HCHG PT EVAL MOD COMPLEXITY in Kentucky
Below is what hospitals in Kentucky charge if you pay cash, and the typical rate insurers negotiated.
Cash prices at 13 hospitals in Kentucky run from $49 to $459. The typical hospital charges $203. Where a hospital sits on this scale matters more than the number alone:
typical: $203
Cheaper than most hospitalsPricier than most hospitals
18 hospitals. Sort by: Cash price ▲ · Negotiated median · Gross charge · Negotiated low
What these numbers mean.
Cash price is what the hospital lists for patients paying out of pocket.
Negotiated median is the middle of what insurance companies actually agreed to pay.
Gross charge is the sticker price — almost nobody pays it.
What you will actually pay is usually different from both numbers:
with insurance, your deductible, copay, or coinsurance decides what you owe —
the negotiated rate is what the insurer pays, not your bill.
A single line item may not be the whole cost: physician, anesthesia, pathology,
and facility fees can be billed separately.
Prices vary by hospital and change over time; always confirm with the hospital before you go.
| Hospital | Cash price | Where it sits | Insurance pays (typical) | Gross charge |
|---|---|---|---|---|
| King'S Daughters' Medical Center Ashland, KY | $49Insurance typically pays —Sticker price $164 | Lowest price of any hospital | — | $164 |
| Norton Hospitals, Inc Louisville, KY · Price file February 11, 2026 | $116Insurance typically pays $219Sticker price $579 | Cheaper than 92% of hospitals | $219 | $579 |
| Breckinridge Memorial Hospital KY · Price file July 16, 2026 | $116Insurance typically pays $84Sticker price $232 | Cheaper than 83% of hospitals | $84 | $232 |
| Russell County Hospital KY · Price file August 31, 2026 | $162Insurance typically pays $142Sticker price $202 | Cheaper than 75% of hospitals | $142 | $202 |
| Monroe County Medical Center KY · Price file October 8, 2026 | $174Insurance typically pays $141Sticker price $209 | Cheaper than 67% of hospitals | $141 | $209 |
| St Claire Regional Medical Center KY · Price file June 18, 2026 | $201Insurance typically pays $174Sticker price $268 | Cheaper than 58% of hospitals | $174 | $268 |
| Meadowview Regional Medical Center KY | $203Insurance typically pays $128Sticker price $507 | Cheaper than 50% of hospitals | $128 | $507 |
| Rockcastle Regional Hospital & Respiratory Care Ct KY · Price file July 1, 2026 | $249Insurance typically pays $93Sticker price $328 | Pricier than 58% of hospitals | $93 | $328 |
| St Elizabeth Edgewood Edgewood, KY · Price file April 1, 2026 | $276Insurance typically pays $99Sticker price $276 | Pricier than 67% of hospitals | $99 | $276 |
| Jackson Purchase Medical Center KY | $304Insurance typically pays $112Sticker price $759 | Pricier than 75% of hospitals | $112 | $759 |
| Murray-calloway County Hospital KY · Price file September 9, 2026 | $344Insurance typically pays $206Sticker price $530 | Pricier than 83% of hospitals | $206 | $530 |
| Spring View Hospital KY | $361Insurance typically pays $110Sticker price $901 | Pricier than 92% of hospitals | $110 | $901 |
| Baptist Health Louisville Louisville, KY · Price file September 25, 2026 | $459Insurance typically pays $245Sticker price $612 | Highest price of any hospital | $245 | $612 |
| The Medical Center At Caverna KY · Price file April 1, 2026 | —Insurance typically pays $181Sticker price $279 | — | $181 | $279 |
| Frankfort Regional Medical Center KY | —Insurance typically pays $96Sticker price — | — | $96 | — |
| The Medical Center At Albany KY · Price file July 1, 2024 | —Insurance typically pays $181Sticker price $279 | — | $181 | $279 |
| The Medical Center At Scottsville KY · Price file April 1, 2026 | —Insurance typically pays $179Sticker price $279 | — | $179 | $279 |
| The Medical Center At Franklin KY · Price file April 1, 2026 | —Insurance typically pays $187Sticker price $279 | — | $187 | $279 |
Procedure code 97162. Prices are from each hospital's own published price file — see methodology.