How many shoppable procedure prices are published for King's Daughters' Medical Center?

King's Daughters' Medical Center in Ashland, KY currently has 126 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do King's Daughters' Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, King's Daughters' Medical Center's median negotiated commercial rate is 2.0× the regionally adjusted fair BaseRate benchmark.

What is King's Daughters' Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns King's Daughters' Medical Center 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 Voluntary non-profit - Private 367 Beds · urban Updated: 2026-09-25

King's Daughters' Medical Center

2201 Lexington Avenue, Ashland, KY 41101 · 126 Priced Procedures · 68% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.97×vs. Fair Market Price

Typical commercial prices here are +97% above the fair benchmark (1.97×) even after accounting for local nurse/doctor wages and patient complexity.

89/100 · Verified

89/100Self-Pay Cash Beats Insurance 72% of the Time

File Completeness85

Price Logic95

Peer Alignment75

Clean Billing91

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.97× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

King's Daughters' Medical Center prices routine shoppable procedures near 4.3× Medicare (p50 1.50×) while skewing captive emergency, lab, and upper-quartile codes to 7.6× Medicare (p75 3.10×, +107% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#61 of 68 in KY · 88th State Percentile#3,060 of 3,385 in U.S. · 90th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.05× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 72% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (65/100 safety score) with 68% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (56.4% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
Captive ER (1.3×) & laboratory (2.5×) services average 1.77× higher multiples than routine shoppable care (4.3×)
Upper-quartile procedures (Q75 3.10×) jump +107% above the median procedure ratio (Q50 1.50×)
Consolidated metro market (HHI 3,092) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

4.3× Medicare

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

Back-Door Captive & ER1.77× Divergence

7.6× Medicare

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

Quantile Tail Spread+107% Upper Tail

Q25 1.05× · Q50 1.50× · Q75 3.10×

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

4.3× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

1.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.5× MedicareFair

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

1.3× MedicareGood

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

72% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 65/100Fair

Procedure Prices at King's Daughters' Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 126 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$40,141	$30,775	1.3×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$24,138	$19,087	1.3×
Total hip replacement CPT Code: `27130`	—	$14,355	$13,413	1.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$9,687	$8,223	1.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$8,917	$6,109	1.5×
Breast lump removal CPT Code: `19120`	—	$3,783	$3,875	1.0×
Inguinal hernia repair CPT Code: `49505`	—	$3,756	$3,629	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,658	$3,578	$1,021	unverified
Bunion correction surgery CPT Code: `28296`	—	$3,446	$3,446	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,326	$3,270	$448	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,063	$2,900	$303	unverified
C-section delivery (full package) CPT Code: `59510`	—	$2,776	$2,975	0.9×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,734	$2,540	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,916	$2,694	$511	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$1,931	$2,714	$338	unverified
Vaginal delivery (full package) CPT Code: `59400`	—	$2,485	$2,680	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$1,742	$2,449	$343	unverified
MRI, knee or other leg joint CPT Code: `73721`	$1,751	$2,462	$369	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$1,493	$2,098	$258	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,414	$2,007	$272	unverified
Colonoscopy with biopsy CPT Code: `45380`	—	$1,765	$1,256	1.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,217	$1,711	$169	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,179	$1,658	$242	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,249	$1,670	$583	unverified
CT scan, head (no contrast) CPT Code: `70450`	$1,149	$1,615	$160	unverified
CT scan, sinuses CPT Code: `70486`	$1,141	$1,603	$166	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,117	$1,570	$168	unverified
Trauma team activation HCPCS Code: `G0390`	—	$1,490	$1,453	1.0×
CT scan, pelvis CPT Code: `72192`	$1,064	$1,496	$163	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$1,031	$1,449	$167	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,372	$981	1.4×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,338	$987	unverified
Ultrasound, pelvis CPT Code: `76856`	$877	$1,245	$130	unverified
Rabies immune globulin HCPCS Code: `90375`	$1,936	$1,183	$322	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,041	$855	1.2×
Blood transfusion CPT Code: `36430`	$697	$990	$498	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$709	$1,007	$134	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$695	$977	$151	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$636	$903	$132	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$576	$818	$126	unverified
X-ray, lower back CPT Code: `72110`	$440	$625	$112	unverified
Psychological testing by technician CPT Code: `96138`	—	$499	$395	1.3×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$458	$458	$17,936	0.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$315	$447	$148	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$242	$343	$93	unverified
X-ray, shoulder CPT Code: `73030`	$239	$339	$92	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$236	$346	$123	unverified
Neurobehavioral status check CPT Code: `96116`	$232	$359	$231	unverified
X-ray, hand CPT Code: `73130`	$211	$300	$93	unverified
X-ray, ankle CPT Code: `73610`	$223	$316	$93	unverified
X-ray, foot CPT Code: `73630`	$219	$311	$92	unverified
Family therapy session CPT Code: `90847`	$224	$319	$173	unverified
X-ray, chest (single view) CPT Code: `71045`	$180	$255	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$184	$262	$93	unverified
X-ray, pelvis CPT Code: `72170`	$177	$251	$110	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$105	$193	$166	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$108	$199	$181	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$110	$203	$185	1.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$118	$219	$201	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$134	$189	$64	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$136	$208	$110	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$123	$208	$123	unverified
X-ray, hip CPT Code: `73502`	$125	$177	$93	1.9×
Psychological testing evaluation CPT Code: `96136`	—	$149	$128	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$110	$156	$86	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$90	$166	$87	unverified
Group therapy session CPT Code: `90853`	$74	$121	$100	1.2×
Physical therapy (gait training) CPT Code: `97116`	$98	$137	$33	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$103	$145	$38	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$60	$85	$35	2.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$64	$90	$40	2.3×
Care planning with family CPT Code: `90887`	—	$99	$107	0.9×
Orthotic fitting and training CPT Code: `97760`	$68	$95	$51	unverified
Typhoid vaccine HCPCS Code: `90675`	$392	$584	$347	unverified
Blood test, vitamin D CPT Code: `82306`	$134	$188	$31	6.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$103	$174	$203	0.9×
Culture, bacterial CPT Code: `87070`	$105	$148	$9	16.4×
Pneumococcal vaccine HCPCS Code: `90732`	$81	$150	$140	1.1×
Blood test, amylase CPT Code: `82150`	$69	$97	$7	13.9×
Blood test, lipase CPT Code: `83690`	$69	$97	$7	13.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$83	$116	$11	10.5×
Drug screening test HCPCS Code: `G0480`	$103	$134	$116	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$59	$83	$9	9.2×
Blood test, liver function panel CPT Code: `80076`	$59	$83	$9	9.2×
Culture, blood CPT Code: `87040`	$71	$99	$11	9.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$76	$107	$14	7.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$72	$101	$14	7.2×
Hepatitis C antibody test CPT Code: `86803`	$71	$100	$15	6.7×
Blood test, thyroid (TSH) CPT Code: `84443`	$77	$108	$18	6.0×
Blood test, vitamin B12 CPT Code: `82607`	$67	$94	$16	5.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$73	$102	$19	5.4×
Blood antibody screen CPT Code: `86850`	$158	$105	$46	2.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$57	$96	$111	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$36	$50	$3	16.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$32	$45	$4	11.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$27	$37	$4	9.3×
Blood test, potassium CPT Code: `84132`	$31	$44	$5	8.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$30	$42	$5	8.4×
Blood test, clotting time (PTT) CPT Code: `85730`	$35	$49	$6	8.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$49	$69	$38	1.8×
Blood test, sodium CPT Code: `84295`	$28	$40	$5	8.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$46	$64	$8	8.0×
Physical therapy (manual therapy) CPT Code: `97140`	$47	$65	$34	1.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$45	$35	1.3×
Hepatitis B vaccine HCPCS Code: `90744`	$26	$42	$37	1.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$36	$61	$56	1.1×
Blood test, hemoglobin CPT Code: `85018`	$16	$23	$3	7.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$26	$37	$5	7.4×
Occupational therapy (self-care training) CPT Code: `97535`	$44	$62	$38	1.6×
Speech therapy (group session) CPT Code: `92508`	$31	$44	$27	1.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$21	$30	$25	1.2×
Prosthetic fitting and training CPT Code: `97761`	$33	$52	$45	1.2×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$38	$33	1.2×
Flu vaccine injection HCPCS Code: `G0008`	—	$52	$48	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$52	$49	1.1×
Colorectal cancer screening HCPCS Code: `G0010`	—	$52	$49	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$35	$59	$19,432	0.0×
Blood test, calcium CPT Code: `82310`	$19	$26	$5	5.2×
Blood test, magnesium CPT Code: `83735`	$17	$24	$7	3.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$55	$18	$10	1.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$12	$19	$14	1.4×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$25	$27	0.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$18	$20	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$19	$32	$39	0.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$17	$25	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$26	$26	$86	0.3×

Showing top 25 high-impact procedures of 126 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 56.4%

Audit a Bill or Quote at King's Daughters' Medical Center (Zero PHI Required)

CMS CCN: 180009

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $40,141

1. Amount on Your Bill or Quote ($) Pre-filled with King's Daughters' Medical Center’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 501(r) AGB Cap: $54,286 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $54,286

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (56.4% of gross = $54,286).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask King's Daughters' Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$65,563 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($96,338) is $65,563 above the denoised Fair BaseRate ($30,775) and 4.1× the $23,504 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) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 610444716

Filing Period: 194506

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (56.4% 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.

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 Recommend68%

Rated 9 or 10 (HCAHPS)70%

Median ER Wait210 min

Left ER Before Seen1%

30-Day Mortality vs U.S.better

Unplanned Readmissionsame

Hip/Knee Complication Rate4.1%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at King's Daughters' Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-09-30·administrative_or_closure
Closure Notice
Recorded
2025-09-16·warning_notice
Warning Notice
Recorded
2024-04-29·administrative_or_closure
Closure Notice
Recorded
2024-03-14·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (441 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 Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for King's Daughters' Medical Center.

Price Index: 0.99× regional baseline

Quality: 69/100 CMS composite

Median Household Income$60,659U.S. Census ACS

Local Uninsured Share4.7%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 89/100 · Verified CMS CCN 180009 EIN 610444716

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 180009) ↗ Verify IRS Form 990 (EIN 610444716) ↗ CMS HCRIS Cost Reports ↗

Published MRF File610444716_ashland-hospital-corporation_standardcharges.csv

Publication / Vintage2026-09-25 · 76.32 MB

Validated Rate Rows1,804 (CMS v3.0.0)

File Integrity Digest07e83e459b7668e83d9c…

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