Are these the prices I'll pay?

These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.

Why do prices vary so much between hospitals?

Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.

Where does this data come from?

Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.

Home › Emergency department visit with high level of medical decision making › Kentucky

Emergency Department Visit with High Level of Medical Decision Making Cost in Kentucky

What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 75 Kentucky hospitals. CPT 99285. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.

📊 Median $1,170 📉 Low $103 📈 High $6,511 🏥 75 hospitals 🏛️ 68 with insurance contracts 🇺🇸 Medicare $168

Hospital comparison — Kentucky

Sorted by cash price (lowest first). Showing top 60 of 75 hospitals.

Billed more than $1,170 for this? That gap is evidence. Build my dispute letter

Hospital	Cash	Humana	UHC	Aetna	Centene	Cigna	Molina	MultiPlan	Medicare
JENNIE STUART MEDICAL CENTER HOPKINSVILLE	$103	$164	$116	$116	$116	$164	—	$282	—
DEACONESS HENDERSON HOSPITAL HENDERSON	$164	$117	$116	$116	$116	$281	$159	$251	$159
DEACONESS UNION COUNTY HOSPITAL MORGANFIELD	$164	$116	$116	$116	$116	$251	$116	$251	—
TRIGG COUNTY HOSPITAL CADIZ	$174	$164	$161	$135	$168	—	—	—	$124
BAPTIST HEALTH DEACONESS MADISONVILLE HOSPITAL DRIVE MADISONVILLE	$183	$116	$159	$116	$116	—	$116	$992	—
WAYNE COUNTY HOSPITAL HOSPITAL STREET MONTICELLO	$190	—	—	—	—	—	—	—	—
CALDWELL MEDICAL CENTER PRINCETON	$198	$94.92	$502	$94.92	$131	$224	$94.92	—	$164
ARH OUR LADY OF THE WAY MAIN STREET MARTIN	$223	$370	—	$168	$116	—	$377	—	—
NORTON BROWNSBORO HOSPITAL LOUISVILLE	$340	$765	$280	$575	$575	$632	—	$1,326	—
NORTON AUDUBON HOSPITAL LOUISVILLE	$340	$765	$280	$575	$575	$632	—	$1,326	—
NORTON WOMEN'S AND CHILDREN'S HOSPITAL LOUISVILLE	$340	$765	$280	$575	$575	$632	—	$1,326	—
NORTON CHILDREN'S HOSPITAL LOUISVILLE	$340	$408	$280	$323	$575	$1,066	—	$1,445	—
NORTON WEST LOUISVILLE HOSPITAL LOUISVILLE	$340	$765	$280	$575	$575	$632	—	$1,326	—
NORTON HEALTHCARE PAVILION LOUISVILLE	$340	$765	$280	$575	$575	$632	—	$1,326	—
SAINT JOSEPH MOUNT STERLING MT. STERLING	$446	$283	$286	$280	$255	—	$286	$1,108	—
LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES SALEM	$494	—	—	—	—	—	—	—	—
MARSHALL COUNTY HOSPITAL BENTON	$620	$383	$390	—	—	—	—	—	$383
KINGS DAUGHTERS MEDICAL CENTER ASHLAND	$695	—	$1,078	$1,283	—	—	$1,200	$1,563	—
SAINT JOSEPH BEREA BEREA	$729	$424	$432	$436	$417	$1,044	$445	$1,377	—
CRITTENDEN COMMUNITY HOSPITAL MARION	$754	—	$839	$1,105	$1,034	$1,105	—	—	$481
CARROLL COUNTY MEMORIAL HOSPITAL CARROLLTON	$821	$389	$438	—	$389	—	—	—	$164
UOFL HEALTH - UOFL HOSPITAL LOUISVILLE	$828	$534	—	—	$667	$575	—	—	—
CENTERPOINT HEALTH - PARIS LINVILLE DRIVE PARIS	$840	$29.19	$43.30	$34.80	$100	$92.00	—	$92.00	$100
OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL GREENVILLE	$941	—	—	—	—	—	—	—	—
UOFL HEALTH - MARY & ELIZABETH HOSPITAL LOUISVILLE	$978	$534	—	—	$787	$575	—	—	—
PIKEVILLE MEDICAL CENTER PIKEVILLE	$1,001	—	—	$559	$782	—	—	—	—
UOFL HEALTH - SHELBYVILLE HOSPITAL SHELBYVILLE	$1,048	$534	—	—	$787	$575	—	—	—
CENTERPOINT HEALTH - VERSAILLES AMSDEN AVENUE VERSAILLES	$1,060	$30.30	$30.60	$30.90	$30.00	—	—	$88.00	$30.00
EPHRAIM MCDOWELL JAMES B. HAGGIN HOSPITAL HARRODSBURG	$1,076	$613	$1.00	$613	—	$1.00	—	—	$613
MCDOWELL ARH HOSPITAL MCDOWELL	$1,109	$314	$684	$314	$314	—	$321	—	—
WHITESBURG ARH HOSPITAL HOSPITAL ROAD WHITESBURG	$1,109	$326	$326	$326	$326	—	$302	—	—
BARBOURVILLE ARH HOSPITAL HOSPITAL DR BARBOURVILLE	$1,109	$314	$536	$314	$317	—	$321	—	—
MORGAN COUNTY ARH HOSPITAL LIBERTY ROAD WEST LIBERTY	$1,109	$388	$481	$388	$392	—	$396	—	—
MARY BRECKINRIDGE ARH HOSPITAL KATE IRELAND DR HAYDEN	$1,109	$277	$351	$277	$280	—	$283	—	—
TUG VALLEY ARH REGIONAL MEDICAL CENTER HOSPITAL DRIVE SOUTH WILLIAMSON	$1,121	$286	$354	$286	$354	—	$286	—	—
MIDDLESBORO ARH HOSPITAL W CUMBERLAND AVENUE MIDDLESBORO	$1,152	$353	$420	$353	$420	—	$353	—	—
CHI SAINT JOSEPH HEALTH WOMEN'S HOSPITAL AT SAINT JOSEPH EAST LEXINGTON	$1,154	$602	$626	$620	$602	$1,839	$632	$2,614	—
UOFL HEALTH - JEWISH HOSPITAL LOUISVILLE	$1,170	$534	—	—	$787	$575	—	—	—
UOFL HEALTH - MEDICAL CENTER EAST LOUISVILLE	$1,170	$534	—	—	$787	$575	—	—	—
UOFL HEALTH - MEDICAL CENTER SOUTH SHEPHERDSVILLE	$1,170	$534	—	—	$787	$575	—	—	—
UOFL HEALTH - MEDICAL CENTER SOUTHWEST LOUISVILLE	$1,170	$534	—	—	$787	$575	—	—	—
HIGHLANDS ARH REGIONAL MEDICAL CENTER PRESTONSBURG	$1,175	$458	$458	$458	$458	—	$579	—	—
HARLAN ARH HOSPITAL BALL PARK ROAD HARLAN	$1,175	$313	$563	$313	$372	—	$320	—	—
PAINTSVILLE ARH HOSPITAL JAMES S TRIMBLE BLVD PAINTSVILLE	$1,175	$280	$280	$280	$386	—	$280	—	—
FLEMING COUNTY HOSPITAL FOUNDATION DRIVE FLEMINGSBURG	$1,180	$20.00	$19.38	$22.60	—	—	—	$80.00	$20.00
CHI HEALTH SAINT JOSEPH JESSAMINE NICHOLASVILLE	$1,204	$602	$626	$620	$602	$1,840	$561	$2,175	—
HAZARD ARH REGIONAL MEDICAL CENTER MEDICAL CENTER DRIVE HAZARD	$1,220	$456	$498	$456	$366	—	$456	—	—
CHI SAINT JOSEPH HEALTH FLAGET MEMORIAL HOSPITAL BARDSTOWN	$1,246	$518	$539	$528	$587	$2,143	$571	$2,672	—
CHI SAINT JOSEPH HOSPITAL LONDON LONDON	$1,320	$555	$567	$572	$555	—	$528	$3,366	—
CHI HEALTH SAINT JOSEPH HOSPITAL LEXINGTON	$1,353	$602	$626	$620	$602	$1,810	$632	$2,614	—
MERCY HEALTH - MARCUM AND WALLACE HOSPITAL IRVINE	$1,389	—	—	—	—	—	—	—	—
MERCY HEALTH - LOURDES HOSPITAL PADUCAH	$1,389	—	—	—	—	—	—	—	—
OWENSBORO HEALTH REGIONAL HOSPITAL OWENSBORO	$1,443	—	—	—	—	—	—	—	—
OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER LEITCHFIELD	$1,455	—	—	—	—	—	—	—	—
UOFL HEALTH - PEACE HOSPITAL LOUISVILLE	$1,461	$534	—	—	$787	$575	—	—	—
MEADOWVIEW REGIONAL MEDICAL CENTER MAYSVILLE	$1,560	$103	$43.30	$37.00	—	—	—	—	$100
SPRING VIEW HOSPITAL LORETTO RD LEBANON	$1,613	$100	$43.30	$57.50	—	—	—	—	$100
ADVENTHEALTH MANCHESTER MANCHESTER	$1,668	—	—	$559	—	—	—	—	—
CENTERPOINT HEALTH - WINCHESTER WINCHESTER	$1,799	$36.05	$45.50	$70.70	$100	$100	—	$70.00	$100
CENTERPOINT HEALTH - GEORGETOWN GEORGETOWN	$1,879	$28.83	$44.30	$37.30	$100	—	—	$88.00	$100

What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99285, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $1,180 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.

Billed more than $1,170 for this?

That is the median of what the 75 Kentucky hospitals above publish for Emergency department visit with high level of medical decision making — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.

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Medicare reimbursement benchmark

For CPT 99285 in Kentucky, Medicare reimburses about $168 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Kentucky range from $103 to $6,511 — that means hospital cash prices are typically 7.0x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.

Frequently asked questions

How much does emergency department visit with high level of medical decision making cost in Kentucky?: Cash prices for emergency department visit with high level of medical decision making (CPT 99285) in Kentucky range from $103 to $6,511, with a median of $1,170. Prices vary widely by hospital.
Where can I find the cheapest emergency department visit with high level of medical decision making in Kentucky?: The cheapest Kentucky hospital published cash price for this procedure is $103. Use the table above sorted by cash price to find the lowest-priced facility near you.
Are these the prices I'll pay?: These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
Why do prices vary so much between hospitals?: Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
Where does this data come from?: Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.

Emergency department visit with high level of medical decision making in nearby states

Other procedures in Kentucky

Methodology. Cash prices and insurance-negotiated rates published by each Kentucky facility under federal price transparency rules (45 CFR § 180). CPT code 99285 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.