CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Breckinridge Memorial Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$110
about 0.8× the $136 Medicare rate · typically $66–$187
modeled estimate · not a bill or quote
What this hospital charges insurers
$82
Below the fair price — a good deal
about $28 under the fair price · 0.6× Medicare
Medicare pays $136 Fair price $110 This hospital $82 Cash price $88 Hospital's list price $177

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

One of the lower prices — 4 of 8 other KY hospitals charge more for the same procedure.

Cheapest $66 Priciest $83

Black dot = this hospital, among the 9 KY hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (30-39 min) is about $110 (about 0.8× the $136 Medicare rate). Breckinridge Memorial Hospital charges insurers about $82, or about $88 in cash — below the fair price — a good deal. Located in Hardinsburg, KY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $45 - $107 33%
Blue Cross Blue Shieldmajor $45 - $227 33%
Aetnamajor $45 - $227 33%
Humanamajor $50 37%
Ambetter (Centene) $50 - $82 37%
CareSource $45 - $82 33%
Molina $44 32%
WellCare $45 - $227 33%
+ 2 smaller / regional plans $44 - $45
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1011 Old Highway 60, Hardinsburg, KY 40143
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals