Baptist Health Hardin
913 North Dixie Avenue, Elizabethtown, KY 42701 · 104 Priced Procedures · 69% Patient Recommendation
Typical commercial prices here are +204% above the fair benchmark (3.04×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 3.04× fair market pricing.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Baptist Health Hardin prices routine shoppable procedures at 6.2× Medicare (median 2.73× Fair BaseRate) while upper-quartile commercial rates jump +53% to 4.19× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.71× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (66/100 safety score) with 69% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 7.8× markup over Medicare rates
- Commercial insurance median sits at 2.73× Fair BaseRate (6.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 4.19×) jump +53% above the median procedure ratio (Q50 2.73×)
- Consolidated metro market (HHI 7,703) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Baptist Health Hardin
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 104 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $42,084 | 1.4× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $25,246 | 1.3× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $23,535 | 1.2× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | — | — |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $10,038 | 1.2× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $5,636 | 5.5× |
| Trauma team activation HCPCS Code: G0390 | $3,602 | 2.5× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $3,293 | 5.6× |
| Rabies immune globulin HCPCS Code: 90375 | $3,027 | 9.4× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,223 | 4.4× |
| MRI, brain (no contrast) CPT Code: 70551 | $2,099 | 6.1× |
| MRI, knee or other leg joint CPT Code: 73721 | $2,119 | 5.7× |
| Blood transfusion CPT Code: 36430 | $2,082 | 4.2× |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,020 | 6.0× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,744 | 10.4× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,732 | 6.4× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,669 | 9.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,511 | 5.0× |
| Group therapy session CPT Code: 90853 | $1,449 | 14.5× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,329 | 5.2× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,298 | 8.1× |
| CT scan, pelvis CPT Code: 72192 | $1,298 | 8.0× |
| CT scan, sinuses CPT Code: 70486 | $1,298 | 7.8× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,298 | 5.4× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,256 | 2.8× |
Audit a Bill or Quote at Baptist Health Hardin (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Self-Pay Cash Rate ($270,565) Beats Your Bill
Baptist Health Hardin's published 45 CFR § 180 self-pay cash rate is $270,565 (vs. $42,084 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($360,753) is $329,978 above the denoised Fair BaseRate ($30,775) and 15.3× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Baptist Health Hardin as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Baptist Health Hardin. Prior administrative notices do not necessarily reflect current compliance status.
- 2024-04-01·administrative_or_closure
Closure Notice
Recorded - 2024-02-29·warning_notice
Warning Notice
Recorded - 2023-09-19·administrative_or_closure
Closure Notice
Recorded - 2023-07-25·cap_corrective_action
CAP Request
Recorded - 2023-04-21·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (937 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Baptist Health Hardin.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.