CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Monroe County Medical Center

Billing Code: G0279 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$28
about 0.7× the $40 Medicare rate · typically $9–$67
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $28 Cash price $58 Hospital's list price $70

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $42 104%
Blue Cross Blue Shieldmajor $20 - $144 49%
Humanamajor $52 129%
+ 1 smaller / regional plan $60
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 529 Capp Harlan Road, Tompkinsville, KY 42167
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals