Cumberland County Hospital
299 Glasgow Road, Burkesville, KY 42717 · 66 Priced Procedures · 86% Patient Recommendation
Typical commercial prices here are +61% above the fair benchmark (1.61×) 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
Cumberland County Hospital prices routine shoppable procedures at 2.1× Medicare (median 1.33× Fair BaseRate) while upper-quartile commercial rates jump +76% to 2.34× 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 0.95× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 38% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (74/100 safety score) with 86% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (54.4% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.61× 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 1.33× Fair BaseRate (2.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.34×) jump +76% above the median procedure ratio (Q50 1.33×)
- Unnegotiated chargemaster list prices average 5.8× Medicare (27¢ 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 Cumberland County Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 66 published procedures.
Audit a Bill or Quote at Cumberland County Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $1,048
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (54.4% of gross = $1,048).
Self-Pay Cash Rate ($1,445) Beats Your Bill
Cumberland County Hospital's published 45 CFR § 180 self-pay cash rate is $1,445 (vs. $1,242 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $1,021 Fair BaseRate ($877 Medicare)
Your bill ($1,926) is $905 above the denoised Fair BaseRate ($1,021) and 2.2× the $877 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (54.4% 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 (28 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 Cumberland County 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.