How many shoppable procedure prices are published for Georgetown Community Hospital?

Georgetown Community Hospital in Georgetown, KY currently has 114 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Georgetown Community Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Georgetown Community Hospital's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

What is Georgetown Community Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Georgetown Community Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 75 Beds · rural Updated: 4/15/2026

Georgetown Community Hospital

1140 Lexington Road, Georgetown, KY 40324 · 114 Priced Procedures · 65% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.24×vs. Fair Market Price

Typical commercial prices here are +24% above the fair benchmark (1.24×) even after accounting for local nurse/doctor wages and patient complexity.

74/100 · Corroborated

74/100Self-Pay Cash Beats Insurance 11% of the Time

File Completeness56

Price Logic98

Peer Alignment51

Clean Billing61

Real Cash Discount100

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 1.24× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +142% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Georgetown Community Hospital prices routine shoppable procedures at 3.2× Medicare (median 0.93× Fair BaseRate) while upper-quartile commercial rates jump +142% to 2.25× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#45 of 68 in KY · 64th State Percentile#2,107 of 3,385 in U.S. · 62nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.81× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 11% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (65/100 safety score) with 65% 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 1.9× markup over Medicare rates
Commercial insurance median sits at 0.93× Fair BaseRate (3.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.25×) jump +142% above the median procedure ratio (Q50 0.93×)
Consolidated metro market (HHI 2,973) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

3.2× Medicare

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

Back-Door Captive & ER0.25× Divergence

0.8× Medicare

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

Quantile Tail Spread+142% Upper Tail

Q25 0.81× · Q50 0.93× · Q75 2.25×

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

3.2× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

1.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

5.6× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

4.6× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

7.4× MedicareWatchout

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

2.0× MedicareGood

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

11% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 65/100Fair

Procedure Prices at Georgetown Community Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 114 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	$25,939	$25,939	$13,413	1.9×
Total knee replacement CPT Code: `27447`	$21,469	$21,469	$13,523	1.6×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$43,946	$21,483	$30,775	0.7×
Inguinal hernia repair CPT Code: `49505`	$8,629	$15,411	$3,629	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$23,616	$15,252	$6,109	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$23,863	$13,659	$19,087	0.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$32,904	$13,126	$19,432	0.7×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$9,497	$12,262	$3,372	3.6×
Cataract surgery with lens implant CPT Code: `66984`	$6,875	$10,713	$2,540	4.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$4,725	$7,318	$981	unverified
Colonoscopy with biopsy CPT Code: `45380`	$4,800	$7,318	$1,256	unverified
Breast lump removal CPT Code: `19120`	$6,150	$6,150	$3,875	1.6×
Upper endoscopy with biopsy CPT Code: `43239`	$4,725	$5,848	$987	5.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$17,082	$5,432	$8,223	0.7×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,777	$4,777	$1,021	4.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,296	$3,296	$583	5.7×
Injection procedure for pain management HCPCS Code: `G0260`	$2,297	$2,297	$855	2.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,703	$1,703	$272	6.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,311	$1,311	$134	9.8×
Ultrasound, pelvis CPT Code: `76856`	$1,008	$1,008	$130	7.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,011	$1,011	$132	7.7×
X-ray, lower back CPT Code: `72110`	$874	$874	$112	7.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$584	$584	$93	6.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$587	$587	$126	4.7×
Blood transfusion CPT Code: `36430`	$591	$591	$498	1.2×
MRI, lower back (no contrast) CPT Code: `72148`	$3,225	$565	$338	1.7×
MRI, brain (no contrast) CPT Code: `70551`	$2,361	$565	$343	1.6×
MRI, knee or other leg joint CPT Code: `73721`	$2,802	$565	$369	1.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,655	$565	$511	1.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	$535	$535	$166	3.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$535	$535	$185	2.9×
X-ray, shoulder CPT Code: `73030`	$504	$504	$92	5.5×
X-ray, foot CPT Code: `73630`	$483	$483	$92	5.3×
X-ray, ankle CPT Code: `73610`	$483	$483	$93	5.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$468	$468	$123	3.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$433	$433	$86	5.0×
X-ray, chest (single view) CPT Code: `71045`	$442	$442	$92	4.8×
X-ray, chest (two views) CPT Code: `71046`	$444	$444	$93	4.8×
X-ray, pelvis CPT Code: `72170`	$447	$447	$110	4.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$450	$450	$148	3.0×
X-ray, hand CPT Code: `73130`	$417	$417	$93	4.5×
Rabies immune globulin HCPCS Code: `90375`	$1,165	$419	$322	1.3×
New patient office visit (30-44 min) CPT Code: `99203`	$380	$380	$110	3.5×
Screening mammogram (both breasts) CPT Code: `77067`	$382	$382	$123	3.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$345	$345	$64	5.4×
X-ray, hip CPT Code: `73502`	$352	$352	$93	3.8×
CT scan, head (no contrast) CPT Code: `70450`	$1,806	$375	$160	2.3×
CT scan, pelvis CPT Code: `72192`	$1,942	$375	$163	2.3×
CT scan, sinuses CPT Code: `70486`	$1,536	$375	$166	2.3×
CT scan, chest (no contrast) CPT Code: `71250`	$1,891	$375	$167	2.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,215	$375	$168	2.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,765	$375	$169	2.2×
CT scan, head (with contrast) CPT Code: `70460`	$2,060	$375	$242	1.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,160	$375	$258	1.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,549	$375	$303	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,769	$375	$448	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$280	$280	$87	3.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$292	$292	$181	1.6×
Speech therapy (group session) CPT Code: `92508`	$207	$207	$27	7.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$149	$149	$25	6.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$956	$173	$151	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	$140	$140	$86	1.6×
Electrical stimulation therapy HCPCS Code: `G0283`	$86	$86	$14	6.1×
Physical therapy (gait training) CPT Code: `97116`	$94	$109	$33	3.3×
Physical therapy (manual therapy) CPT Code: `97140`	$100	$109	$34	3.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$116	$109	$35	3.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$120	$109	$38	2.9×
Occupational therapy (self-care training) CPT Code: `97535`	$117	$109	$38	2.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$54	$109	$38	2.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$118	$109	$40	2.7×
Prosthetic fitting and training CPT Code: `97761`	$126	$109	$45	2.4×
Orthotic fitting and training CPT Code: `97760`	$141	$109	$51	2.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$112	$112	$201	0.6×
Typhoid vaccine HCPCS Code: `90675`	$1,586	$498	$347	1.4×
Drug screening test HCPCS Code: `G0480`	$165	$165	$116	1.4×
Pneumococcal vaccine HCPCS Code: `90732`	$254	$150	$140	1.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$262	$111	$111	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$69	$69	$49	1.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	$48	$48	$35	1.4×
Flu vaccine injection HCPCS Code: `G0008`	$61	$61	$48	1.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$61	$61	$49	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$266	$57	$56	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$33	$23	$25	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$167	$35	$39	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$161	$33	$37	0.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$155	$7	$8	0.9×
Neurobehavioral status check CPT Code: `96116`	$32	$32	$231	0.1×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$120	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$156	$6	$7	0.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$244	$12	$14	0.9×
Blood test, lipase CPT Code: `83690`	$194	$6	$7	0.9×
Blood test, magnesium CPT Code: `83735`	$146	$6	$7	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$165	$16	$19	0.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$125	$5	$6	0.8×
Culture, blood CPT Code: `87040`	$174	$9	$11	0.8×
Blood test, vitamin B12 CPT Code: `82607`	$250	$13	$16	0.8×
Blood test, calcium CPT Code: `82310`	$104	$4	$5	0.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$97	$4	$5	0.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$115	$8	$10	0.8×
Blood test, potassium CPT Code: `84132`	$79	$4	$5	0.8×
Blood test, sodium CPT Code: `84295`	$84	$4	$5	0.8×
Hepatitis C antibody test CPT Code: `86803`	$236	$12	$15	0.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$268	$14	$18	0.8×
Culture, bacterial CPT Code: `87070`	$178	$7	$9	0.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$141	$3	$4	0.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$87	$3	$4	0.8×
Blood test, vitamin D CPT Code: `82306`	$307	$23	$31	0.7×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$352	$10	$14	0.7×
Blood test, basic metabolic panel CPT Code: `80048`	$266	$6	$9	0.7×
Blood test, liver function panel CPT Code: `80076`	$307	$6	$9	0.7×
Blood test, hemoglobin CPT Code: `85018`	$61	$2	$3	0.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$467	$7	$11	0.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$56	$3	$5	0.6×
Blood antibody screen CPT Code: `86850`	$182	$7	$46	0.2×

Showing top 25 high-impact procedures of 114 total

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

Audit a Bill or Quote at Georgetown Community Hospital (Zero PHI Required)

CMS CCN: 180101

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash $25,939

Insurer Median $25,939

1. Amount on Your Bill or Quote ($) Pre-filled with Georgetown Community 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 $38,909 Paying Cash

Self-Pay Cash Rate ($25,939) Beats Your Bill

Georgetown Community Hospital's published 45 CFR § 180 self-pay cash rate is $25,939 (vs. $25,939 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$51,435 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($64,848) is $51,435 above the denoised Fair BaseRate ($13,413) and 4.9× the $13,117 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)

Public IRS & CMS ownership records classify Georgetown 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.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite65/100

Would Recommend65%

Rated 9 or 10 (HCAHPS)68%

Median ER Wait133 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Georgetown Community Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-06-23·administrative_or_closure
Met Requirements
Recorded
2025-04-11·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (319 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

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

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

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Georgetown Community Hospital.

Price Index: 0.85× regional baseline

Quality: 56/100 CMS composite

Median Household Income$83,660U.S. Census ACS

Local Uninsured Share4.9%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 74/100 · Corroborated CMS CCN 180101

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 180101) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage4/15/2026

Validated Rate Rows260 (CMS v3.0.0)

File Integrity DigestVerified · CCN 180101

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