47 UHC Medicare Solution — Default: $47.42 United Healthcare — Default: $76.35 VA Community Care Network VACCN Region 1-3 Optum — Default: $47.42
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PROFILE	$168.50	$67.40	$47.88 – $160.08
Cholesterol panel (lipid panel): rates for 10 insurance plans Aetna — Default: $160.08 Aetna Medicare Advantage — Default: $52.24 Ambetter — Default: $84.53 Blue Cross Blue Shield of KY Anthem — Default: $112.49 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $47.88 Humana Advantage Care Plans Med Advantage — Default: $47.89 Medicare A KY J15 — Default: $47.89 UHC Medicare Solution — Default: $48.86 United Healthcare — Default: $78.69 VA Community Care Network VACCN Region 1-3 Optum — Default: $48.86
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL	$179.50	$71.80	$51.02 – $170.52
Kidney function panel: rates for 10 insurance plans Aetna — Default: $170.52 Aetna Medicare Advantage — Default: $55.64 Ambetter — Default: $90.06 Blue Cross Blue Shield of KY Anthem — Default: $119.83 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $51.02 Humana Advantage Care Plans Med Advantage — Default: $51.02 Medicare A KY J15 — Default: $51.02 UHC Medicare Solution — Default: $52.06 United Healthcare — Default: $83.83 VA Community Care Network VACCN Region 1-3 Optum — Default: $52.06
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION	$160.50	$64.20	$45.61 – $152.48
Liver function panel: rates for 10 insurance plans Aetna — Default: $152.48 Aetna Medicare Advantage — Default: $49.76 Ambetter — Default: $80.51 Blue Cross Blue Shield of KY Anthem — Default: $107.15 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $45.61 Humana Advantage Care Plans Med Advantage — Default: $45.62 Medicare A KY J15 — Default: $45.62 UHC Medicare Solution — Default: $46.54 United Healthcare — Default: $74.95 VA Community Care Network VACCN Region 1-3 Optum — Default: $46.54
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS	$66.50	$26.60	$18.89 – $63.18
Urine test (automated, with microscope): rates for 10 insurance plans Aetna — Default: $63.18 Aetna Medicare Advantage — Default: $20.62 Ambetter — Default: $33.35 Blue Cross Blue Shield of KY Anthem — Default: $44.40 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $18.89 Humana Advantage Care Plans Med Advantage — Default: $18.90 Medicare A KY J15 — Default: $18.90 UHC Medicare Solution — Default: $19.28 United Healthcare — Default: $31.06 VA Community Care Network VACCN Region 1-3 Optum — Default: $19.28
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS COMPLETE (LAB CORP)	$41	$16.40	$11.65 – $38.95
Urine test (automated, with microscope): rates for 10 insurance plans Aetna — Default: $38.95 Aetna Medicare Advantage — Default: $12.71 Ambetter — Default: $20.57 Blue Cross Blue Shield of KY Anthem — Default: $27.37 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $11.65 Humana Advantage Care Plans Med Advantage — Default: $11.65 Medicare A KY J15 — Default: $11.65 UHC Medicare Solution — Default: $11.89 United Healthcare — Default: $19.15 VA Community Care Network VACCN Region 1-3 Optum — Default: $11.89
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: U/A DIP AUTO W/O SCOPE IN HOUSE	$29	$11.60	$8.24 – $27.55
Urine test (automated, without microscope): rates for 10 insurance plans Aetna — Default: $27.55 Aetna Medicare Advantage — Default: $8.99 Ambetter — Default: $14.55 Blue Cross Blue Shield of KY Anthem — Default: $19.36 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $8.24 Humana Advantage Care Plans Med Advantage — Default: $8.24 Medicare A KY J15 — Default: $8.24 UHC Medicare Solution — Default: $8.41 United Healthcare — Default: $13.54 VA Community Care Network VACCN Region 1-3 Optum — Default: $8.41
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINE DIPSTICK	$32	$12.80	$9.09 – $30.40
Urine test (automated, without microscope): rates for 10 insurance plans Aetna — Default: $30.40 Aetna Medicare Advantage — Default: $9.92 Ambetter — Default: $16.05 Blue Cross Blue Shield of KY Anthem — Default: $21.36 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $9.09 Humana Advantage Care Plans Med Advantage — Default: $9.09 Medicare A KY J15 — Default: $9.09 UHC Medicare Solution — Default: $9.28 United Healthcare — Default: $14.94 VA Community Care Network VACCN Region 1-3 Optum — Default: $9.28
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINE WO MICROSCOPIC	$11	$4.40	$3.13 – $10.45
Urine test (automated, without microscope): rates for 10 insurance plans Aetna — Default: $10.45 Aetna Medicare Advantage — Default: $3.41 Ambetter — Default: $5.52 Blue Cross Blue Shield of KY Anthem — Default: $7.34 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $3.13 Humana Advantage Care Plans Med Advantage — Default: $3.13 Medicare A KY J15 — Default: $3.13 UHC Medicare Solution — Default: $3.19 United Healthcare — Default: $5.14 VA Community Care Network VACCN Region 1-3 Optum — Default: $3.19
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: >>PSA FREE	$136	$54.40	$38.65 – $129.20
PSA (prostate specific antigen) blood test: rates for 10 insurance plans Aetna — Default: $129.20 Aetna Medicare Advantage — Default: $42.16 Ambetter — Default: $68.23 Blue Cross Blue Shield of KY Anthem — Default: $90.79 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $38.65 Humana Advantage Care Plans Med Advantage — Default: $38.65 Medicare A KY J15 — Default: $38.65 UHC Medicare Solution — Default: $39.44 United Healthcare — Default: $63.51 VA Community Care Network VACCN Region 1-3 Optum — Default: $39.44
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA DIAGNOSTIC	$143.50	$57.40	$40.79 – $136.32
PSA (prostate specific antigen) blood test: rates for 10 insurance plans Aetna — Default: $136.32 Aetna Medicare Advantage — Default: $44.48 Ambetter — Default: $72 Blue Cross Blue Shield of KY Anthem — Default: $95.80 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $40.79 Humana Advantage Care Plans Med Advantage — Default: $40.79 Medicare A KY J15 — Default: $40.79 UHC Medicare Solution — Default: $41.62 United Healthcare — Default: $67.01 VA Community Care Network VACCN Region 1-3 Optum — Default: $41.62
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA TOTAL SEND OUT	$115.50	$46.20	$32.83 – $109.72
PSA (prostate specific antigen) blood test: rates for 10 insurance plans Aetna — Default: $109.72 Aetna Medicare Advantage — Default: $35.80 Ambetter — Default: $57.96 Blue Cross Blue Shield of KY Anthem — Default: $77.11 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $32.83 Humana Advantage Care Plans Med Advantage — Default: $32.83 Medicare A KY J15 — Default: $32.83 UHC Medicare Solution — Default: $33.50 United Healthcare — Default: $53.94 VA Community Care Network VACCN Region 1-3 Optum — Default: $33.50
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH	$180.50	$72.20	$51.29 – $171.48
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans Aetna — Default: $171.48 Aetna Medicare Advantage — Default: $55.96 Ambetter — Default: $90.55 Blue Cross Blue Shield of KY Anthem — Default: $120.50 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $51.29 Humana Advantage Care Plans Med Advantage — Default: $51.30 Medicare A KY J15 — Default: $51.30 UHC Medicare Solution — Default: $52.34 United Healthcare — Default: $84.29 VA Community Care Network VACCN Region 1-3 Optum — Default: $52.34
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC WITH AUTO DIFF	$110.50	$44.20	$31.40 – $104.98
Complete blood count (CBC) with differential: rates for 10 insurance plans Aetna — Default: $104.98 Aetna Medicare Advantage — Default: $34.26 Ambetter — Default: $55.43 Blue Cross Blue Shield of KY Anthem — Default: $73.77 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $31.40 Humana Advantage Care Plans Med Advantage — Default: $31.41 Medicare A KY J15 — Default: $31.41 UHC Medicare Solution — Default: $32.04 United Healthcare — Default: $51.60 VA Community Care Network VACCN Region 1-3 Optum — Default: $32.04
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: DAILY CBC WITH AUTO DIFF	$110.50	$44.20	$31.40 – $104.98
Complete blood count (CBC) with differential: rates for 10 insurance plans Aetna — Default: $104.98 Aetna Medicare Advantage — Default: $34.26 Ambetter — Default: $55.43 Blue Cross Blue Shield of KY Anthem — Default: $73.77 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $31.40 Humana Advantage Care Plans Med Advantage — Default: $31.41 Medicare A KY J15 — Default: $31.41 UHC Medicare Solution — Default: $32.04 United Healthcare — Default: $51.60 VA Community Care Network VACCN Region 1-3 Optum — Default: $32.04
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME	$100.50	$40.20	$28.56 – $95.48
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans Aetna — Default: $95.48 Aetna Medicare Advantage — Default: $31.16 Ambetter — Default: $50.41 Blue Cross Blue Shield of KY Anthem — Default: $67.09 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $28.56 Humana Advantage Care Plans Med Advantage — Default: $28.57 Medicare A KY J15 — Default: $28.57 UHC Medicare Solution — Default: $29.14 United Healthcare — Default: $46.93 VA Community Care Network VACCN Region 1-3 Optum — Default: $29.14
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: DAILY PROTHROMBIN TIME	$95.50	$38.20	$27.15 – $90.72
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans Aetna — Default: $90.72 Aetna Medicare Advantage — Default: $29.60 Ambetter — Default: $47.92 Blue Cross Blue Shield of KY Anthem — Default: $63.76 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $27.15 Humana Advantage Care Plans Med Advantage — Default: $27.15 Medicare A KY J15 — Default: $27.15 UHC Medicare Solution — Default: $27.70 United Healthcare — Default: $44.60 VA Community Care Network VACCN Region 1-3 Optum — Default: $27.70
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PARTIAL THROMBOPLASTIN TIME	$100.50	$40.20	$28.56 – $95.48
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans Aetna — Default: $95.48 Aetna Medicare Advantage — Default: $31.16 Ambetter — Default: $50.41 Blue Cross Blue Shield of KY Anthem — Default: $67.09 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $28.56 Humana Advantage Care Plans Med Advantage — Default: $28.57 Medicare A KY J15 — Default: $28.57 UHC Medicare Solution — Default: $29.14 United Healthcare — Default: $46.93 VA Community Care Network VACCN Region 1-3 Optum — Default: $29.14

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient In the file: ELECTROCARDIOGRAM COMPLETE	$34	$13.60	$9.66 – $32.30
Electrocardiogram (ECG/EKG) with reading: rates for 10 insurance plans Aetna — Default: $32.30 Aetna Medicare Advantage — Default: $10.54 Ambetter — Default: $17.06 Blue Cross Blue Shield of KY Anthem — Default: $22.70 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $9.66 Humana Advantage Care Plans Med Advantage — Default: $9.66 Medicare A KY J15 — Default: $9.66 UHC Medicare Solution — Default: $9.86 United Healthcare — Default: $15.88 VA Community Care Network VACCN Region 1-3 Optum — Default: $9.86
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient In the file: EKG W/ INTREP AND REPORT	$318.50	$127.40	$90.51 – $302.58
Electrocardiogram (ECG/EKG) with reading: rates for 10 insurance plans Aetna — Default: $302.58 Aetna Medicare Advantage — Default: $98.74 Ambetter — Default: $159.78 Blue Cross Blue Shield of KY Anthem — Default: $212.63 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $90.51 Humana Advantage Care Plans Med Advantage — Default: $90.52 Medicare A KY J15 — Default: $90.52 UHC Medicare Solution — Default: $92.36 United Healthcare — Default: $148.74 VA Community Care Network VACCN Region 1-3 Optum — Default: $92.36

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: OPR PSYCH TX 30 MIN PT/FAM 16-37 W/59 FA PF	$146	$58.40	$41.49 – $138.70
Psychotherapy, 30 minutes: rates for 10 insurance plans Aetna — Default: $138.70 Aetna Medicare Advantage — Default: $45.26 Ambetter — Default: $83.51 Blue Cross Blue Shield of KY Anthem — Default: $97.47 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $41.49 Humana Advantage Care Plans Med Advantage — Default: $81.84 Medicare A KY J15 — Default: $41.49 UHC Medicare Solution — Default: $75.13 United Healthcare — Default: $70 VA Community Care Network VACCN Region 1-3 Optum — Default: $42.34
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: PRO FEE OPR PSYCH TX 30 MINTUES PT/FAMIL PF	$101.50	$40.60	$28.85 – $96.42
Psychotherapy, 30 minutes: rates for 10 insurance plans Aetna — Default: $96.42 Aetna Medicare Advantage — Default: $31.46 Ambetter — Default: $83.51 Blue Cross Blue Shield of KY Anthem — Default: $67.76 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $28.85 Humana Advantage Care Plans Med Advantage — Default: $81.84 Medicare A KY J15 — Default: $28.85 UHC Medicare Solution — Default: $75.13 United Healthcare — Default: $70 VA Community Care Network VACCN Region 1-3 Optum — Default: $29.44
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: OPR PSYCH TX 30 MIN PT/FAM 16-37 FACILIT PF	$146	$58.40	$41.49 – $138.70
Psychotherapy, 30 minutes: rates for 10 insurance plans Aetna — Default: $138.70 Aetna Medicare Advantage — Default: $45.26 Ambetter — Default: $83.51 Blue Cross Blue Shield of KY Anthem — Default: $97.47 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $41.49 Humana Advantage Care Plans Med Advantage — Default: $81.84 Medicare A KY J15 — Default: $41.49 UHC Medicare Solution — Default: $75.13 United Healthcare — Default: $70 VA Community Care Network VACCN Region 1-3 Optum — Default: $42.34
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: OPR PSYCH TX 45 MIN PT/FAM 38-52MIN W/59 PF	$152	$60.80	$43.20 – $144.40
Psychotherapy, 45 minutes: rates for 10 insurance plans Aetna — Default: $144.40 Aetna Medicare Advantage — Default: $47.12 Ambetter — Default: $110.76 Blue Cross Blue Shield of KY Anthem — Default: $101.48 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $43.20 Humana Advantage Care Plans Med Advantage — Default: $108.54 Medicare A KY J15 — Default: $43.20 UHC Medicare Solution — Default: $99.13 United Healthcare — Default: $91.75 VA Community Care Network VACCN Region 1-3 Optum — Default: $44.08
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: PRO FEE OPR PSYCH TX 45 MINUTES PT/FAMIL PF	$139	$55.60	$39.50 – $132.05
Psychotherapy, 45 minutes: rates for 10 insurance plans Aetna — Default: $132.05 Aetna Medicare Advantage — Default: $43.09 Ambetter — Default: $110.76 Blue Cross Blue Shield of KY Anthem — Default: $92.80 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $39.50 Humana Advantage Care Plans Med Advantage — Default: $108.54 Medicare A KY J15 — Default: $39.50 UHC Medicare Solution — Default: $99.13 United Healthcare — Default: $91.75 VA Community Care Network VACCN Region 1-3 Optum — Default: $40.31
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: OPR PSYCH TX 45 MIN PAT/FAM 38-52MIN PF	$152	$60.80	$43.20 – $144.40
Psychotherapy, 45 minutes: rates for 10 insurance plans Aetna — Default: $144.40 Aetna Medicare Advantage — Default: $47.12 Ambetter — Default: $110.76 Blue Cross Blue Shield of KY Anthem — Default: $101.48 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $43.20 Humana Advantage Care Plans Med Advantage — Default: $108.54 Medicare A KY J15 — Default: $43.20 UHC Medicare Solution — Default: $99.13 United Healthcare — Default: $91.75 VA Community Care Network VACCN Region 1-3 Optum — Default: $44.08
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: PRO FEE OPR PSYTX TX 60 MINTUES W PT/FAM PF	$162	$64.80	$46.04 – $162
Psychotherapy, 60 minutes: rates for 10 insurance plans Aetna — Default: $153.90 Aetna Medicare Advantage — Default: $50.22 Ambetter — Default: $162 Blue Cross Blue Shield of KY Anthem — Default: $108.15 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $46.04 Humana Advantage Care Plans Med Advantage — Default: $158.76 Medicare A KY J15 — Default: $46.04 UHC Medicare Solution — Default: $146.85 United Healthcare — Default: $134.65 VA Community Care Network VACCN Region 1-3 Optum — Default: $46.98
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: OPR PSYCH TX 60 MIN PT/FAM 53+ MIN PF	$160.50	$64.20	$45.61 – $160.50
Psychotherapy, 60 minutes: rates for 10 insurance plans Aetna — Default: $152.48 Aetna Medicare Advantage — Default: $49.76 Ambetter — Default: $160.50 Blue Cross Blue Shield of KY Anthem — Default: $107.15 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $45.61 Humana Advantage Care Plans Med Advantage — Default: $157.29 Medicare A KY J15 — Default: $45.62 UHC Medicare Solution — Default: $146.85 United Healthcare — Default: $134.65 VA Community Care Network VACCN Region 1-3 Optum — Default: $46.54
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: PRO FEE BH TELEHEALTH 60 MINS PF	$162	$64.80	$46.04 – $162
Psychotherapy, 60 minutes: rates for 10 insurance plans Aetna — Default: $153.90 Aetna Medicare Advantage — Default: $50.22 Ambetter — Default: $162 Blue Cross Blue Shield of KY Anthem — Default: $108.15 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $46.04 Humana Advantage Care Plans Med Advantage — Default: $158.76 Medicare A KY J15 — Default: $46.04 UHC Medicare Solution — Default: $146.85 United Healthcare — Default: $134.65 VA Community Care Network VACCN Region 1-3 Optum — Default: $46.98
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: OPR GROUP PSYCHOTHERAPY PF	$157	$62.80	$26.74 – $149.15
Group psychotherapy: rates for 10 insurance plans Aetna — Default: $149.15 Aetna Medicare Advantage — Default: $48.67 Ambetter — Default: $29.51 Blue Cross Blue Shield of KY Anthem — Default: $104.81 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $44.62 Humana Advantage Care Plans Med Advantage — Default: $28.92 Medicare A KY J15 — Default: $44.62 UHC Medicare Solution — Default: $26.74 United Healthcare — Default: $30.01 VA Community Care Network VACCN Region 1-3 Optum — Default: $45.53
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: PRO FEE BH TELEHEALTH GROUP PF	$73	$29.20	$20.75 – $69.35
Group psychotherapy: rates for 10 insurance plans Aetna — Default: $69.35 Aetna Medicare Advantage — Default: $22.63 Ambetter — Default: $29.51 Blue Cross Blue Shield of KY Anthem — Default: $48.73 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $20.75 Humana Advantage Care Plans Med Advantage — Default: $28.92 Medicare A KY J15 — Default: $20.75 UHC Medicare Solution — Default: $26.74 United Healthcare — Default: $30.01 VA Community Care Network VACCN Region 1-3 Optum — Default: $21.17
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: TELEHEALTH BH PROCESS GROUP THERAPY FAC	$166.50	$66.60	$47.31 – $158.18
Group psychotherapy: rates for 10 insurance plans Aetna — Default: $158.18 Aetna Medicare Advantage — Default: $51.62 Ambetter — Default: $83.52 Blue Cross Blue Shield of KY Anthem — Default: $111.16 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $47.31 Humana Advantage Care Plans Med Advantage — Default: $47.32 Medicare A KY J15 — Default: $47.32 UHC Medicare Solution — Default: $48.28 United Healthcare — Default: $77.76 VA Community Care Network VACCN Region 1-3 Optum — Default: $48.28

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: PRO FEE REMOVAL OF BREAST LESIONPF	$701.50	$280.60	$199.37 – $666.42
Removal of breast growth (open surgery): rates for 10 insurance plans Aetna — Default: $666.42 Aetna Medicare Advantage — Default: $217.46 Ambetter — Default: $532.19 Blue Cross Blue Shield of KY Anthem — Default: $468.32 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $199.37 Humana Advantage Care Plans Med Advantage — Default: $521.55 Medicare A KY J15 — Default: $199.37 UHC Medicare Solution — Default: $463.44 United Healthcare — Default: $485.85 VA Community Care Network VACCN Region 1-3 Optum — Default: $203.44
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: REMOVAL OF BREAST LESION	$5,080.50	$2,032.20	$1,443.87 – $4,826.48
Removal of breast growth (open surgery): rates for 10 insurance plans Aetna — Default: $4,826.48 Aetna Medicare Advantage — Default: $1,574.96 Ambetter — Default: $2,548.88 Blue Cross Blue Shield of KY Anthem — Default: $3,391.74 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $1,443.87 Humana Advantage Care Plans Med Advantage — Default: $1,443.88 Medicare A KY J15 — Default: $1,443.88 UHC Medicare Solution — Default: $1,473.34 United Healthcare — Default: $2,372.59 VA Community Care Network VACCN Region 1-3 Optum — Default: $1,473.34
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: PRO FEE REMOVAL OF BREAST LESION	$744	$297.60	$211.44 – $706.80
Removal of breast growth (open surgery): rates for 8 insurance plans Aetna — Default: $706.80 Aetna Medicare Advantage — Default: $230.64 Ambetter — Default: $373.26 Blue Cross Blue Shield of KY Anthem — Default: $496.69 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $211.44 Humana Advantage Care Plans Med Advantage — Default: $434.13 Medicare A KY J15 — Default: $434.13 United Healthcare — Default: $347.45
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: PRO FEE REMOVAL TONSILS AND ADENOIDS PF	$761	$304.40	$216.28 – $722.95
Removal of tonsils and adenoids (under age 12): rates for 10 insurance plans Aetna — Default: $722.95 Aetna Medicare Advantage — Default: $235.91 Ambetter — Default: $247.66 Blue Cross Blue Shield of KY Anthem — Default: $508.04 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $216.28 Humana Advantage Care Plans Med Advantage — Default: $242.71 Medicare A KY J15 — Default: $216.28 UHC Medicare Solution — Default: $264.30 United Healthcare — Default: $348.45 VA Community Care Network VACCN Region 1-3 Optum — Default: $220.69
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: REMOVE TONSILS AND ADNOIDS	$6,222	$2,488.80	$1,768.29 – $5,910.90
Removal of tonsils and adenoids (under age 12): rates for 10 insurance plans Aetna — Default: $5,910.90 Aetna Medicare Advantage — Default: $1,928.82 Ambetter — Default: $3,121.58 Blue Cross Blue Shield of KY Anthem — Default: $4,153.81 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $1,768.29 Humana Advantage Care Plans Med Advantage — Default: $1,768.29 Medicare A KY J15 — Default: $1,768.29 UHC Medicare Solution — Default: $1,804.38 United Healthcare — Default: $2,905.67 VA Community Care Network VACCN Region 1-3 Optum — Default: $1,804.38
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: PRO FEE REMOVAL TONSILS AND ADENOIDS	$807.50	$323	$229.50 – $767.12
Removal of tonsils and adenoids (under age 12): rates for 8 insurance plans Aetna — Default: $767.12 Aetna Medicare Advantage — Default: $250.32 Ambetter — Default: $405.13 Blue Cross Blue Shield of KY Anthem — Default: $539.09 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $229.50 Humana Advantage Care Plans Med Advantage — Default: $279.11 Medicare A KY J15 — Default: $279.11 United Healthcare — Default: $377.10
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: PRO FEE EDG DIAGNOSTIC BRUSH WASH PF	$216	$86.40	$61.39 – $358.61
Upper GI endoscopy (diagnostic): rates for 10 insurance plans Aetna — Default: $205.20 Aetna Medicare Advantage — Default: $66.96 Ambetter — Default: $216 Blue Cross Blue Shield of KY Anthem — Default: $144.20 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $61.39 Humana Advantage Care Plans Med Advantage — Default: $211.68 Medicare A KY J15 — Default: $61.39 UHC Medicare Solution — Default: $245.87 United Healthcare — Default: $358.61 VA Community Care Network VACCN Region 1-3 Optum — Default: $62.64
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: ENDOSCOPY UGI DIAGNOSTIC	$1,385	$554	$393.62 – $1,315.75
Upper GI endoscopy (diagnostic): rates for 10 insurance plans Aetna — Default: $1,315.75 Aetna Medicare Advantage — Default: $429.35 Ambetter — Default: $694.85 Blue Cross Blue Shield of KY Anthem — Default: $924.63 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $393.62 Humana Advantage Care Plans Med Advantage — Default: $393.62 Medicare A KY J15 — Default: $393.62 UHC Medicare Solution — Default: $401.65 United Healthcare — Default: $646.80 VA Community Care Network VACCN Region 1-3 Optum — Default: $401.65
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: PRO FEE EDG DIAGNOSTIC BRUSH WASH	$229	$91.60	$65.08 – $217.55
Upper GI endoscopy (diagnostic): rates for 8 insurance plans Aetna — Default: $217.55 Aetna Medicare Advantage — Default: $70.99 Ambetter — Default: $114.89 Blue Cross Blue Shield of KY Anthem — Default: $152.88 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $65.08 Humana Advantage Care Plans Med Advantage — Default: $119.53 Medicare A KY J15 — Default: $119.53 United Healthcare — Default: $106.94
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: PRO FEE EDG BIOPSY SINGLE/MULTIPLE PF	$404.50	$161.80	$114.95 – $412.90
Upper GI endoscopy with biopsy: rates for 10 insurance plans Aetna — Default: $384.28 Aetna Medicare Advantage — Default: $125.40 Ambetter — Default: $381.23 Blue Cross Blue Shield of KY Anthem — Default: $270.04 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $114.95 Humana Advantage Care Plans Med Advantage — Default: $373.61 Medicare A KY J15 — Default: $114.96 UHC Medicare Solution — Default: $316.57 United Healthcare — Default: $412.90 VA Community Care Network VACCN Region 1-3 Optum — Default: $117.30
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: UPPER EGD WITH BIOPSY	$1,385	$554	$393.62 – $1,315.75
Upper GI endoscopy with biopsy: rates for 10 insurance plans Aetna — Default: $1,315.75 Aetna Medicare Advantage — Default: $429.35 Ambetter — Default: $694.85 Blue Cross Blue Shield of KY Anthem — Default: $924.63 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $393.62 Humana Advantage Care Plans Med Advantage — Default: $393.62 Medicare A KY J15 — Default: $393.62 UHC Medicare Solution — Default: $401.65 United Healthcare — Default: $646.80 VA Community Care Network VACCN Region 1-3 Optum — Default: $401.65
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: PRO FEE EDG BIOPSY SINGLE/MULTIPLE	$429	$171.60	$121.92 – $407.55
Upper GI endoscopy with biopsy: rates for 8 insurance plans Aetna — Default: $407.55 Aetna Medicare Advantage — Default: $132.99 Ambetter — Default: $215.23 Blue Cross Blue Shield of KY Anthem — Default: $286.40 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $121.92 Humana Advantage Care Plans Med Advantage — Default: $133.82 Medicare A KY J15 — Default: $133.82 United Healthcare — Default: $200.34
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: PRO FEE COLONOSCOPYPF	$539.50	$215.80	$153.33 – $512.52
Colonoscopy (diagnostic): rates for 10 insurance plans Aetna — Default: $512.52 Aetna Medicare Advantage — Default: $167.24 Ambetter — Default: $348.28 Blue Cross Blue Shield of KY Anthem — Default: $360.17 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $153.33 Humana Advantage Care Plans Med Advantage — Default: $341.31 Medicare A KY J15 — Default: $153.33 UHC Medicare Solution — Default: $294.82 United Healthcare — Default: $500 VA Community Care Network VACCN Region 1-3 Optum — Default: $156.46
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: DIAGNOSTIC COLONOSCOPY	$2,072	$828.80	$588.86 – $1,968.40
Colonoscopy (diagnostic): rates for 10 insurance plans Aetna — Default: $1,968.40 Aetna Medicare Advantage — Default: $642.32 Ambetter — Default: $1,039.52 Blue Cross Blue Shield of KY Anthem — Default: $1,383.27 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $588.86 Humana Advantage Care Plans Med Advantage — Default: $588.86 Medicare A KY J15 — Default: $588.86 UHC Medicare Solution — Default: $600.88 United Healthcare — Default: $967.62 VA Community Care Network VACCN Region 1-3 Optum — Default: $600.88
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: PRO FEE COLONOSCOPY	$572	$228.80	$162.56 – $543.40
Colonoscopy (diagnostic): rates for 8 insurance plans Aetna — Default: $543.40 Aetna Medicare Advantage — Default: $177.32 Ambetter — Default: $286.97 Blue Cross Blue Shield of KY Anthem — Default: $381.87 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $162.56 Humana Advantage Care Plans Med Advantage — Default: $178.66 Medicare A KY J15 — Default: $178.66 United Healthcare — Default: $267.12
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: PRO FEE COLONOSCOPY AND BIOPSYPF	$585.50	$234.20	$166.40 – $595
Colonoscopy with biopsy: rates for 10 insurance plans Aetna — Default: $556.22 Aetna Medicare Advantage — Default: $181.50 Ambetter — Default: $439.92 Blue Cross Blue Shield of KY Anthem — Default: $390.88 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $166.40 Humana Advantage Care Plans Med Advantage — Default: $431.12 Medicare A KY J15 — Default: $166.40 UHC Medicare Solution — Default: $370.82 United Healthcare — Default: $595 VA Community Care Network VACCN Region 1-3 Optum — Default: $169.80
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY AND BX	$1,744.50	$697.80	$495.78 – $1,657.28
Colonoscopy with biopsy: rates for 10 insurance plans Aetna — Default: $1,657.28 Aetna Medicare Advantage — Default: $540.80 Ambetter — Default: $875.21 Blue Cross Blue Shield of KY Anthem — Default: $1,164.63 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $495.78 Humana Advantage Care Plans Med Advantage — Default: $495.79 Medicare A KY J15 — Default: $495.79 UHC Medicare Solution — Default: $505.90 United Healthcare — Default: $814.68 VA Community Care Network VACCN Region 1-3 Optum — Default: $505.90
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: PRO FEE COLONOSCOPY AND BIOPSY	$621	$248.40	$176.49 – $589.95
Colonoscopy with biopsy: rates for 8 insurance plans Aetna — Default: $589.95 Aetna Medicare Advantage — Default: $192.51 Ambetter — Default: $311.56 Blue Cross Blue Shield of KY Anthem — Default: $414.58 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $176.49 Humana Advantage Care Plans Med Advantage — Default: $192.94 Medicare A KY J15 — Default: $192.94 United Healthcare — Default: $290.01
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: PRO FEE COLONSCOPY W LESION REMOVALPF	$743	$297.20	$211.16 – $705.85
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans Aetna — Default: $705.85 Aetna Medicare Advantage — Default: $230.33 Ambetter — Default: $461.49 Blue Cross Blue Shield of KY Anthem — Default: $496.03 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $211.16 Humana Advantage Care Plans Med Advantage — Default: $452.26 Medicare A KY J15 — Default: $211.16 UHC Medicare Solution — Default: $392.66 United Healthcare — Default: $675 VA Community Care Network VACCN Region 1-3 Optum — Default: $215.47
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY W SNARE POLYPECTOMY	$2,037	$814.80	$578.92 – $1,935.15
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans Aetna — Default: $1,935.15 Aetna Medicare Advantage — Default: $631.47 Ambetter — Default: $1,021.96 Blue Cross Blue Shield of KY Anthem — Default: $1,359.90 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $578.92 Humana Advantage Care Plans Med Advantage — Default: $578.92 Medicare A KY J15 — Default: $578.92 UHC Medicare Solution — Default: $590.73 United Healthcare — Default: $951.28 VA Community Care Network VACCN Region 1-3 Optum — Default: $590.73
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: PRO FEE COLONSCOPY W LESION REMOVAL	$788.50	$315.40	$224.09 – $749.08
Colonoscopy with removal of polyps (snare): rates for 8 insurance plans Aetna — Default: $749.08 Aetna Medicare Advantage — Default: $244.44 Ambetter — Default: $395.58 Blue Cross Blue Shield of KY Anthem — Default: $526.40 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $224.09 Humana Advantage Care Plans Med Advantage — Default: $243.01 Medicare A KY J15 — Default: $243.01 United Healthcare — Default: $368.23
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: PRO FEE COLON CA SCREENING LOW RISK	$572	$228.80	$162.56 – $543.40
Screening colonoscopy (not high risk): rates for 8 insurance plans Aetna — Default: $543.40 Aetna Medicare Advantage — Default: $177.32 Ambetter — Default: $286.97 Blue Cross Blue Shield of KY Anthem — Default: $381.87 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $162.56 Humana Advantage Care Plans Med Advantage — Default: $179.02 Medicare A KY J15 — Default: $179.02 United Healthcare — Default: $267.12
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: PRO FEE LAPROSCOPIC CHOLECYSTECTOMY PF	$750.50	$300.20	$213.29 – $839.13
Gallbladder removal by laparoscope: rates for 10 insurance plans Aetna — Default: $712.98 Aetna Medicare Advantage — Default: $232.66 Ambetter — Default: $601.97 Blue Cross Blue Shield of KY Anthem — Default: $501.03 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $213.29 Humana Advantage Care Plans Med Advantage — Default: $589.93 Medicare A KY J15 — Default: $213.30 UHC Medicare Solution — Default: $601.49 United Healthcare — Default: $839.13 VA Community Care Network VACCN Region 1-3 Optum — Default: $217.64
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: LAPRO CHOLECYSTECTOMY	$8,360	$3,344	$2,375.91 – $7,942
Gallbladder removal by laparoscope: rates for 10 insurance plans Aetna — Default: $7,942 Aetna Medicare Advantage — Default: $2,591.60 Ambetter — Default: $4,194.21 Blue Cross Blue Shield of KY Anthem — Default: $5,581.14 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $2,375.91 Humana Advantage Care Plans Med Advantage — Default: $2,375.91 Medicare A KY J15 — Default: $2,375.91 UHC Medicare Solution — Default: $2,424.40 United Healthcare — Default: $3,904.12 VA Community Care Network VACCN Region 1-3 Optum — Default: $2,424.40
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: PRO FEE LAPROSCOPIC CHOLECYSTECTOMY	$796	$318.40	$226.22 – $756.20
Gallbladder removal by laparoscope: rates for 8 insurance plans Aetna — Default: $756.20 Aetna Medicare Advantage — Default: $246.76 Ambetter — Default: $399.35 Blue Cross Blue Shield of KY Anthem — Default: $531.41 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $226.22 Humana Advantage Care Plans Med Advantage — Default: $678.42 Medicare A KY J15 — Default: $678.42 United Healthcare — Default: $371.73
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: PRO FEE PRP I/HERN INIT REDUC >5 YR PF	$1,473.50	$589.40	$418.77 – $1,399.82
Groin (inguinal) hernia repair, age 5 or older: rates for 10 insurance plans Aetna — Default: $1,399.82 Aetna Medicare Advantage — Default: $456.78 Ambetter — Default: $482.19 Blue Cross Blue Shield of KY Anthem — Default: $983.71 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $418.77 Humana Advantage Care Plans Med Advantage — Default: $472.55 Medicare A KY J15 — Default: $418.77 UHC Medicare Solution — Default: $476.45 United Healthcare — Default: $585.56 VA Community Care Network VACCN Region 1-3 Optum — Default: $427.32
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: ING HERNIA REPAIR W/MESH	$8,553.50	$3,421.40	$2,430.91 – $8,125.82
Groin (inguinal) hernia repair, age 5 or older: rates for 10 insurance plans Aetna — Default: $8,125.82 Aetna Medicare Advantage — Default: $2,651.58 Ambetter — Default: $4,291.30 Blue Cross Blue Shield of KY Anthem — Default: $5,710.32 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $2,430.91 Humana Advantage Care Plans Med Advantage — Default: $2,430.91 Medicare A KY J15 — Default: $2,430.91 UHC Medicare Solution — Default: $2,480.52 United Healthcare — Default: $3,994.48 VA Community Care Network VACCN Region 1-3 Optum — Default: $2,480.52
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: PRO FEE PRP I/HERN INIT REDUC >5 YR	$1,563	$625.20	$444.20 – $1,484.85
Groin (inguinal) hernia repair, age 5 or older: rates for 8 insurance plans Aetna — Default: $1,484.85 Aetna Medicare Advantage — Default: $484.53 Ambetter — Default: $784.16 Blue Cross Blue Shield of KY Anthem — Default: $1,043.46 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $444.20 Humana Advantage Care Plans Med Advantage — Default: $543.43 Medicare A KY J15 — Default: $543.43 United Healthcare — Default: $729.92
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: BIOPSY OF PROSTATE	$5,134.50	$2,053.80	$1,459.22 – $4,877.78
Prostate biopsy: rates for 10 insurance plans Aetna — Default: $4,877.78 Aetna Medicare Advantage — Default: $1,591.70 Ambetter — Default: $2,575.97 Blue Cross Blue Shield of KY Anthem — Default: $3,427.79 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $1,459.22 Humana Advantage Care Plans Med Advantage — Default: $1,459.23 Medicare A KY J15 — Default: $1,459.23 UHC Medicare Solution — Default: $1,489 United Healthcare — Default: $2,397.81 VA Community Care Network VACCN Region 1-3 Optum — Default: $1,489
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: HYSTEROSCOPY BIOPSY	$5,777	$2,310.80	$1,641.82 – $5,488.15
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans Aetna — Default: $5,488.15 Aetna Medicare Advantage — Default: $1,790.87 Ambetter — Default: $2,898.32 Blue Cross Blue Shield of KY Anthem — Default: $3,856.73 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $1,641.82 Humana Advantage Care Plans Med Advantage — Default: $1,641.82 Medicare A KY J15 — Default: $1,641.82 UHC Medicare Solution — Default: $1,675.33 United Healthcare — Default: $2,697.86 VA Community Care Network VACCN Region 1-3 Optum — Default: $1,675.33
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: PRO FEE HYSTEROSCOPY BIOPSY	$552	$220.80	$156.88 – $524.40
Hysteroscopy with biopsy of the uterus lining: rates for 8 insurance plans Aetna — Default: $524.40 Aetna Medicare Advantage — Default: $171.12 Ambetter — Default: $276.94 Blue Cross Blue Shield of KY Anthem — Default: $368.52 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $156.88 Humana Advantage Care Plans Med Advantage — Default: $222.52 Medicare A KY J15 — Default: $222.52 United Healthcare — Default: $257.78
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: MD PRO FEE NJX INTERLAMINAR LMBR/SAC PF	$268	$107.20	$76.17 – $329.31
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans Aetna — Default: $254.60 Aetna Medicare Advantage — Default: $83.08 Ambetter — Default: $249.56 Blue Cross Blue Shield of KY Anthem — Default: $178.92 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $76.17 Humana Advantage Care Plans Med Advantage — Default: $244.57 Medicare A KY J15 — Default: $76.17 UHC Medicare Solution — Default: $219.33 United Healthcare — Default: $329.31 VA Community Care Network VACCN Region 1-3 Optum — Default: $77.72
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: CRNA PRO FEE NJX INTERLAMINAR LMBR/SAC PF	$268	$107.20	$76.17 – $329.31
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans Aetna — Default: $254.60 Aetna Medicare Advantage — Default: $83.08 Ambetter — Default: $249.56 Blue Cross Blue Shield of KY Anthem — Default: $178.92 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $76.17 Humana Advantage Care Plans Med Advantage — Default: $244.57 Medicare A KY J15 — Default: $76.17 UHC Medicare Solution — Default: $219.33 United Healthcare — Default: $329.31 VA Community Care Network VACCN Region 1-3 Optum — Default: $77.72
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: NJX INTERLAMINAR LMB/SAC INJECTION	$1,811.50	$724.60	$514.83 – $1,720.92
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans Aetna — Default: $1,720.92 Aetna Medicare Advantage — Default: $561.56 Ambetter — Default: $908.84 Blue Cross Blue Shield of KY Anthem — Default: $1,209.36 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $514.83 Humana Advantage Care Plans Med Advantage — Default: $514.83 Medicare A KY J15 — Default: $514.83 UHC Medicare Solution — Default: $525.34 United Healthcare — Default: $845.97 VA Community Care Network VACCN Region 1-3 Optum — Default: $525.34
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: CATARACT SURGERY W/ IOL 1 STAGE	$3,577.50	$1,431	$1,016.73 – $3,398.62
Cataract removal with lens implant: rates for 10 insurance plans Aetna — Default: $3,398.62 Aetna Medicare Advantage — Default: $1,109.02 Ambetter — Default: $1,794.84 Blue Cross Blue Shield of KY Anthem — Default: $2,388.34 Blue Cross Blue Shield of KY Anthem — Medicare Advantage: $1,016.73 Humana Advantage Care Plans Med Advantage — Default: $1,016.73 Medicare A KY J15 — Default: $1,016.73 UHC Medicare Solution — Default: $1,037.48 United Healthcare — Default: $1,670.69 VA Community Care Network VACCN Region 1-3 Optum — Default: $1,037.48

Source: Trigg County Hospital’s standard charges file (trigghospital.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 2, 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	254 Main Street, Cadiz, KY 42211
County	Trigg County
State	Kentucky
Phone	(270) 522‑3215
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	181304
Name in Medicare records	TRIGG COUNTY HOSPITAL
Profile level	Medicare data + hospital website
Official website	trigghospital.org
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 2026-10-31.

Emergency Medical Services — trigghospital.org
Cadiz KY Outpatient Surgical Center: Appendectomy & Cholecystectomy — trigghospital.org
Specialty Services — trigghospital.org
Outpatient Rehabilitation — trigghospital.org
Cadiz KY Ambulatory Surgery Center: Cataracts & Hernia Repairs — trigghospital.org
Cardiology — trigghospital.org
Cadiz KY Radiology Department: Ultrasounds, X Rays, Diagnostic Imaging — trigghospital.org
Trigg County Hospital Behavioral Health — trigghospital.org
Patient Financial Information — trigghospital.org

Trigg County Hospital

Summary

Profile from official sources

At a glance