The Bill Rate Index What the hour costs, and who keeps it
249 facilities · most recent filing each

What Kentucky pays for an agency hour.

Hospitals and nursing homes in Kentucky, each against what it pays its own staff. Every figure below was filed by the facility itself.

Hospitals, FY2025
98% median premium
across 67 hospitals · national median 85%
Nursing homes, FY2025
94% median premium
across 182 nursing homes · national median 100%

Every hospital on record

67 hospitals, most recent filing each. In FY2025 the typical one paid 98% more for an hour of contract staff than for an hour of its own, against a national median of 85%.

HospitalCityEmployed hourContract hourPremiumYear
Tj Health ColumbiaColumbia$41.40$199.21FY2025
Adventhealth ManchesterManchester$38.94$162.43FY2025
Jennie Stuart Medical CenterHopkinsville$44.76$182.79FY2025
St. Claire Medical CenterMorehead$47.08$148.09FY2024
Murray Calloway County HospitalMurray$40.92$121.76FY2025
Muhlenberg Community HospitalGreenville$27.33$79.65FY2021
Crittenden Community Hospital LlcMarion$29.53$85.63FY2021
Kindred Hospital LouisvilleLouisville$37.20$103.57FY2021
Logan Memorial HospitalRussellville$39.23$108.83FY2023
The Medical Center Of AlbanyAlbany$30.58$84.78FY2023
Baptist Health CorbinCorbin$36.49$97.88FY2024
Kings Daughters Medical CenterAshland$34.86$93.01FY2024
Baptist Health HardinElizabethtown$38.41$95.72FY2024
Baptist Health DeaconessmadisonvilleMadisonville$39.20$96.84FY2024
Baptist Health LexingtonLexington$39.49$97.19FY2024
Baptist Health RichmondRichmond$39.06$95.54FY2024
Owensboro Health Twin Lakes MedicalLeitchfield$35.36$86.40FY2024
Saint Joseph LondonLondon$41.35$98.82FY2024
Mercy Health-lourdes Hospital LlcPaducah$39.46$92.79FY2025
University HospitalLexington$39.42$90.77FY2024
Harrison Memorial HospitalCynthiana$37.00$84.95FY2024
Baptist Health PaducahPaducah$39.63$89.34FY2024
Deaconess Henderson HospitalHenderson$43.28$95.88FY2025
St. Elizabeth FlorenceFlorence$38.96$85.00FY2025
Owensboro Health Regional HospitalOwensboro$39.32$85.55FY2024
Baptist Health LouisvilleLouisville$41.79$89.98FY2024
St Elizabeth Ft ThomasFt. Thomas$40.12$85.00FY2025
Monroe County Medical CenterTompkinsville$30.99$64.85FY2024
Saint Joseph Mount SterlingMt. Sterling$41.27$85.09FY2024
Flaget Memorial HospitalBardstown$45.22$92.60FY2024
Saint Joseph EastLexington$45.09$91.11FY2024
Lake Cumberland Regional HospSomerset$42.87$85.46FY2025
T.j. Samson Community HospitalGlasgow$44.46$87.85FY2025
Saint Joseph HospitalLexington$45.41$88.21FY2024
Norton Hospitals IncLouisville$45.57$87.90FY2025
St Elizabeth HealthcareEdgewood$44.19$85.00FY2025
Ephraim Mcdowell Reg Med CtrDanville$44.01$84.46FY2025
Tug Valley ArhSouth Williamson$36.52$69.29FY2024
Taylor Regional HospitalCampbellsville$39.22$73.48FY2024
Encompass Health Rehabilitation HospEdgewood$44.96$83.22FY2024
Clark Regionalmedical CenterWinchester$46.22$85.05FY2024
Baptist Health Rehabilitation HospitLouisville$45.47$81.82FY2024
Spring View HospitalLebanon$40.84$73.08FY2025
Ssh - Lexington IncDanville$43.03$77.00FY2024
Meadowview Regional Medical CenterMaysville$47.25$83.87FY2025
Pikeville Medical CenterPikeville$43.22$76.64FY2025
Uofl Health-louisvilleLouisville$40.52$71.15FY2024
Encompass Health Rehabilitation HospElizabethtown$42.33$73.70FY2025
Middlesboro ArhMiddlesboro$36.41$63.08FY2024
Paintsville Arh HospitalPaintsville$41.24$70.55FY2024
U Of L Rehab HospitalLouisville$45.94$78.18FY2024
Georgetown Community HospitalGeorgetown$46.72$78.86FY2024
Uofl Health-shelbyvilleShelbyville$46.33$77.40FY2024
Whitesburg ArhWhitesburg$40.12$65.21FY2024
Hazard ArhHazard$41.03$65.50FY2024
Frankfort Regional Medical CenterFrankfort$39.27$61.77FY2024
Highlands Regional Medical CenterPrestonsburg$41.16$64.27FY2024
Baptist Health LagrangeLagrange$42.95$64.73FY2024
Ssh - Northern Kentucky LlcFort Thomas$48.36$72.16FY2024
Three Rivers Medical CenterLouisa$33.58$49.03FY2024
Cardinal Hill Rehabilitation HospitaLexington$39.70$56.27FY2024
Bourbon Community HospitalParis$41.80$54.59FY2024
The Medical CenterBowling Green$34.17$43.70FY2024
Greenview Regional HospitalBowling Green$36.46$43.24FY2025
University Of Louisville HospitalLouisville$41.19$46.88FY2024
Jackson Purchase Medical CenterMayfield$40.93$45.67FY2022
Harlan ArhHarlan$38.81$37.30FY2024

Every nursing home on record

182 nursing homes, most recent filing each. In FY2025 the typical one paid 94% more for an hour of contract staff than for an hour of its own, against a national median of 100%.

Nursing homeCityEmployed hourContract hourPremiumYear
4006 Lee County Care & RehabilitatioBeattyville$23.19$94.22FY2021
Crittenden County Health And RehabMarion$17.18$66.37FY2024
4037 Jefferson Place Rehab & WellnesLouisville$30.64$116.67FY2022
4021 Fountain Circle Care & RehabiliWinchester$29.30$107.49FY2023
Salem Springlake Care CenterSalem$19.16$66.46FY2024
Bourbon Heights Inc.Paris$18.94$64.35FY2021
Episcopal Church HomeLouisville$24.13$81.05FY2024
Helmwood HealthcareElizabethtown$16.15$51.45FY2021
Regency Care Of Mount Sterling LlcMount Sterling$23.45$70.06FY2024
4017 Bluegrass Care & RehabilitationLexington$31.54$94.13FY2024
River Valley Nursing HomeButler$19.05$56.71FY2024
Salyersville Nursing & Rehab CenterSalyersville$24.96$73.38FY2024
Grand Haven Nursing HomeCynthiana$22.36$65.69FY2024
Carter Nursing And RehabilitationGrayson$21.91$63.80FY2024
4028 Harrodsburg Health & RehabilitaHarrodsburg$25.38$73.05FY2022
Madonna ManorVilla Hills$23.88$68.36FY2024
Westwood Nursing And RehabilitationGlasgow$18.40$51.75FY2022
Tri-cities Nursing & Rehab CtrCumberland$18.96$53.21FY2025
Hardinsburg Nursing & Rehab CenterHardinsburg$26.20$73.20FY2024
Life Care Center Of MoreheadMorehead$24.22$67.68FY2024
Greenville Nursing And RehabilitatioGreenville$22.23$62.09FY2024
Wurtland Nursing And RehabilitationWurtland$24.10$67.24FY2024
Boyd Nursing And RehabilitationAshland$24.70$68.48FY2024
Parkview Nursing & Rehab CenterPaducah$26.83$73.42FY2024
Cumberland Nursing & Rehab CenterSomerset$26.73$73.08FY2024
Westminster TerraceLouisville$23.67$64.36FY2022
Irvine Nursing & Rehab CenterIrvine$26.94$73.20FY2024
Brandenburg Nursing & Rehab CenterBrandenburg$27.02$73.13FY2024
Edgewood EstatesFrenchburg$17.07$46.06FY2023
Elliot Nursing And RehabilitationSandy Hook$23.44$62.90FY2024
Stanton Nursing & Rehab CenterStanton$27.76$73.16FY2024
4025 Danville Centre For Health AndDanville$27.76$72.36FY2023
Morganfield Nursing & Rehab CenterMorganfield$26.96$70.28FY2024
Fordsville Nursing & Rehab CenterFordsville$27.82$71.96FY2024
Shady Lawn Nursing & Rehab CenterCadiz$26.70$68.73FY2024
Life Care Center Of LacenterLacenter$24.32$62.35FY2024
Franklin-simpson Nursing & Rehab CtrFranklin$27.73$70.96FY2024
Clinton PlaceClinton$19.99$51.09FY2022
Springfield Nursing & Rehab CenterSpringfield$27.58$70.28FY2024
Kenwood Health & Rehab CenterRichmond$29.12$73.05FY2024
Cedars Of Lebanon Nursing CenterLebanon$19.82$49.37FY2022
River Haven Nursing & Rehab CenterPaducah$27.17$67.49FY2024
Campbellsville Nursing & Rehab CtrCampbellsville$28.41$70.55FY2024
Henderson Nursing & Rehab CenterHenderson$28.20$69.96FY2024
Christian Health Center - CorbinCorbin$21.19$52.39FY2024
Christian Heights Nrsg & Rehab CtrPembroke$27.93$68.36FY2024
Somerwoods Nursing & Rehab CtrSomerset$23.16$55.96FY2025
Bowling Green Nursing & Rehab CenterBowling Green$30.44$73.20FY2024
Princeton Nursing & RehabilitationPrinceton$21.76$52.16FY2022
Countryside Center For Rehab & NrsgBardwell$21.04$50.14FY2022
4033 Hart County Rehab & Wellness CeHorse Cave$27.73$65.94FY2024
Fair Oaks Health And RehabilitationJamestown$22.45$53.37FY2022
Maple Health And RehabilitationGreenville$22.55$53.47FY2022
Madison Health & RehabRichmond$30.19$70.08FY2024
Rivers Bend Retirement CommunityKuttawa$23.94$55.24FY2024
Cedar Ridge Health CampusCynthiana$26.05$59.66FY2024
Twin Rivers Nursing & Rehab CenterOwensboro$31.77$72.49FY2024
South Shore Nursing And RehabilitatiSouth Shore$23.29$52.93FY2024
Chautauqua Health & RehabilitationOwensboro$26.29$59.72FY2022
Spring Creek Post-acute & RehabCalloway$17.85$40.56FY2024
Lexington Country PlaceLexington$25.24$57.11FY2024
Stonecreek Health & RehabilitationPaducah$22.06$49.23FY2022
Woodcrest Nursing & Rehab CenterElsmere$32.73$72.89FY2024
Mills Nursing & RehabilitationMayfield$21.43$47.38FY2022
4035 Jackson Manor Rehab & WellnessAnnville$28.81$63.01FY2024
Spring View Nursing & RehabilitationLeitchfield$20.83$45.43FY2022
4013 Riverview Health Care CenterPrestonsburg$26.89$58.50FY2024
Christian Health Center-hopkinsvilleHopkinsville$21.83$47.29FY2024
Glenview Health And RehabGlasgow$23.24$50.25FY2022
4004 Signature Healthcare Of GeorgetGeorgetown$31.60$68.00FY2024
4031 Glasgow Rehab & Wellness CenterGlasgow$28.98$62.35FY2024
Essex Nursing & Rehab CtrLouisville$26.41$56.67FY2024
Creekwood Nursing & RehabilitationRussellville$22.43$48.03FY2022
4007 Mayfair ManorLexington$33.99$70.78FY2024
St. Josephs Home For The AgedLouisville$21.82$45.44FY2024
Crestview Healthcare & RehabilitatioShelbyville$27.06$56.28FY2022
Madisonville Health & RehabilitationMadisonville$24.89$50.98FY2022
Bradford Heights Health & RehabHopkinsville$21.43$43.87FY2022
4024 Riverside Care & RehabilitationCalhoun$27.94$57.03FY2024
Mountain View Nursing & Rehab CtrPineville$22.98$46.66FY2025
Elizabethtown Nursing & Rehab CenterElizabeth Town$31.01$62.59FY2024
Green Acres HealthcareMayfield$22.11$44.56FY2022
Lexington Healthcare CenterLexington$29.67$59.74FY2024
River Oaks Post-acute & RehabLouisville$22.77$45.80FY2023
The Willows At HarrodsburgHarrodsburg$24.39$48.85FY2024
4009 Signature Healthcare Of South LLouisville$31.04$62.10FY2023
Nicholasville Nursing And RehabilitaNicholasville$28.93$57.16FY2024
The Pavilion At KentonCovington$25.45$49.99FY2024
The Willows At SpringhurstLouisville$27.42$53.40FY2024
Grant Healthcare And RehabilitationWilliamstown$27.77$53.96FY2022
Village Of Lebanon IiLebanon$23.23$45.14FY2025
Lake Way Nursing & Rehab CtrBenton$28.64$55.54FY2025
4038 Mccreary County Rehab & WellnesPine Knot$24.73$47.20FY2023
Villaspring Health CareErlanger$27.20$51.71FY2024
Carmel ManorFt. Thomas$27.02$51.26FY2024
Owenton Healthcare & RehabilitationOwenton$26.07$49.37FY2022
Highlandspring Of Ft ThomasFt. Thomas$26.43$49.67FY2024
The Jordan CenterLouisa$19.67$36.93FY2024
West Liberty Nursing And RehabilitatWest Liberty$26.43$49.55FY2024
Nhc Healthcare GlasgowGlasgow$18.94$35.33FY2023
Frankfort Trails LlcFrankfort$25.67$47.67FY2024
4042 Hartford Rehab & Wellness CenteHartford$30.25$56.14FY2024
Christian Health Ctr - Bowling GreenBowling Green$27.13$50.36FY2024
The Springs At Oldham ReserveLagrange$28.00$51.97FY2024
Sanders Ridge Health CampusMt. Washington$26.72$49.47FY2024
The Home Place - MidwayMidway$24.15$44.69FY2024
4027 Signature Healthcare Of ElizabeElizabethtown$30.82$56.64FY2024
Coldspring Transitional Care CenterCold Spring$26.23$48.08FY2024
Homestead Post AcureLexington$29.86$54.26FY2024
Florence Park Care CenterFlorence$24.96$45.31FY2024
4010 Morgantown Care & RehabilitatioMorgantown$27.96$50.34FY2024
The Willows At HamburgLexington$26.84$47.89FY2024
4005 Hermitage Care & RehabilitationOwensboro$31.38$55.95FY2024
Jeffersontown RehabilitationJeffersontown$29.14$51.92FY2022
The Willows At CitationLexington$28.14$49.86FY2024
Fulton Nursing & RehabilitationFulton$21.96$38.84FY2022
4003 Clinton County Care & RehabilitAlbany$26.38$46.56FY2023
Greenwood Nursing & Rehab CtrBowling Green$29.53$52.03FY2025
Sayre Christian Village Nursing HomeLexington$28.47$50.10FY2024
Boonespring Transitional Care CenterUnion$26.71$46.27FY2024
Telford TerraceRichmond$20.22$34.96FY2021
Glen Ridge Health CampusLouisville$28.97$49.81FY2024
Treyton Oak TowersLouisville$26.59$45.49FY2024
Bedford Springs Health & RehabBedford$28.47$48.24FY2022
Dover Nursing & Rehabilitation CenteGeorgetown$15.74$26.47FY2021
The Springs At Stony BrookLouisville$28.33$47.45FY2024
Edgemont Healthcare Inc.Cynthiana$20.71$34.20FY2024
Gallatin Nursing & RehabWarsaw$28.68$46.93FY2024
4046 Tanbark Rehab & Wellness CenterLexington$34.15$55.45FY2023
Wesley Manor Nursing CenterLouisville$27.80$45.14FY2024
New Castle Nursing & RehabNew Castle$28.08$45.52FY2024
Hillside CenterMadisonville$27.67$44.79FY2023
Westport Place Health CampusLouisville$29.38$47.24FY2024
Highlands Nursing And RehabilitationLouisville$30.47$48.78FY2024
Sycamore Heights Health & RehabLouisville$31.09$49.55FY2022
Mt. Manor Of PaintsvillePaintsville$19.37$30.83FY2024
4044 Summerfield Rehab & Wellness CeLouisville$32.57$51.71FY2024
The Willows At Fritz FarmLexington$27.82$44.13FY2024
Park Terrace Health CampusLouisville$27.45$43.48FY2024
Valhalla Post AcuteLouisville$29.29$46.06FY2024
Forest Springs Health CampusLouisville$29.79$46.73FY2024
Franciscan Health Care CenterLouisville$28.43$44.52FY2024
Cherokee Park Rehabilitation LlcLouisville$30.53$47.60FY2022
Edmonson CenterBrownsville$27.04$41.71FY2023
Pine Meadows Post AcuteLexington$28.67$44.19FY2024
4026 Signature Healthcare At HillcreOwensboro$32.38$49.67FY2024
Lexington Premier Nurs And Rehab LlcLexington$27.66$42.38FY2024
Lyndon Crossing LlcLouisville$26.63$40.33FY2024
Hopkins CenterWoodburn$28.46$42.71FY2023
Regis Woods CenterLouisville$28.07$42.14FY2021
Richwood Nursing & RehabLagrange$29.23$43.82FY2024
4045 Summit Manor Rehab & Wellness CColumbia$27.55$41.19FY2023
4043 Rockford Rehab & Wellness CenteLouisville$31.52$47.03FY2024
4008 Signature Healthcare Of East LoLouisville$32.65$48.27FY2024
4023 Signatue Healthcare Of BowlingBowling Green$30.04$44.39FY2024
4034 Heritage Hall Rehab & WellnessLawrenceburg$29.95$44.07FY2023
The Forum At BrooksideLouisville$21.98$32.00FY2021
Bradford Square Nursing & RehabFrankfort$29.49$42.84FY2023
Seneca PlaceLouisville$34.92$50.70FY2024
4041 North Hardin Rehab & Wellness CRadcliff$30.76$44.32FY2024
Louisville East Post AcuteLouisville$30.07$43.24FY2024
Redbanks Nursing HomeHenderson$26.29$37.69FY2022
Green Meadows Health & RehabMt Washington$29.03$41.46FY2024
Magnolia VillageBowling Green$29.50$41.95FY2023
4032 Carrollton Rehab & Wellness CenCarrollton$31.95$45.37FY2024
4022 Liberty Care & Rehabilitation CLiberty$28.05$39.60FY2024
4016 Rockcastle Care & RehabilitatioBrodhead$31.44$44.08FY2024
Clifton Heights LlcLouisville$27.13$38.02FY2024
4020 Oakview Nursing & RehabilitatioCalvert City$30.38$42.43FY2024
Heartland Villa CenterLewisport$27.28$37.91FY2023
4018 Sunrise ManorHodgenville$30.71$42.43FY2024
Johnson Mathers Nursing HomeCarlisle$19.85$27.40FY2022
Colonial CenterBowling Green$29.03$39.27FY2023
Bridge Point CenterFlorence$31.64$42.46FY2023
4040 Monroe County Rehab & WellnessTompkinsville$29.29$39.24FY2024
Kensington CenterElizabethtown$29.15$38.92FY2023
4036 Jefferson Manor Rehab & WellnesLouisville$32.06$42.68FY2024
4014 Signature Healthcare Of SpencerTaylorsville$31.94$40.57FY2024
Klondike CenterLouisville$32.40$40.82FY2023
Regency CenterLouisville$33.47$40.81FY2023
4030 Colonial Rehab & Wellness CenteBardstown$29.93$33.96FY2024
Rivers Edge Nursing & Rehab CtrProspect$28.94$25.76FY2025

Working a contract in Kentucky?

See your own package against these figures.

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