How many shoppable procedure prices are published for University of Kentucky Hospital?

University of Kentucky Hospital in Lexington, KY currently has 123 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do University of Kentucky Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, University of Kentucky Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is University of Kentucky Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns University of Kentucky Hospital an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - State 1129 Beds · urban Updated: 2026-04-01

University of Kentucky Hospital

800 Rose Street, Lexington, KY 40536 · 123 Priced Procedures · 76% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Near Fair BaseRate Benchmark

1.04×vs. Fair Market Price

Typical commercial prices here are +4% above the fair benchmark (1.04×) even after accounting for local nurse/doctor wages and patient complexity.

89/100 · Verified

89/100Self-Pay Cash Beats Insurance 14% of the Time

File Completeness99

Price Logic97

Peer Alignment58

Clean Billing84

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 1.04× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

University of Kentucky Hospital prices shoppable and inpatient services (1.4× to 1.0× Medicare, divergence 0.71×) in alignment with regional hospital peers (1.04× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#33 of 68 in KY · 47th State Percentile#1,460 of 3,385 in U.S. · 43rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.91× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 14% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 76% patient recommendation (73/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.04× 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.
Commercial insurance median sits at 0.97× Fair BaseRate (1.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.25×) jump +29% above the median procedure ratio (Q50 0.97×)
Consolidated metro market (HHI 2,973) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.4× Medicare

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

Back-Door Captive & ER0.71× Divergence

1.0× Medicare

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

Quantile Tail Spread+29% Upper Tail

Q25 0.91× · Q50 0.97× · Q75 1.25×

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

1.4× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.5× MedicareGood

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

0.5× MedicareGood

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

14% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 73/100Fair

Procedure Prices at University of Kentucky Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 123 published procedures.

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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`	—	$29,032	$30,775	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$18,033	$19,087	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$17,917	$19,432	unverified
Total hip replacement CPT Code: `27130`	—	$17,115	$13,413	unverified
Total knee replacement CPT Code: `27447`	—	$17,115	$13,523	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$16,500	$17,936	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$10,193	$6,109	1.7×
Breast lump removal CPT Code: `19120`	—	$8,550	$3,875	2.2×
Bunion correction surgery CPT Code: `28296`	—	$8,159	$3,446	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,102	$8,223	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$7,722	$3,372	2.3×
Inguinal hernia repair CPT Code: `49505`	—	$7,722	$3,629	2.1×
Cataract surgery with lens implant CPT Code: `66984`	—	$6,637	$2,540	unverified
Colonoscopy with biopsy CPT Code: `45380`	$1,659	$3,196	$1,256	2.5×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,454	$2,870	$981	2.9×
Upper endoscopy with biopsy CPT Code: `43239`	$1,516	$2,842	$987	2.9×
C-section delivery (full package) CPT Code: `59510`	$2,826	$2,826	$2,975	0.9×
Vaginal delivery (full package) CPT Code: `59400`	$2,432	$2,432	$2,680	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	$1,555	$2,135	$855	2.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,350	$1,940	$583	unverified
Trauma team activation HCPCS Code: `G0390`	$8,038	$1,777	$1,453	1.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,554	$1,145	$1,021	1.1×
Blood transfusion CPT Code: `36430`	$1,575	$588	$498	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,108	$465	$448	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,896	$465	$511	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$783	$318	$272	1.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,719	$318	$303	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$1,814	$318	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$1,469	$318	$343	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$1,609	$318	$369	0.9×
Neurobehavioral status check CPT Code: `96116`	$270	$288	$231	1.2×
Rabies immune globulin HCPCS Code: `90375`	$712	$290	$322	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$161	$292	$201	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$120	$237	$166	1.4×
Family therapy session CPT Code: `90847`	$100	$237	$173	1.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$140	$237	$181	1.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$130	$237	$185	1.3×
CT scan, head (with contrast) CPT Code: `70460`	$1,021	$234	$242	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,233	$234	$258	0.9×
Psychological testing by technician CPT Code: `96138`	$219	$219	$395	0.6×
Psychological testing evaluation CPT Code: `96136`	$118	$177	$128	1.4×
X-ray, pelvis CPT Code: `72170`	$271	$139	$110	1.3×
X-ray, chest (single view) CPT Code: `71045`	$235	$116	$92	1.3×
X-ray, shoulder CPT Code: `73030`	$301	$116	$92	1.3×
X-ray, foot CPT Code: `73630`	$294	$116	$92	1.3×
X-ray, chest (two views) CPT Code: `71046`	$212	$116	$93	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$325	$116	$93	1.2×
X-ray, hand CPT Code: `73130`	$272	$116	$93	1.2×
X-ray, hip CPT Code: `73502`	$258	$116	$93	1.2×
X-ray, ankle CPT Code: `73610`	$279	$116	$93	1.2×
X-ray, lower back CPT Code: `72110`	$510	$139	$112	1.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$349	$139	$126	1.1×
Ultrasound, pelvis CPT Code: `76856`	$584	$139	$130	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$291	$139	$132	1.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$715	$139	$134	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$143	$151	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$230	$134	$148	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$906	$139	$160	0.9×
CT scan, pelvis CPT Code: `72192`	$890	$139	$163	0.9×
CT scan, sinuses CPT Code: `70486`	$975	$139	$166	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$937	$139	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,179	$139	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,298	$139	$169	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$192	$99	$86	1.2×
Screening mammogram (both breasts) CPT Code: `77067`	$122	$111	$123	0.9×
Typhoid vaccine HCPCS Code: `90675`	$623	$318	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$299	$183	$203	0.9×
Drug screening test HCPCS Code: `G0480`	$90	$114	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$203	$133	$140	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$171	$79	$64	1.2×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$169	$95	$111	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$44	$62	$48	1.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$44	$62	$49	1.3×
Colorectal cancer screening HCPCS Code: `G0010`	$55	$62	$49	1.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$63	$63	$86	0.7×
Speech therapy (group session) CPT Code: `92508`	$92	$31	$27	1.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$145	$14	$14	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$56	$26	$27	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$76	$19	$20	0.9×
Physical therapy (gait training) CPT Code: `97116`	$73	$29	$33	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$97	$30	$35	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$59	$30	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$77	$29	$38	0.8×
Prosthetic fitting and training CPT Code: `97761`	$71	$33	$45	0.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$79	$29	$40	0.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$84	$39	$56	0.7×
Care planning with family CPT Code: `90887`	$60	$60	$107	0.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$116	$11	$11	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$32	$5	$5	1.0×
Blood test, vitamin D CPT Code: `82306`	$25	$30	$31	1.0×
Group therapy session CPT Code: `90853`	$50	$50	$100	0.5×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$50	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$23	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$80	$14	$14	1.0×
Blood test, lipase CPT Code: `83690`	$17	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$33	$7	$7	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$46	$32	$37	0.9×
Orthotic fitting and training CPT Code: `97760`	$94	$37	$51	0.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$22	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$69	$10	$10	1.0×
Blood test, potassium CPT Code: `84132`	$29	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$29	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$18	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$74	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$44	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$89	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$92	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$53	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$72	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$21	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$42	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$84	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$77	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$82	$8	$9	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$34	$22	$25	0.9×
Blood test, amylase CPT Code: `82150`	$7	$6	$7	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$89	$28	$34	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$88	$30	$38	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$51	$30	$39	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$31	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$15	$2	$3	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$51	$15	$35	0.4×
Blood antibody screen CPT Code: `86850`	$81	$10	$46	0.2×

Showing top 25 high-impact procedures of 123 total

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

Audit a Bill or Quote at University of Kentucky Hospital (Zero PHI Required)

CMS CCN: 180067

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $29,032

1. Amount on Your Bill or Quote ($) Pre-filled with University of Kentucky 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 Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask University of Kentucky Hospital'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 +$38,902 Above Fair BaseRate

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

Your bill ($69,677) is $38,902 above the denoised Fair BaseRate ($30,775) and 3.0× 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) For-Profit / Non-501(c)(3)

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

Public IRS & CMS ownership records classify University of Kentucky 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 Overall4/5 Stars (4/5)

Safety Composite73/100

Would Recommend76%

Rated 9 or 10 (HCAHPS)74%

Median ER Wait217 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)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (1,377 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 University of Kentucky Hospital.

Price Index: 1.00× regional baseline

Quality: 74/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Center Care

-57.1%

HealthLink

-48.8%

WellCare

+70.1%

Median Household Income$67,631U.S. Census ACS

Local Uninsured Share6.8%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 180067

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 180067) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileDownload.aspx

Publication / Vintage2026-04-01 · 36.72 MB

Validated Rate Rows1,027 (CMS v3.0.0)

File Integrity Digest0263c658172b2d9f9ffd…

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

University of Kentucky Hospital

Aligned Regional Benchmark Peer

Where They're Good (Patient & Payer Edge)

Where You Can Get Burned (Markup Traps)

REA Pricing Decompiler · 5-Layer Cost-to-Charge Reverse Engineering

Insurer Bargaining Power & Cash-Vulnerability Matrix

Procedure Prices at University of Kentucky Hospital

Audit a Bill or Quote at University of Kentucky Hospital (Zero PHI Required)

Above Standard 400% FPL Financial-Assistance Ceiling

Compare Prompt-Pay Cash Rate Against Remaining Deductible

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

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

Clinical Quality, Patient Experience & Infection Benchmarks

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

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

Notable Payer Contract Outliers (SVD Matrix Anomalies)

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