Carroll County Memorial Hospital
309 Eleventh Street, Carrollton, KY 41008 · 95 Priced Procedures
Typical commercial prices here are +33% above the fair benchmark (1.33×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Carroll County Memorial Hospital prices routine shoppable procedures at 1.9× Medicare (median 1.20× Fair BaseRate) while upper-quartile commercial rates jump +54% to 1.85× 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 0.72× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 57% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (69/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (29.4% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.33× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Commercial insurance median sits at 1.20× Fair BaseRate (1.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.85×) jump +54% above the median procedure ratio (Q50 1.20×)
- Unnegotiated chargemaster list prices average 9.3× Medicare (15¢ 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 Carroll County Memorial Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 95 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $3,840 | 0.6× |
| Rabies immune globulin HCPCS Code: 90375 | $3,600 | 11.2× |
| Cataract surgery with lens implant CPT Code: 66984 | $2,077 | 0.8× |
| Hepatitis B immune globulin HCPCS Code: 90371 | $1,354 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,297 | 1.3× |
| MRI, brain (no contrast) CPT Code: 70551 | $972 | 2.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $975 | 1.9× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $884 | 2.0× |
| Colonoscopy with biopsy CPT Code: 45380 | $841 | 0.7× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $786 | 3.0× |
| MRI, lower back (no contrast) CPT Code: 72148 | $763 | 2.3× |
| MRI, knee or other leg joint CPT Code: 73721 | $763 | 2.1× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $674 | 4.0× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $699 | 2.3× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $656 | 1.1× |
| CT scan, head (no contrast) CPT Code: 70450 | $565 | 3.5× |
| CT scan, sinuses CPT Code: 70486 | $570 | 3.4× |
| Inguinal hernia repair CPT Code: 49505 | $583 | 0.2× |
| CT scan, chest (no contrast) CPT Code: 71250 | $546 | 3.3× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $526 | 3.1× |
| CT scan, head (with contrast) CPT Code: 70460 | $544 | 2.2× |
| CT scan, pelvis CPT Code: 72192 | $499 | 3.1× |
| Blood transfusion CPT Code: 36430 | $486 | 1.0× |
| Upper endoscopy with biopsy CPT Code: 43239 | $436 | 0.4× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $400 | 1.5× |
Audit a Bill or Quote at Carroll County Memorial Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $3,671
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (29.4% of gross = $3,671).
Self-Pay Cash Rate ($7,500) Beats Your Bill
Carroll County Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $7,500 (vs. $3,840 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $6,109 Fair BaseRate ($6,176 Medicare)
Your bill ($12,500) is $6,391 above the denoised Fair BaseRate ($6,109) and 2.0× the $6,176 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (29.4% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. 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 Carroll County 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.