How many shoppable procedure prices are published for Cardinal Hill Rehabilitation Hospital?

Cardinal Hill Rehabilitation Hospital in Lexington, KY currently has 60 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

Hospital Profile General Acute Care Hospital Updated: 2026-01-01

Cardinal Hill Rehabilitation Hospital

2050 Versailles Rd, Lexington, KY 40504 · 60 Priced Procedures

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

86/100 · Verified

86/100Self-Pay Cash Beats Insurance 29% of the Time

File Completeness100

Price Logic100

Peer Alignment72

Clean Billing49

Real Cash Discount100

Regional Value Leader

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

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Cardinal Hill Rehabilitation Hospital prices routine shoppable procedures near 3.9× Medicare (p50 1.00×) while skewing captive emergency, lab, and upper-quartile codes to 6.1× Medicare (p75 1.28×, +28% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

Regional Benchmark in KYU.S. National Reference Pool

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 29% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% 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 4.9× markup over Medicare rates
Captive ER (5.7×) & laboratory (5.5×) services average 1.56× higher multiples than routine shoppable care (3.9×)
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Unnegotiated chargemaster list prices average 3.9× Medicare (36¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

3.9× Medicare

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

Back-Door Captive & ER1.56× Divergence

6.1× Medicare

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

Quantile Tail Spread+28% Upper Tail

Q25 0.78× · Q50 1.00× · Q75 1.28×

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

3.9× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

4.9× MedicareWatchout

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.1× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

5.7× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

5.5× MedicareWatchout

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

4.5× MedicareWatchout

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

29% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Cardinal Hill Rehabilitation Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 60 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,036	$1,036	$448	2.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,036	$1,036	$511	2.0×
Blood transfusion CPT Code: `36430`	$894	$894	$498	1.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$720	$720	$303	2.4×
MRI, lower back (no contrast) CPT Code: `72148`	$720	$720	$338	2.1×
MRI, brain (no contrast) CPT Code: `70551`	$720	$720	$343	2.1×
MRI, knee or other leg joint CPT Code: `73721`	$720	$720	$369	2.0×
CT scan, head (with contrast) CPT Code: `70460`	$612	$612	$242	2.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$612	$612	$258	2.4×
CT scan, head (no contrast) CPT Code: `70450`	$464	$464	$160	2.9×
CT scan, pelvis CPT Code: `72192`	$464	$464	$163	2.8×
CT scan, sinuses CPT Code: `70486`	$464	$464	$166	2.8×
CT scan, chest (no contrast) CPT Code: `71250`	$464	$464	$167	2.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$464	$464	$168	2.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$464	$464	$169	2.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$378	$378	$272	1.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$309	$309	$583	0.5×
Speech therapy (language evaluation) CPT Code: `92507`	$243	$243	$86	2.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$236	$236	$134	1.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$226	$226	$132	1.7×
Ultrasound, pelvis CPT Code: `76856`	$214	$214	$130	1.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$176	$176	$126	1.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$104	$104	$38	2.7×
Physical therapy (gait training) CPT Code: `97116`	$83	$83	$33	2.5×
Physical therapy (manual therapy) CPT Code: `97140`	$85	$85	$34	2.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$86	$86	$35	2.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$89	$89	$38	2.3×
Occupational therapy (self-care training) CPT Code: `97535`	$86	$86	$38	2.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$89	$89	$40	2.2×
X-ray, hip CPT Code: `73502`	$90	$90	$93	1.0×
X-ray, lower back CPT Code: `72110`	$98	$98	$112	0.9×
Blood test, vitamin D CPT Code: `82306`	$119	$119	$31	3.8×
Blood test, PSA (prostate screen) CPT Code: `84153`	$80	$80	$19	4.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$74	$74	$18	4.1×
Speech therapy (group session) CPT Code: `92508`	$71	$71	$27	2.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$76	$76	$93	0.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$43	$43	$10	4.3×
Hepatitis C antibody test CPT Code: `86803`	$62	$62	$15	4.1×
Culture, blood CPT Code: `87040`	$45	$45	$11	4.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$50	$50	$14	3.6×
X-ray, hand CPT Code: `73130`	$70	$70	$93	0.8×
X-ray, ankle CPT Code: `73610`	$70	$70	$93	0.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$44	$44	$14	3.1×
X-ray, shoulder CPT Code: `73030`	$66	$66	$92	0.7×
X-ray, foot CPT Code: `73630`	$66	$66	$92	0.7×
X-ray, chest (two views) CPT Code: `71046`	$65	$65	$93	0.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$14	$14	$3	4.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$17	$17	$4	4.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$17	$17	$4	4.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$34	$34	$8	4.3×
Culture, bacterial CPT Code: `87070`	$38	$38	$9	4.2×
Blood test, sodium CPT Code: `84295`	$21	$21	$5	4.2×
Blood test, potassium CPT Code: `84132`	$20	$20	$5	4.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$17	$17	$5	3.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$37	$37	$11	3.4×
Blood test, basic metabolic panel CPT Code: `80048`	$29	$29	$9	3.2×
Blood test, liver function panel CPT Code: `80076`	$29	$29	$9	3.2×
X-ray, chest (single view) CPT Code: `71045`	$50	$50	$92	0.5×
X-ray, pelvis CPT Code: `72170`	$54	$54	$110	0.5×
Blood antibody screen CPT Code: `86850`	$23	$23	$46	0.5×

Showing top 25 high-impact procedures of 60 total

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

Audit a Bill or Quote at Cardinal Hill Rehabilitation Hospital (Zero PHI Required)

CMS CCN: 183026

CPT 74177

Select Procedure to Audit:

Fair BaseRate™ $448

Medicare Rate $356

Self-Pay Cash $1,036

Insurer Median $1,036

1. Amount on Your Bill or Quote ($) Pre-filled with Cardinal Hill Rehabilitation 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 $345 Paying Cash

Self-Pay Cash Rate ($1,036) Beats Your Bill

Cardinal Hill Rehabilitation Hospital's published 45 CFR § 180 self-pay cash rate is $1,036 (vs. $1,036 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$933 Above Fair BaseRate

Negotiate Toward $448 Fair BaseRate ($356 Medicare)

Your bill ($1,381) is $933 above the denoised Fair BaseRate ($448) and 3.9× the $356 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)

EIN: 473054927

Public IRS & CMS ownership records classify Cardinal Hill Rehabilitation 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 ↑

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

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

Regional Value & Quality Leader

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Cardinal Hill Rehabilitation Hospital.

Price Index: 0.56× regional baseline

Quality: 54/100 CMS composite

Median Household Income$43,015U.S. Census ACS

Local Uninsured Share13.0%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 86/100 · Verified CMS CCN 183026 EIN 473054927

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 183026) ↗ Verify IRS Form 990 (EIN 473054927) ↗ CMS HCRIS Cost Reports ↗

Published MRF File473054927_Cardinal-Hill-Rehabilitation-Hospital_standardcharges.csv

Publication / Vintage2026-01-01 · 24.31 MB

Validated Rate Rows420 (CMS v3.0.0)

File Integrity Digest3b606a6e78db3d7dbe2f…

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