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Short Term Acute Care HospitalGovernment - Hospital District Or Authority

Tj Health Columbia

Columbia, KY

901 Westlake Drive, Columbia, KY 42728(270) 384-4753

Not rated by CMS

CMS star rating

13

Beds

283

Inpatient discharges a year

$23M

Net patient revenue a year

27

In-network payers

About this hospital

Tj Health Columbia is a 13-bed government - hospital district or authority hospital in Columbia, KY. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 121 disclosed rate categories.

  • Medicare-dependent hospital
  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
180149
NPI
1134585656
Teaching
No Medicare-funded residents
County
Adair County
Medicare contractor
Jurisdiction 15, CGS Administrators (15101)
In Medicare since
2005
Last CMS survey
2006

Prices for common services

The 24 services Tj Health Columbia 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, or start a free trial.

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$25,959 - $28,565

from 2 insurers · median $27,262

Blue Cross$28,565
Insurer A*$25,959
Medicare $27,950Nearby hospitals $38,11528% below nearby hospitals

Hospital reports orthopedic surgery services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$541 - $3,346

from 4 insurers · median $2,461

Aetna$3,346
Insurer A*$541
Insurer B*$1,575
Insurer C*est.$3,346
Medicare $311Nearby hospitals $1,098124% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery · Inpatient

Cervical spinal fusion without CC or MCC

MS-DRG 473

$16,828 - $18,873

from 2 insurers · median $17,850

Blue Cross$18,873
Insurer A*$16,828
Medicare $16,162Nearby hospitals $25,21329% below nearby hospitals

Hospital reports orthopedic surgery services to CMS

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$13,296 - $14,631

from 2 insurers · median $13,963

Blue Cross$14,631
Insurer A*$13,296
Medicare $12,855Nearby hospitals $17,44820% below nearby hospitals

Hospital reports orthopedic surgery services to CMS

How the insurers pay at Tj Health Columbia

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*17
767%
161
Insurer B*17
696%
143
Insurer C*21
308%
515
Insurer D*24
274%
220

How we chose these services: 0 appear in this hospital's own Medicare claims, 18 are common here based on CMS Medicare volume, and 6 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 Tj Health Columbia, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCareSource (incl Common Ground Health Coop)

More about this hospital

  • Quality

    Not rated by CMS

    • 114 min in the ER before going home (US median 148)
    • No Medicare readmissions penalty
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 23 services
    • 125 affiliated clinicians
    See doctors and services
  • Finances

    $23M net patient revenue

    • Operating margin on patient care 6.1%
    • $765,154 unreimbursed and uncompensated care
    • $3.3M net income
    See finances
  • Ownership and leadership

    Owned by Tj Regional Health Inc

    • Hospital district or authority
    • Neil C Thornbury, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Tj Health Columbia in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
81-0893103T J Health Columbia INC43Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 38 more1134585656 T J Health Columbia Inc1235595653 T J Health Columbia Inc1730547407 T J Health Columbia Incand 9 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

901 Westlake Drive, Columbia, KY 42728

(270) 384-4753

Get directions

Frequently asked questions

About Tj Health Columbia's rates and hospital price transparency.

How much does an MRI cost at Tj Health Columbia?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Tj Health Columbia range from $750 to $3,825 across 4 insurers. UnitedHealthcare's rate is $750. The median at nearby comparable hospitals is $1,316. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Tj Health Columbia?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Tj Health Columbia range from $541 to $3,346 across 4 insurers. Aetna's rate is $3,346. The median at nearby comparable hospitals is $1,098. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Tj Health Columbia?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Tj Health Columbia range from $1,823 to $1,823 across 1 insurers. Blue Cross Blue Shield's rate is $1,823. The median at nearby comparable hospitals is $2,008. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Tj Health Columbia?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Tj Health Columbia range from $13,296 to $14,631 across 2 insurers. Blue Cross Blue Shield's rate is $14,631. The median at nearby comparable hospitals is $17,448. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Tj Health Columbia a teaching hospital?

CMS reports no Medicare-funded interns or residents at Tj Health Columbia for fiscal year 2027.

Does Medicare penalize Tj Health Columbia for readmissions?

No. Tj Health Columbia has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What is Tj Health Columbia's case mix index?

Tj Health Columbia's Medicare case mix index is 1.02 for fiscal year 2027, higher than 2% of hospitals paid under the inpatient prospective payment system.

How many patients does Tj Health Columbia admit?

Tj Health Columbia reported 283 inpatient discharges and 1,231 inpatient days from Oct 1, 2024 to Sep 30, 2025.

How many employees does Tj Health Columbia have?

Tj Health Columbia reported 68 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.

How much revenue does Tj Health Columbia make?

Tj Health Columbia reported $23M in net patient revenue on $68.7M of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of 6.1%, and net income of $3.3M.

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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • 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
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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