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Critical Access Hospital

Fleming County Hospital

LifePoint Health · Flemingsburg, KY

55 Foundation Drive, Flemingsburg, KY 41041(606) 849-2351

16

In-network payers

103

Disclosed rate categories

25

Beds

About this hospital

Fleming County Hospital is a 25-bed hospital in Flemingsburg, KY, affiliated with LifePoint Health. Below you'll find publicly disclosed negotiated rates and facility details, including 16 in-network payers and 103 disclosed rate categories.

CCN (Medicare provider number)

180053

NPI

1881726347

Type

Critical Access Hospital

Beds

25

Insurance Accepted

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

Medicare
BCBS
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansHarvard Pilgrim Health Care (Point32Health)Health AllianceHealth Alliance HAP

Prices for common services

The 24 services Fleming County Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$484 - $4,322

from 3 insurers · median $528

Blue Cross$484
Insurer A*$528
Insurer B*est.$4,322
Medicare $356Nearby hospitals $82736% below nearby hospitals

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$484 - $1,642

from 3 insurers · median $528

Blue Cross$484
Insurer A*$528
Insurer B*est.$1,642
Medicare $107Nearby hospitals $67121% below nearby hospitals

Typical for a hospital with this service line

Mammography

Screening mammography, bilateral

CPT 77067

$226 - $458

from 3 insurers · median $312

Blue Cross$226
Insurer A*est.$312
Insurer B*est.$458
Medicare $92Nearby hospitals $16491% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$639 - $938

from 3 insurers · median $782

Aetnaest.$938
Insurer A*est.$639
Insurer B*est.$782
Medicare $558Nearby hospitals $1,68654% below nearby hospitals

Typical for a hospital with this service line

Nuclear imaging

Nuclear imaging of blood flow to the heart, multiple studies

CPT 78452

$2,422 - $3,558

from 3 insurers · median $2,967

Insurer A*est.$2,422
Insurer B*est.$2,967
Insurer C*est.$3,558
Medicare $1,323Nearby hospitals $2,29329% above nearby hospitals

Hospital reports nuclear medicine services to CMS

X-ray and bone density

Chest X-ray, two views

CPT 71046

$170 - $249

from 3 insurers · median $208

UnitedHealthcareest.$170
Insurer A*est.$208
Insurer B*est.$249
Medicare $89Nearby hospitals $30331% below nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$3,272

negotiated rate

Blue Cross$3,272
Medicare $927Nearby hospitals $2,37038% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$3,854

negotiated rate

Blue Cross$3,854
Medicare $1,223Nearby hospitals $2,44258% above nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$78,029

negotiated rate

Blue CrossNot published
Insurer A*est.$78,029
Medicare $27,950

Hospital reports orthopedic surgery services to CMS

Cardiology and vascular testing

Ultrasound of veins in one limb or a limited bilateral study

CPT 93971

$890 - $1,308

from 3 insurers · median $1,090

Aetnaest.$1,308
Insurer A*est.$890
Insurer B*est.$1,090
Medicare $107Nearby hospitals $65367% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Limited ultrasound of the abdomen

CPT 76705

$519 - $762

from 3 insurers · median $636

Aetnaest.$762
Insurer A*est.$519
Insurer B*est.$636
Medicare $107Nearby hospitals $35977% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$3,947

negotiated rate

Blue Cross$3,947
Medicare $1,223Nearby hospitals $2,51057% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$484 - $4,092

from 3 insurers · median $528

Blue Cross$484
Insurer A*$528
Insurer B*est.$4,092
Medicare $244Nearby hospitals $82736% below nearby hospitals

Typical for a hospital with this service line

CT imaging

CT angiography of chest blood vessels

CPT 71275

$484 - $2,366

from 3 insurers · median $528

Blue Cross$484
Insurer A*$528
Insurer B*est.$2,366
Medicare $179Nearby hospitals $61614% below nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$8,940

negotiated rate

Blue Cross$8,940
Medicare $2,358Nearby hospitals $6,29442% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Complete pelvic ultrasound

CPT 76856

$641 - $941

from 3 insurers · median $785

Aetnaest.$941
Insurer A*est.$641
Insurer B*est.$785
Medicare $107Nearby hospitals $58235% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI brain before and after contrast

CPT 70553

$808 - $2,189

from 3 insurers · median $881

UnitedHealthcare$881
Insurer A*$808
Insurer B*est.$2,189
Medicare $356Nearby hospitals $1,15724% below nearby hospitals

Typical for a hospital with this service line

Ultrasound

Transvaginal pelvic ultrasound

CPT 76830

$560 - $823

from 3 insurers · median $686

Aetnaest.$823
Insurer A*est.$560
Insurer B*est.$686
Medicare $107Nearby hospitals $52630% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Laparoscopic repair of an initial inguinal hernia

CPT 49650

$18,152

negotiated rate

Blue Cross$18,152
Medicare $6,176Nearby hospitals $11,30861% above nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$11,319

negotiated rate

Blue Cross$11,319
Medicare $6,176Nearby hospitals $15,57427% below nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Bone-density scan of the spine and hip

CPT 77080

$392 - $576

from 3 insurers · median $480

UnitedHealthcareest.$392
Insurer A*est.$480
Insurer B*est.$576
Medicare $107Nearby hospitals $34141% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI lumbar spine without contrast

CPT 72148

$808 - $1,821

from 3 insurers · median $881

UnitedHealthcare$881
Insurer A*$808
Insurer B*est.$1,821
Medicare $244Nearby hospitals $1,11021% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the brain, without contrast

CPT 70551

$808 - $1,563

from 3 insurers · median $881

UnitedHealthcare$881
Insurer A*$808
Insurer B*est.$1,563
Medicare $244Nearby hospitals $1,08819% below nearby hospitals

Typical for a hospital with this service line

Ultrasound

Complete abdominal ultrasound

CPT 76700

$779 - $1,144

from 3 insurers · median $954

Aetnaest.$1,144
Insurer A*est.$779
Insurer B*est.$954
Medicare $107Nearby hospitals $359166% above nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Fleming County Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*18
747%
161
Insurer B*17
361%
78
Insurer C*23
323%
1211

How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Fleming County Hospital.

Location

55 Foundation Drive, Flemingsburg, KY 41041

(606) 849-2351

Get directions

Frequently asked questions

About Fleming County Hospital's rates and hospital price transparency.

How much does an MRI cost at Fleming County Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Fleming County Hospital range from $808 to $2,189 across 3 insurers. UnitedHealthcare's rate is $881. The median at nearby comparable hospitals is $1,157. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Fleming County Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Fleming County Hospital range from $484 to $4,322 across 3 insurers. Blue Cross Blue Shield's rate is $484. The median at nearby comparable hospitals is $827. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Fleming County Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Fleming County Hospital range from $3,854 to $3,854 across 1 insurers. Blue Cross Blue Shield's rate is $3,854. The median at nearby comparable hospitals is $2,442. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Fleming County Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Fleming County Hospital range from $226 to $458 across 3 insurers. Blue Cross Blue Shield's rate is $226. The median at nearby comparable hospitals is $164. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many beds does Fleming County Hospital have?

Fleming County Hospital has 25 beds. Facility type: Critical Access Hospital.

Where is Fleming County Hospital and what is its phone number?

Fleming County Hospital is located at 55 Foundation Drive, Flemingsburg, KY 41041. Its main phone number is (606) 849-2351.

What is Fleming County Hospital's CCN (Medicare provider number)?

Fleming County Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 180053.

What is Fleming County Hospital's NPI number?

The National Provider Identifier (NPI) on file for Fleming County Hospital is 1881726347.

What health system is Fleming County Hospital part of?

Fleming County Hospital is affiliated with LifePoint Health.

Which insurance plans are in network at Fleming County Hospital?

Fleming County Hospital lists 16 in-network payers, including Ameri Health, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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