How many shoppable procedure prices are published for Bluegrass Community Hospital?

Bluegrass Community Hospital in Versailles, KY currently has 110 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Bluegrass Community Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Bluegrass Community Hospital's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Proprietary 25 Beds · urban Updated: 4/15/2026

Bluegrass Community Hospital

360 Amsden Avenue, Versailles, KY 40383 · 110 Priced Procedures · 65% Patient Recommendation

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.12×vs. Fair Market Price

Typical commercial prices here are +12% above the fair benchmark (1.12×) even after accounting for local nurse/doctor wages and patient complexity.

64/100 · Caution

64/100Self-Pay Cash Beats Insurance 11% of the Time

File Completeness56

Price Logic69

Peer Alignment54

Clean Billing40

Real Cash Discount100

Regional Benchmark Tier

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintUpper-Quartile Spread · +118% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Bluegrass Community Hospital prices routine shoppable procedures at 2.9× Medicare (median 0.89× Fair BaseRate) while upper-quartile commercial rates jump +118% to 1.94× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#38 of 68 in KY · 54th State Percentile#1,749 of 3,385 in U.S. · 51st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.81× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 11% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (68/100 safety score) with 65% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
Commercial insurance median sits at 0.89× Fair BaseRate (2.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.94×) jump +118% above the median procedure ratio (Q50 0.89×)
Consolidated metro market (HHI 2,973) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.9× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.28× Divergence

0.8× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+118% Upper Tail

Q25 0.81× · Q50 0.89× · Q75 1.94×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.9× MedicareFair

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

4.7× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

4.2× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

7.0× MedicareWatchout

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.8× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

11% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 68/100Fair

Procedure Prices at Bluegrass Community Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 110 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	$14,642	$14,642	$13,413	1.1×
Total knee replacement CPT Code: `27447`	$14,101	$14,101	$13,523	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$13,566	$13,566	$8,223	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$8,337	$8,337	$19,087	0.4×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$8,038	$8,038	$19,432	0.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$5,672	$5,672	$3,372	1.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$4,710	$4,710	$6,109	0.8×
Breast lump removal CPT Code: `19120`	$4,605	$4,605	$3,875	1.2×
Cataract surgery with lens implant CPT Code: `66984`	$3,791	$3,791	$2,540	1.5×
Colonoscopy with biopsy CPT Code: `45380`	$2,850	$2,850	$1,256	2.3×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,735	$2,735	$981	2.8×
Upper endoscopy with biopsy CPT Code: `43239`	$2,735	$2,735	$987	2.8×
Inguinal hernia repair CPT Code: `49505`	$2,596	$2,596	$3,629	0.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,479	$1,479	$583	2.5×
Injection procedure for pain management HCPCS Code: `G0260`	$1,137	$1,137	$855	1.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$916	$916	$134	6.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$834	$834	$272	3.1×
MRI, lower back (no contrast) CPT Code: `72148`	$2,325	$665	$338	2.0×
MRI, brain (no contrast) CPT Code: `70551`	$2,139	$665	$343	1.9×
MRI, knee or other leg joint CPT Code: `73721`	$2,270	$665	$369	1.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,947	$665	$511	1.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$605	$605	$126	4.8×
Ultrasound, pelvis CPT Code: `76856`	$623	$623	$130	4.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$609	$609	$132	4.6×
X-ray, lower back CPT Code: `72110`	$566	$566	$112	5.1×
Family therapy session CPT Code: `90847`	$410	$410	$173	2.4×
Rabies immune globulin HCPCS Code: `90375`	$1,073	$419	$322	1.3×
Blood transfusion CPT Code: `36430`	$431	$431	$498	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$1,474	$398	$160	2.5×
CT scan, pelvis CPT Code: `72192`	$1,549	$398	$163	2.4×
CT scan, sinuses CPT Code: `70486`	$1,340	$398	$166	2.4×
CT scan, chest (no contrast) CPT Code: `71250`	$1,692	$398	$167	2.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,801	$398	$168	2.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,427	$398	$169	2.4×
CT scan, head (with contrast) CPT Code: `70460`	$1,596	$398	$242	1.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,674	$398	$258	1.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,249	$398	$303	1.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,621	$398	$448	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$366	$366	$166	2.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$374	$374	$181	2.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$329	$329	$93	3.5×
X-ray, shoulder CPT Code: `73030`	$310	$310	$92	3.4×
X-ray, hip CPT Code: `73502`	$307	$307	$93	3.3×
X-ray, ankle CPT Code: `73610`	$300	$300	$93	3.2×
X-ray, hand CPT Code: `73130`	$298	$298	$93	3.2×
Group therapy session CPT Code: `90853`	$319	$319	$100	3.2×
X-ray, foot CPT Code: `73630`	$289	$289	$92	3.1×
Screening mammogram (both breasts) CPT Code: `77067`	$313	$313	$123	2.5×
X-ray, chest (two views) CPT Code: `71046`	$276	$276	$93	3.0×
X-ray, pelvis CPT Code: `72170`	$273	$273	$110	2.5×
X-ray, chest (single view) CPT Code: `71045`	$203	$203	$92	2.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$221	$221	$148	1.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$173	$173	$64	2.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$179	$179	$123	1.5×
Electrical stimulation therapy HCPCS Code: `G0283`	$99	$99	$14	7.1×
Physical therapy (gait training) CPT Code: `97116`	$67	$121	$33	3.7×
Physical therapy (manual therapy) CPT Code: `97140`	$78	$121	$34	3.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$94	$121	$35	3.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$93	$121	$38	3.2×
Occupational therapy (self-care training) CPT Code: `97535`	$94	$121	$38	3.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$112	$121	$38	3.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$64	$121	$40	3.0×
Orthotic fitting and training CPT Code: `97760`	$82	$121	$51	2.4×
New patient office visit (30-44 min) CPT Code: `99203`	$145	$145	$110	1.3×
Speech therapy (group session) CPT Code: `92508`	$83	$83	$27	3.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$105	$105	$87	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$89	$89	$86	1.0×
Typhoid vaccine HCPCS Code: `90675`	$1,320	$498	$347	1.4×
Pneumococcal vaccine HCPCS Code: `90732`	$196	$150	$140	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$111	$111	$49	2.3×
Flu vaccine injection HCPCS Code: `G0008`	$92	$92	$48	1.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$161	$111	$111	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$42	$42	$35	1.2×
Colorectal cancer screening HCPCS Code: `G0010`	$55	$55	$49	1.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$187	$57	$56	1.0×
Drug screening test HCPCS Code: `G0480`	$81	$81	$116	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$79	$79	$201	0.4×
Flu vaccine (high dose) HCPCS Code: `90656`	$76	$23	$25	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$65	$33	$37	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$63	$3	$3	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$75	$7	$8	0.9×
Blood test, amylase CPT Code: `82150`	$99	$6	$7	0.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$114	$12	$14	0.9×
Blood test, lipase CPT Code: `83690`	$98	$6	$7	0.9×
Blood test, magnesium CPT Code: `83735`	$74	$6	$7	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$132	$16	$19	0.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$74	$5	$6	0.8×
Culture, blood CPT Code: `87040`	$102	$9	$11	0.8×
Blood test, vitamin B12 CPT Code: `82607`	$117	$13	$16	0.8×
Blood test, calcium CPT Code: `82310`	$58	$4	$5	0.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$65	$4	$5	0.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$104	$8	$10	0.8×
Blood test, potassium CPT Code: `84132`	$48	$4	$5	0.8×
Blood test, sodium CPT Code: `84295`	$54	$4	$5	0.8×
Hepatitis C antibody test CPT Code: `86803`	$157	$12	$15	0.8×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$132	$16	$20	0.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$164	$14	$18	0.8×
Culture, bacterial CPT Code: `87070`	$108	$7	$9	0.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$62	$3	$4	0.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$54	$3	$4	0.8×
Blood test, vitamin D CPT Code: `82306`	$128	$23	$31	0.7×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$171	$10	$14	0.7×
Blood test, basic metabolic panel CPT Code: `80048`	$132	$6	$9	0.7×
Blood test, liver function panel CPT Code: `80076`	$175	$6	$9	0.7×
Prosthetic fitting and training CPT Code: `97761`	$28	$28	$45	0.6×
Blood test, hemoglobin CPT Code: `85018`	$29	$2	$3	0.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$206	$7	$11	0.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$49	$3	$5	0.6×
Hospital observation (per hour) HCPCS Code: `G0378`	$21	$21	$86	0.2×
Blood antibody screen CPT Code: `86850`	$94	$7	$46	0.2×

Showing top 25 high-impact procedures of 110 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Bluegrass Community Hospital (Zero PHI Required)

CMS CCN: 181308

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash $14,642

Insurer Median $14,642

1. Amount on Your Bill or Quote ($) Pre-filled with Bluegrass Community Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

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.

Step 2 · Cash vs. Insurance Arbitrage Save $21,964 Paying Cash

Self-Pay Cash Rate ($14,642) Beats Your Bill

Bluegrass Community Hospital's published 45 CFR § 180 self-pay cash rate is $14,642 (vs. $14,642 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$23,193 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($36,606) is $23,193 above the denoised Fair BaseRate ($13,413) and 2.8× the $13,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Bluegrass Community Hospital 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.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

Safety Composite68/100

Would Recommend65%

Rated 9 or 10 (HCAHPS)73%

Median ER Wait94 min

Left ER Before Seen0%

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Bluegrass Community Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-06-20·administrative_or_closure
Met Requirements
Recorded
2025-05-01·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (82 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Bluegrass Community Hospital.

Price Index: 0.78× regional baseline

Quality: 56/100 CMS composite

Median Household Income$80,006U.S. Census ACS

Local Uninsured Share4.1%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 64/100 · Caution CMS CCN 181308

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 181308) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage4/15/2026

Validated Rate Rows131 (CMS v3.0.0)

File Integrity DigestVerified · CCN 181308

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.

Submit MRF Update Correction Policy