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Critical Access HospitalVoluntary Non-Profit - Private

Wayne County Hospital

Monticello, KY

166 Hospital Street, Monticello, KY 42633(606) 348-9343

5

In-network payers

29

Disclosed rate categories

25

Beds

About this hospital

Wayne County Hospital is a 25-bed voluntary non-profit - private hospital in Monticello, KY. Below you'll find publicly disclosed negotiated rates and facility details, including 5 in-network payers and 29 disclosed rate categories.

CCN (Medicare provider number)

181321

NPI

1720292980

Type

Critical Access Hospital

Ownership

Voluntary Non-Profit - Private

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
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Avera Health PlansHarvard Pilgrim Health Care (Point32Health)Mass General Brigham (formerly AllWays Health Partners)Medica

Prices for common services

The 24 services Wayne 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

$479 - $795

from 2 insurers · median $637

Aetna$795
Insurer A*$479
Medicare $356Nearby hospitals $1,21848% below nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$700 - $1,934

from 3 insurers · median $1,671

Cigna$1,671
Insurer A*$700
Insurer B*$1,934
Medicare $927Nearby hospitals $523220% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$296 - $864

from 2 insurers · median $580

Aetna$864
Insurer A*$296
Medicare $244Nearby hospitals $44829% above nearby hospitals

Typical for a hospital with this service line

Mammography

Screening mammography, bilateral

CPT 77067

$137 - $201

from 2 insurers · median $169

Aetna$137
Insurer A*$201
Medicare $92Nearby hospitals $14020% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$700 - $1,671

from 3 insurers · median $1,293

Cigna$1,671
Insurer A*$700
Insurer B*$1,293
Medicare $1,223Nearby hospitals $85950% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT angiography of chest blood vessels

CPT 71275

$421 - $806

from 2 insurers · median $614

Aetna$806
Insurer A*$421
Medicare $179Nearby hospitals $54512% above nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Foot X-ray, at least three views

CPT 73630

$54 - $940

from 2 insurers · median $497

Cigna$54
Insurer A*$940
Medicare $89Nearby hospitals $232114% above nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Chest X-ray, two views

CPT 71046

$53 - $95

from 2 insurers · median $74

Cigna$53
Insurer A*$95
Medicare $89Nearby hospitals $18460% below nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$392 - $700

from 2 insurers · median $546

Cigna$392
Insurer A*$700
Medicare $1,223Nearby hospitals $46418% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI lower-extremity joint without contrast

CPT 73721

$261 - $1,319

from 2 insurers · median $790

Aetna$1,319
Insurer A*$261
Medicare $244Nearby hospitals $756In line with nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the chest, without contrast

CPT 71250

$210 - $348

from 2 insurers · median $279

Aetna$348
Insurer A*$210
Medicare $107Nearby hospitals $35521% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the neck spine, without contrast

CPT 72141

$306 - $1,319

from 2 insurers · median $812

Aetna$1,319
Insurer A*$306
Medicare $244Nearby hospitals $71614% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Transvaginal pelvic ultrasound

CPT 76830

$187 - $371

from 2 insurers · median $279

Aetna$371
Insurer A*$187
Medicare $107Nearby hospitals $39129% below nearby hospitals

Typical for a hospital with this service line

Laboratory and pathology

Comprehensive metabolic panel

CPT 80053

$18 - $83

from 2 insurers · median $50

Cigna$18
Insurer A*$83
Medicare $11Nearby hospitals $9446% below nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Ultrasound of veins in one limb or a limited bilateral study

CPT 93971

$183 - $300

from 2 insurers · median $242

Cigna$183
Insurer A*$300
Medicare $107Nearby hospitals $2576% below nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Diagnostic colonoscopy

CPT 45378

$301 - $700

from 2 insurers · median $501

Cigna$301
Insurer A*$700
Medicare $950Nearby hospitals $83540% below nearby hospitals

Typical for a hospital with this service line

Laboratory and pathology

Complete blood count with differential

CPT 85025

$13 - $82

from 2 insurers · median $48

Cigna$13
Insurer A*$82
Medicare $8Nearby hospitals $3729% above nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$800 - $1,022

from 2 insurers · median $911

UnitedHealthcare$800
Insurer A*$1,022
Medicare $2,358Nearby hospitals $1,60543% below nearby hospitals

Typical for a hospital with this service line

Mammography

Diagnostic mammography, bilateral

CPT 77066

$248 - $336

from 2 insurers · median $292

Aetna$336
Insurer A*$248
Medicare $112Nearby hospitals $113159% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Limited ultrasound of one breast

CPT 76642

$99 - $134

from 2 insurers · median $117

Aetna$99
Insurer A*$134
Medicare $89Nearby hospitals $45158% above nearby hospitals

Typical for a hospital with this service line

Laboratory and pathology

Basic metabolic panel

CPT 80048

$7 - $111

from 2 insurers · median $59

Cigna$7
Insurer A*$111
Medicare $8Nearby hospitals $24149% above nearby hospitals

Typical for a hospital with this service line

Urology

Shock-wave treatment of kidney stones

CPT 50590

$1,300 - $3,333

from 2 insurers · median $2,317

UnitedHealthcare$1,300
Insurer A*$3,333
Medicare $3,601Nearby hospitals $974138% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Ultrasound of head or neck soft tissues

CPT 76536

$96 - $187

from 2 insurers · median $142

Aetna$187
Insurer A*$96
Medicare $107Nearby hospitals $27949% below nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete ultrasound of blood vessels in both sides of the neck

CPT 93880

$278 - $299

from 2 insurers · median $289

Cigna$299
Insurer A*$278
Medicare $244Nearby hospitals $2669% above nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Wayne 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*20
313%
69
Insurer B*24
130%
134
Insurer C*6
57%
41

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 Wayne County Hospital.

Location

166 Hospital Street, Monticello, KY 42633

(606) 348-9343

Get directions

Frequently asked questions

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

How much does an MRI cost at Wayne County Hospital?

For MRI lower-extremity joint without contrast (CPT 73721), published negotiated rates at Wayne County Hospital range from $261 to $1,319 across 2 insurers. Aetna's rate is $1,319. The median at nearby comparable hospitals is $756. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Wayne County Hospital range from $479 to $795 across 2 insurers. Aetna's rate is $795. The median at nearby comparable hospitals is $1,218. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Wayne County Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Wayne County Hospital range from $700 to $1,671 across 3 insurers. Cigna's rate is $1,671. The median at nearby comparable hospitals is $859. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Wayne County Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Wayne County Hospital range from $137 to $201 across 2 insurers. Aetna's rate is $137. The median at nearby comparable hospitals is $140. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many beds does Wayne County Hospital have?

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

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

Wayne County Hospital is located at 166 Hospital Street, Monticello, KY 42633. Its main phone number is (606) 348-9343.

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

Wayne County Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 181321.

What is Wayne County Hospital's NPI number?

The National Provider Identifier (NPI) on file for Wayne County Hospital is 1720292980.

Which insurance plans are in network at Wayne County Hospital?

Wayne County Hospital lists 5 in-network payers, including Avera Health Plans, Harvard Pilgrim Health Care (Point32Health), Mass General Brigham (formerly AllWays Health Partners), Medica, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

What price transparency data is available for Wayne County Hospital?

29 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.

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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