Hospital Profile
Critical Access Hospitals Voluntary non-profit - Private
Wayne County Hospital
166 HOSPITAL ST, Monticello, KY 42633
CMS Overall Rating No CMS Rating
Factual Overview
Wayne County Hospital is a Critical Access Hospitals (Voluntary non-profit - Private) operating in Monticello, KY. Mapped commercial insurance prices across 82 procedures average N/A the Medicare baseline. CMS has not published a quality star rating for this facility.
Facility Overview
Setting: rural Bed Count: 25 Beds Teaching Status: Non-Teaching Annual Discharges: 191
Patient Experience
Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): N/A Readmission Rate: N/A
Pricing & Transparency
Procedures Mapped: 82 codes Avg Markup vs Medicare: N/A Price File In Index: Yes MRF Version: 2.0.0
| Procedure & Code | Cash Price | Actions |
|---|---|---|
| Blood transfusion CPT Code: 36430 | $550 | — |
| CT scan, head (no contrast) CPT Code: 70450 | $399 | — |
| CT scan, head (with contrast) CPT Code: 70460 | $405 | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $649 | — |
| CT scan, sinuses CPT Code: 70486 | $583 | — |
| MRI, brain (no contrast) CPT Code: 70551 | $1,143 | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,939 | — |
| X-ray, chest (single view) CPT Code: 71045 | $65 | — |
| X-ray, chest (two views) CPT Code: 71046 | $76 | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $413 | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $58 | — |
| X-ray, lower back CPT Code: 72110 | $85 | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $399 | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $436 | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,143 | — |
| X-ray, pelvis CPT Code: 72170 | $50 | — |
| CT scan, pelvis CPT Code: 72192 | $429 | — |
| X-ray, shoulder CPT Code: 73030 | $66 | — |
| X-ray, hand CPT Code: 73130 | $55 | — |
| X-ray, hip CPT Code: 73502 | $83 | — |
| X-ray, ankle CPT Code: 73610 | $52 | — |
| X-ray, foot CPT Code: 73630 | $52 | — |
| MRI, knee or other leg joint CPT Code: 73721 | $1,143 | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $872 | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $689 | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $135 | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $151 | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $184 | — |
| Ultrasound, pelvis CPT Code: 76856 | $173 | — |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $292 | — |
| Screening mammogram (both breasts) CPT Code: 77067 | $209 | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $96 | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $115 | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $164 | — |
| Blood test, liver function panel CPT Code: 80076 | $158 | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $26 | — |
| Blood test, amylase CPT Code: 82150 | $30 | — |
| Blood test, vitamin D CPT Code: 82306 | $216 | — |
| Blood test, calcium CPT Code: 82310 | $14 | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $25 | — |
| Blood test, vitamin B12 CPT Code: 82607 | $78 | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $65 | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $27 | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $58 | — |
| Blood test, lipase CPT Code: 83690 | $20 | — |
| Blood test, magnesium CPT Code: 83735 | $35 | — |
| Blood test, potassium CPT Code: 84132 | $12 | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $81 | — |
| Blood test, sodium CPT Code: 84295 | $13 | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $93 | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $12 | — |
| Blood test, hemoglobin CPT Code: 85018 | $16 | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $71 | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $28 | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $38 | — |
| Hepatitis C antibody test CPT Code: 86803 | $83 | — |
| Blood antibody screen CPT Code: 86850 | $74 | — |
| Culture, blood CPT Code: 87040 | $65 | — |
| Culture, bacterial CPT Code: 87070 | $95 | — |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $244 | — |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $195 | — |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $260 | — |
| Family therapy session CPT Code: 90847 | $148 | — |
| Group therapy session CPT Code: 90853 | $126 | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $119 | — |
| Speech therapy (group session) CPT Code: 92508 | $49 | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $66 | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $376 | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $286 | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $46 | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $48 | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $53 | — |
| Physical therapy (gait training) CPT Code: 97116 | $75 | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $75 | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $49 | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $42 | — |
| Physical therapy (functional capacity test) CPT Code: 97750 | $86 | — |
| Orthotic fitting and training CPT Code: 97760 | $44 | — |
| Prosthetic fitting and training CPT Code: 97761 | $48 | — |
| New patient office visit (30-44 min) CPT Code: 99203 | $90 | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $54 | — |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $83 | — |