How many shoppable procedure prices are published for Tj Health Columbia?

Tj Health Columbia in Columbia, KY currently has 95 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Tj Health Columbia's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Tj Health Columbia's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 49 Beds · rural Updated: 2026-09-01

Tj Health Columbia

901 Westlake Drive, Columbia, KY 42728 · 95 Priced Procedures · 59% Patient Recommendation

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.93×vs. Fair Market Price

Typical commercial prices here are 7% below the fair benchmark (0.93×) after accounting for local nurse/doctor wages and patient complexity.

88/100 · Verified

88/100Self-Pay Cash Beats Insurance 32% of the Time

File Completeness100

Price Logic70

Peer Alignment82

Clean Billing90

Real Cash Discount100

Regional Benchmark Tier

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Tj Health Columbia prices shoppable and inpatient services (1.1× to 1.3× Medicare, divergence 1.18×) in alignment with regional hospital peers (0.93× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#24 of 68 in KY · 33rd State Percentile#853 of 3,385 in U.S. · 25th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 7% below peer Fair BaseRate (0.93×)
Self-pay cash beats commercial insurance on 32% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (67/100 safety score) with 59% 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 1.4× markup over Medicare rates
Captive ER (2.6×) & laboratory (1.6×) services average 1.18× higher multiples than routine shoppable care (1.1×)
Even at low-cost facilities (0.93× 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.
Unnegotiated chargemaster list prices average 6.2× Medicare (21¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.1× Medicare

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

Back-Door Captive & ER1.18× Divergence

1.3× Medicare

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

Quantile Tail Spread+12% Upper Tail

Q25 0.82× · Q50 0.91× · Q75 1.02×

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

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.4× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.5× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.6× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

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

0.8× MedicareGood

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

32% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 67/100Fair

Procedure Prices at Tj Health Columbia

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 95 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$3,481	$5,356	$8,223	0.7×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$2,647	$2,647	$19,087	unverified
Breast lump removal CPT Code: `19120`	$865	$865	$3,875	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$2,925	$750	$511	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$943	$513	$583	0.9×
Bunion correction surgery CPT Code: `28296`	$1,327	$484	$3,446	0.1×
MRI, lower back (no contrast) CPT Code: `72148`	$1,756	$400	$338	1.2×
Blood transfusion CPT Code: `36430`	$488	$414	$498	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$1,430	$366	$343	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$2,126	$345	$369	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,559	$332	$448	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,749	$246	$258	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$597	$224	$272	0.8×
CT scan, pelvis CPT Code: `72192`	$993	$177	$163	1.1×
CT scan, chest (no contrast) CPT Code: `71250`	$1,073	$178	$167	1.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,078	$178	$168	1.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,070	$178	$169	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$1,086	$202	$242	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,559	$227	$303	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$180	$167	$166	1.0×
CT scan, sinuses CPT Code: `70486`	$1,024	$162	$166	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$1,017	$156	$160	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$402	$142	$151	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$265	$167	$181	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$274	$167	$185	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$131	$131	$201	unverified
X-ray, chest (single view) CPT Code: `71045`	$116	$82	$92	0.9×
X-ray, shoulder CPT Code: `73030`	$228	$82	$92	0.9×
X-ray, foot CPT Code: `73630`	$228	$82	$92	0.9×
X-ray, pelvis CPT Code: `72170`	$152	$98	$110	0.9×
X-ray, chest (two views) CPT Code: `71046`	$168	$82	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$172	$82	$93	0.9×
X-ray, hand CPT Code: `73130`	$228	$82	$93	0.9×
X-ray, hip CPT Code: `73502`	$210	$82	$93	0.9×
X-ray, ankle CPT Code: `73610`	$228	$82	$93	0.9×
X-ray, lower back CPT Code: `72110`	$323	$98	$112	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$172	$90	$110	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$542	$98	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$510	$98	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$410	$98	$132	0.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$631	$98	$134	0.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$182	$83	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$1,549	$344	$347	1.0×
Drug screening test HCPCS Code: `G0480`	$210	$210	$116	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$749	$151	$203	0.7×
Hepatitis C antibody test CPT Code: `86803`	$140	$140	$15	unverified
Flu vaccine injection HCPCS Code: `G0008`	$58	$59	$48	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$103	$55	$64	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$127	$73	$86	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$428	$87	$111	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$58	$59	$49	1.2×
Colorectal cancer screening HCPCS Code: `G0010`	$38	$59	$49	1.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$126	$60	$87	0.7×
Blood test, ferritin (iron stores) CPT Code: `82728`	$106	$22	$14	1.6×
Blood test, vitamin D CPT Code: `82306`	$104	$44	$31	1.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$54	$54	$14	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$24	$18	$14	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$69	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$120	$11	$11	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$27	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$15	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$25	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$14	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$88	$16	$16	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$8	$4	$4	1.0×
Blood test, lipase CPT Code: `83690`	$27	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$29	$7	$7	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$46	$20	$20	1.0×
Blood test, liver function panel CPT Code: `80076`	$60	$8	$9	0.9×
Speech therapy (group session) CPT Code: `92508`	$64	$23	$27	0.9×
Physical therapy (gait training) CPT Code: `97116`	$47	$28	$33	0.8×
Orthotic fitting and training CPT Code: `97760`	$73	$43	$51	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$59	$32	$38	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$62	$33	$40	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$55	$31	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$60	$28	$35	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$217	$36	$56	0.6×
Blood test, PSA (prostate screen) CPT Code: `84153`	$39	$37	$19	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$46	$37	$18	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$40	$40	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$57	$57	$6	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$8	$8	$4	2.0×
Blood test, hemoglobin CPT Code: `85018`	$11	$5	$3	1.7×
Blood test, potassium CPT Code: `84132`	$26	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$19	$5	$5	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$37	$8	$8	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$30	$23	$25	0.9×
Culture, blood CPT Code: `87040`	$65	$10	$11	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$80	$30	$38	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$48	$26	$34	0.8×
Hepatitis B vaccine HCPCS Code: `90744`	$118	$25	$37	0.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$134	$23	$39	0.6×
Blood antibody screen CPT Code: `86850`	$82	$10	$46	0.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$23	$23	$10	unverified
Culture, bacterial CPT Code: `87070`	$24	$21	$9	unverified

Showing top 25 high-impact procedures of 95 total

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

Audit a Bill or Quote at Tj Health Columbia (Zero PHI Required)

CMS CCN: 180149

CPT 392

Select Procedure to Audit:

Fair BaseRate™ $8,223

Medicare Rate $5,676

Self-Pay Cash $3,481

Insurer Median $5,356

1. Amount on Your Bill or Quote ($) Pre-filled with Tj Health Columbia’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 $1,875 Paying Cash

Self-Pay Cash Rate ($3,481) Beats Your Bill

Tj Health Columbia's published 45 CFR § 180 self-pay cash rate is $3,481 (vs. $5,356 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $8,223 Fair BaseRate

Negotiate Toward $8,223 Fair BaseRate ($5,676 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($8,223).

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 Tj Health Columbia 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

Safety Composite67/100

Would Recommend59%

Rated 9 or 10 (HCAHPS)66%

Median ER Wait111 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (62 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 Tj Health Columbia.

Price Index: 0.79× regional baseline

Quality: 53/100 CMS composite

Median Household Income$50,316U.S. Census ACS

Local Uninsured Share6.9%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 88/100 · Verified CMS CCN 180149

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 180149) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-09-01 · 31.87 MB

Validated Rate Rows1,949 (CMS v3.0.0)

File Integrity Digestd67b0bef3eb91505b6f0…

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