Breckinridge Memorial Hospital
1011 Old Highway 60, Hardinsburg, KY 40143 · 99 Priced Procedures · 82% Patient Recommendation
Typical commercial prices here are 30% below the fair benchmark (0.70×) after accounting for local nurse/doctor wages and patient complexity.
1-Star CMS clinical quality rating paired with 0.70× fair market pricing.
Uniform Value Leader · Low-Cost Across Departments
Breckinridge Memorial Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (1.5× Medicare, p50 0.54× Fair BaseRate) and emergency/ancillary services (0.7× Medicare, p75 1.10× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 30% below peer Fair BaseRate (0.70×)
- Self-pay cash beats commercial insurance on 25% of shoppable procedures (99/100 Cash Honesty)
- 1-Star CMS clinical rating with 82% patient recommendation (62/100 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 1.9× markup over Medicare rates
- Commercial insurance median sits at 0.54× Fair BaseRate (1.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.10×) jump +104% above the median procedure ratio (Q50 0.54×)
- Unnegotiated chargemaster list prices average 9.1× Medicare (17¢ true HCRIS cost per $1 gross)
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 Breckinridge Memorial Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 99 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total hip replacement CPT Code: 27130 | $1,924 | 0.1× |
| Total knee replacement CPT Code: 27447 | $1,924 | 0.1× |
| Injection procedure for pain management HCPCS Code: G0260 | $1,809 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $827 | 2.4× |
| MRI, brain (no contrast) CPT Code: 70551 | $827 | 2.4× |
| MRI, knee or other leg joint CPT Code: 73721 | $827 | 2.2× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $827 | 1.6× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $764 | 0.1× |
| CT scan, head (no contrast) CPT Code: 70450 | $711 | 4.4× |
| CT scan, pelvis CPT Code: 72192 | $711 | 4.4× |
| CT scan, sinuses CPT Code: 70486 | $711 | 4.3× |
| CT scan, chest (no contrast) CPT Code: 71250 | $711 | 4.3× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $711 | 4.2× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $711 | 4.2× |
| CT scan, head (with contrast) CPT Code: 70460 | $711 | 2.9× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $711 | 2.8× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $711 | 2.3× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $711 | 1.6× |
| Bunion correction surgery CPT Code: 28296 | $635 | 0.2× |
| Blood transfusion CPT Code: 36430 | $606 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $542 | 0.5× |
| Breast lump removal CPT Code: 19120 | $552 | 0.1× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $485 | 0.1× |
| Inguinal hernia repair CPT Code: 49505 | $482 | 0.1× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $220 | 0.4× |
Audit a Bill or Quote at Breckinridge Memorial 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 ($1,924) Beats Your Bill
Breckinridge Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $1,924 (vs. $1,924 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 entered amount is at or below the modeled Fair BaseRate benchmark ($13,413).
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Breckinridge Memorial 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
Source: CMS Hospital Care Compare (62 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 Breckinridge Memorial 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.