How many shoppable procedure prices are published for Livingston Hospital and Healthcare Services, Inc?

Livingston Hospital and Healthcare Services, Inc in Salem, KY currently has 93 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Livingston Hospital and Healthcare Services, Inc's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Livingston Hospital and Healthcare Services, Inc's median negotiated commercial rate is 1.8× the regionally adjusted fair BaseRate benchmark.

What is Livingston Hospital and Healthcare Services, Inc's CMS Care Compare overall star rating?

CMS Care Compare assigns Livingston Hospital and Healthcare Services, Inc an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 8/25/2026

Livingston Hospital and Healthcare Services, Inc

131 Hospital Drive, Salem, KY 42078 · 93 Priced Procedures · 84% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

High Markup · Shop Alternatives

1.81×vs. Fair Market Price

Typical commercial prices here are +81% above the fair benchmark (1.81×) even after accounting for local nurse/doctor wages and patient complexity.

70/100 · Corroborated

70/100Self-Pay Cash Beats Insurance 65% of the Time

File Completeness100

Price Logic47

Peer Alignment71

Clean Billing39

Real Cash Discount100

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.81× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +69% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Livingston Hospital and Healthcare Services, Inc prices routine shoppable procedures at 3.0× Medicare (median 1.50× Fair BaseRate) while upper-quartile commercial rates jump +69% to 2.54× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#56 of 68 in KY · 80th State Percentile#2,964 of 3,385 in U.S. · 87th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.25× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 65% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 84% patient recommendation (73/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (55.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
Commercial insurance median sits at 1.50× Fair BaseRate (3.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.54×) jump +69% above the median procedure ratio (Q50 1.50×)
Consolidated metro market (HHI 8,896) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

3.0× Medicare

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

Back-Door Captive & ER0.37× Divergence

1.1× Medicare

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

Quantile Tail Spread+69% Upper Tail

Q25 1.25× · Q50 1.50× · Q75 2.54×

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

3.0× MedicareFair

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

4.6× MedicareWatchout

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

0.8× MedicareGood

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

65% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 73/100Fair

Procedure Prices at Livingston Hospital and Healthcare Services, Inc

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 93 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
MRI, brain (with and without contrast) CPT Code: `70553`	$2,635	$2,415	$511	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,835	$1,682	$448	3.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,617	$1,482	$303	4.9×
Breast lump removal CPT Code: `19120`	$1,552	$1,423	$3,875	0.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,437	$1,317	$169	7.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,440	$1,320	$258	5.1×
MRI, lower back (no contrast) CPT Code: `72148`	$1,461	$1,339	$338	4.0×
MRI, brain (no contrast) CPT Code: `70551`	$1,461	$1,339	$343	3.9×
MRI, knee or other leg joint CPT Code: `73721`	$1,441	$1,339	$369	3.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,386	$1,271	$168	7.6×
CT scan, sinuses CPT Code: `70486`	$1,054	$966	$166	5.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,001	$918	$272	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$878	$877	$167	5.3×
CT scan, head (no contrast) CPT Code: `70450`	$900	$825	$160	5.2×
CT scan, head (with contrast) CPT Code: `70460`	$926	$849	$242	3.5×
Blood transfusion CPT Code: `36430`	$814	$746	$498	1.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$620	$613	$134	unverified
CT scan, pelvis CPT Code: `72192`	$636	$583	$163	3.6×
Trauma team activation HCPCS Code: `G0390`	$513	$513	$1,453	0.4×
Ultrasound, pelvis CPT Code: `76856`	$360	$330	$130	2.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$360	$330	$132	2.5×
Group therapy session CPT Code: `90853`	$261	$239	$100	2.4×
Screening mammogram (both breasts) CPT Code: `77067`	$267	$244	$123	2.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$267	$244	$148	1.6×
Colonoscopy with biopsy CPT Code: `45380`	$745	$268	$1,256	0.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$249	$233	$126	1.8×
Family therapy session CPT Code: `90847`	$261	$240	$173	1.4×
Psychotherapy session (45 minutes) CPT Code: `90834`	$237	$217	$166	1.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	$255	$233	$181	1.3×
Colonoscopy (diagnostic) CPT Code: `45378`	$238	$218	$981	0.2×
Speech therapy (language evaluation) CPT Code: `92507`	$153	$167	$86	1.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$188	$172	$93	1.8×
Upper endoscopy with biopsy CPT Code: `43239`	$585	$186	$987	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$146	$134	$64	2.1×
X-ray, foot CPT Code: `73630`	$147	$134	$92	1.5×
X-ray, chest (two views) CPT Code: `71046`	$147	$134	$93	1.4×
X-ray, hand CPT Code: `73130`	$147	$134	$93	1.4×
X-ray, ankle CPT Code: `73610`	$147	$134	$93	1.4×
X-ray, pelvis CPT Code: `72170`	$162	$148	$110	1.3×
X-ray, shoulder CPT Code: `73030`	$128	$117	$92	1.3×
X-ray, hip CPT Code: `73502`	$117	$107	$93	1.2×
X-ray, chest (single view) CPT Code: `71045`	$106	$97	$92	1.1×
X-ray, lower back CPT Code: `72110`	$115	$105	$112	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$114	$120	$583	0.2×
Occupational therapy (self-care training) CPT Code: `97535`	$77	$85	$38	2.2×
Pneumococcal vaccine HCPCS Code: `90732`	$211	$205	$140	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$118	$118	$11	10.7×
Blood test, liver function panel CPT Code: `80076`	$91	$91	$9	10.1×
Blood test, basic metabolic panel CPT Code: `80048`	$109	$109	$9	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$131	$131	$14	unverified
Culture, bacterial CPT Code: `87070`	$83	$83	$9	9.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$89	$89	$10	8.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$81	$81	$19	4.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$76	$74	$38	1.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$73	$72	$40	1.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$91	$86	$56	1.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$74	$74	$6	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$46	$46	$4	11.5×
Blood test, creatinine (kidney) CPT Code: `82565`	$46	$46	$5	9.2×
Blood test, potassium CPT Code: `84132`	$46	$46	$5	9.2×
Blood test, sodium CPT Code: `84295`	$46	$46	$5	9.2×
Blood test, complete blood count (CBC) CPT Code: `85025`	$59	$59	$8	7.4×
Blood test, amylase CPT Code: `82150`	$46	$46	$7	6.6×
Culture, blood CPT Code: `87040`	$65	$65	$11	5.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$64	$64	$14	4.6×
Electrical stimulation therapy HCPCS Code: `G0283`	$47	$47	$14	3.4×
Physical therapy (manual therapy) CPT Code: `97140`	$70	$64	$34	1.9×
Blood test, vitamin D CPT Code: `82306`	$114	$46	$31	1.5×
Prosthetic fitting and training CPT Code: `97761`	$64	$65	$45	1.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$55	$50	$39	1.3×
Orthotic fitting and training CPT Code: `97760`	$68	$65	$51	1.3×
Blood antibody screen CPT Code: `86850`	$64	$58	$46	1.3×
Flu vaccine injection HCPCS Code: `G0008`	$65	$60	$48	1.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$65	$60	$49	1.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$78	$74	$123	0.6×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$59	$59	$3	unverified
Blood test, hemoglobin CPT Code: `85018`	$21	$21	$3	7.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$33	$33	$5	6.6×
Blood test, lipase CPT Code: `83690`	$46	$46	$7	6.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$62	$56	$87	0.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$25	$25	$4	6.3×
Blood test, magnesium CPT Code: `83735`	$43	$43	$7	6.1×
Physical therapy (gait training) CPT Code: `97116`	$68	$62	$33	1.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$57	$62	$35	1.8×
New patient office visit (30-44 min) CPT Code: `99203`	$108	$70	$110	0.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$37	$36	$25	1.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$52	$48	$38	1.3×
Blood test, calcium CPT Code: `82310`	$46	$46	$5	unverified
Hepatitis C antibody test CPT Code: `86803`	$52	$12	$15	0.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$55	$14	$18	0.8×
Blood test, vitamin B12 CPT Code: `82607`	$8	$8	$16	0.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$27	$25	$86	0.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$27	$27	$201	0.1×

Showing top 25 high-impact procedures of 93 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 55.0%

Audit a Bill or Quote at Livingston Hospital and Healthcare Services, Inc (Zero PHI Required)

CMS CCN: 181320

CPT 70553

Select Procedure to Audit:

Fair BaseRate™ $511

Medicare Rate $356

Self-Pay Cash $2,635

Insurer Median $2,415

1. Amount on Your Bill or Quote ($) Pre-filled with Livingston Hospital and Healthcare Services, Inc’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: $2,416 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $2,416

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (55.0% of gross = $2,416).

Step 2 · Cash vs. Insurance Arbitrage Save $1,757 Paying Cash

Self-Pay Cash Rate ($2,635) Beats Your Bill

Livingston Hospital and Healthcare Services, Inc's published 45 CFR § 180 self-pay cash rate is $2,635 (vs. $2,415 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$3,881 Above Fair BaseRate

Negotiate Toward $511 Fair BaseRate ($356 Medicare)

Your bill ($4,392) is $3,881 above the denoised Fair BaseRate ($511) and 12.3× 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) 501(c)(3) Nonprofit Hospital

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

EIN: 610518022

Filing Period: 195707

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 (55.0% 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 Overall4/5 Stars (4/5)

Safety Composite73/100

Would Recommend84%

Rated 9 or 10 (HCAHPS)71%

Median ER Wait103 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

Source: CMS Hospital Care Compare (90 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

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Livingston Hospital and Healthcare Services, Inc.

Price Index: 1.01× regional baseline

Quality: 72/100 CMS composite

Median Household Income$59,713U.S. Census ACS

Local Uninsured Share4.6%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 70/100 · Corroborated CMS CCN 181320 EIN 610518022

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 181320) ↗ Verify IRS Form 990 (EIN 610518022) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filelivingston-hospital-and-healthcare-services-inc_standardcharges.csv

Publication / Vintage8/25/2026 · 52.38 MB

Validated Rate Rows3,932 (CMS v3.0.0)

File Integrity Digestfcbd046dbf4dadfdcbcb…

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