Hospital Profile
Critical Access Hospitals Voluntary non-profit - Private
Marcum and Wallace Memorial Hospital
60 MERCY CT, Irvine, KY 40336
CMS Overall Rating ★★★★☆
Factual Overview
Marcum and Wallace Memorial Hospital is a Critical Access Hospitals (Voluntary non-profit - Private) operating in Irvine, KY. Mapped commercial insurance prices across 85 procedures average 0.30x the Medicare baseline. The facility holds a CMS quality rating of 4/5 stars with a patient recommendation score of 81%.
Facility Overview
Setting: rural Bed Count: 25 Beds Teaching Status: Non-Teaching Annual Discharges: 770
Patient Experience
Recommendation Rate: 81% High Patient Rating: 72% ER Wait Time (Med): 129 min Readmission Rate: same
Pricing & Transparency
Procedures Mapped: 85 codes Avg Markup vs Medicare: 0.30x Price File In Index: Yes MRF Version: 3.0.0
| Procedure & Code | Cash Price | Actions |
|---|---|---|
| Blood transfusion CPT Code: 36430 | $565 | — |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | Contact Desk | View Calculator Calc |
| Upper endoscopy with biopsy CPT Code: 43239 | $6,033 | — |
| Colonoscopy (diagnostic) CPT Code: 45378 | $4,000 | — |
| Colonoscopy with biopsy CPT Code: 45380 | $4,653 | — |
| CT scan, head (no contrast) CPT Code: 70450 | $881 | — |
| CT scan, head (with contrast) CPT Code: 70460 | $1,376 | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,560 | — |
| CT scan, sinuses CPT Code: 70486 | $859 | — |
| MRI, brain (no contrast) CPT Code: 70551 | $1,730 | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,512 | — |
| X-ray, chest (single view) CPT Code: 71045 | $226 | — |
| X-ray, chest (two views) CPT Code: 71046 | $194 | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $853 | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $355 | — |
| X-ray, lower back CPT Code: 72110 | $445 | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $971 | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $853 | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,673 | — |
| X-ray, pelvis CPT Code: 72170 | $302 | — |
| CT scan, pelvis CPT Code: 72192 | $1,066 | — |
| X-ray, shoulder CPT Code: 73030 | $392 | — |
| X-ray, hand CPT Code: 73130 | $381 | — |
| X-ray, hip CPT Code: 73502 | $352 | — |
| X-ray, ankle CPT Code: 73610 | $422 | — |
| X-ray, foot CPT Code: 73630 | $385 | — |
| MRI, knee or other leg joint CPT Code: 73721 | $2,180 | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,706 | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,524 | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $776 | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $790 | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $646 | — |
| Ultrasound, pelvis CPT Code: 76856 | $733 | — |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $416 | — |
| Screening mammogram (both breasts) CPT Code: 77067 | $391 | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $97 | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $77 | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $25 | — |
| Blood test, liver function panel CPT Code: 80076 | $97 | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $37 | — |
| Blood test, amylase CPT Code: 82150 | $78 | — |
| Blood test, vitamin D CPT Code: 82306 | $149 | — |
| Blood test, calcium CPT Code: 82310 | $39 | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $43 | — |
| Blood test, vitamin B12 CPT Code: 82607 | $77 | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $128 | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $47 | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $87 | — |
| Blood test, lipase CPT Code: 83690 | $88 | — |
| Blood test, magnesium CPT Code: 83735 | $59 | — |
| Blood test, potassium CPT Code: 84132 | $32 | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $98 | — |
| Blood test, sodium CPT Code: 84295 | $54 | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $70 | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $63 | — |
| Blood test, hemoglobin CPT Code: 85018 | $22 | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $54 | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $9 | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $23 | — |
| Hepatitis C antibody test CPT Code: 86803 | $27 | — |
| Blood antibody screen CPT Code: 86850 | $79 | — |
| Culture, blood CPT Code: 87040 | $85 | — |
| Culture, bacterial CPT Code: 87070 | $79 | — |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | Contact Desk | View Calculator Calc |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $1,141 | — |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $1,161 | — |
| Family therapy session CPT Code: 90847 | $817 | — |
| Group therapy session CPT Code: 90853 | $1,168 | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $312 | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $212 | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,646 | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,375 | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $299 | — |
| Sleep study (overnight, in lab) CPT Code: 95810 | $3,665 | — |
| Neurobehavioral status check CPT Code: 96116 | $657 | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $102 | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $114 | — |
| Physical therapy (gait training) CPT Code: 97116 | $93 | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $117 | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $147 | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $116 | — |
| Orthotic fitting and training CPT Code: 97760 | $107 | — |
| New patient office visit (30-44 min) CPT Code: 99203 | $235 | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $233 | — |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $296 | — |