Bourbon Community Hospital
9 Linville Drive, Paris, KY 40361 · 97 Priced Procedures · 73% Patient Recommendation
Typical commercial prices here are +9% above the fair benchmark (1.09×) even after accounting for local nurse/doctor wages and patient complexity.
2-Star CMS clinical quality rating paired with 1.09× fair market pricing.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Bourbon Community Hospital prices routine shoppable procedures at 2.8× Medicare (median 0.87× Fair BaseRate) while upper-quartile commercial rates jump +111% to 1.84× 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 0.80× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 10% of shoppable procedures (99/100 Cash Honesty)
- 2-Star CMS clinical rating with 73% patient recommendation (70/100 safety score)
- 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 1.3× markup over Medicare rates
- Commercial insurance median sits at 0.87× Fair BaseRate (2.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.84×) jump +111% above the median procedure ratio (Q50 0.87×)
- Consolidated metro market (HHI 2,973) 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 Bourbon Community Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 97 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total hip replacement CPT Code: 27130 | $19,742 | 1.5× |
| Total knee replacement CPT Code: 27447 | $15,241 | 1.1× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $13,828 | 0.7× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $13,289 | 0.7× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $11,269 | 3.3× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $5,499 | 0.7× |
| Upper endoscopy with biopsy CPT Code: 43239 | $4,039 | 4.1× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $3,890 | 4.0× |
| Colonoscopy with biopsy CPT Code: 45380 | $3,890 | 3.1× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $3,679 | 3.6× |
| Injection procedure for pain management HCPCS Code: G0260 | $1,682 | 2.0× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,273 | 2.2× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $1,007 | 7.5× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $973 | 7.7× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $854 | 3.1× |
| X-ray, lower back CPT Code: 72110 | $764 | 6.8× |
| Ultrasound, pelvis CPT Code: 76856 | $778 | 6.0× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $700 | 5.3× |
| MRI, lower back (no contrast) CPT Code: 72148 | $632 | 1.9× |
| MRI, brain (no contrast) CPT Code: 70551 | $632 | 1.8× |
| MRI, knee or other leg joint CPT Code: 73721 | $632 | 1.7× |
| Blood transfusion CPT Code: 36430 | $627 | 1.3× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $632 | 1.2× |
| Hospital observation (per hour) HCPCS Code: G0378 | $461 | 5.4× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $476 | 5.1× |
Audit a Bill or Quote at Bourbon Community Hospital (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 ($19,742) Beats Your Bill
Bourbon Community Hospital's published 45 CFR § 180 self-pay cash rate is $19,742 (vs. $19,742 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)
Your bill ($49,356) is $35,943 above the denoised Fair BaseRate ($13,413) and 3.8× the $13,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Bourbon 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.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Bourbon Community Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-06-17·administrative_or_closure
Met Requirements
Recorded - 2025-04-11·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (57 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 Bourbon Community Hospital.
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.