▸ Hospital · KY · CCN 180020

Middlesboro Appalachian Regional Healthcare Hospit

3600 WEST CUMBERLAND AVE., MIDDLESBORO, KY, 40965-

46 bedsAcute Care Hospitals2

Compliance grade

100/100

Rates published

16,814

last crawl 2026-05-23

Procedures tracked

118

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All KY hospitals JSON

Source MRF: https://www.arh.org/wp-content/uploads/2026/03/520795508_Middlesboro-ARH-Hospital_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	9	—	—	$1,055.6	$12,064	$20,267
emergency
ED visit level 1	CPT	99281	10	$106	$63.6	$19.46	$60.36	$98.58
ED visit level 2	CPT	99282	10	$250	$150	$45.9	$108.55	$232.5
ED visit level 3	CPT	99283	10	$480	$288	$88.13	$189.8	$446.4
ED visit level 4	CPT	99284	10	$3,019	$1,811.4	$291.89	$554.29	$2,807.67
ED visit level 5	CPT	99285	10	$5,152	$3,091.2	$352.51	$1,152	$4,791.36
Critical care, first hour	CPT	99291	6	$467	$280.2	$195.02	$195.02	$321.78
imaging
CT head without contrast	CPT	70450	10	$2,422	$1,453.2	$72.89	$444.68	$2,252.46
CT head with contrast	CPT	70460	10	$2,651	$1,590.6	$122.03	$486.72	$2,465.43
CT head with and without contrast	CPT	70470	10	$3,767	$2,260.2	$122.03	$691.62	$3,503.31
CT neck with contrast	CPT	70491	10	$3,103	$1,861.8	$122.03	$569.71	$2,885.79
MRI brain without contrast	CPT	70551	10	$5,037	$3,022.2	$165.69	$924.79	$4,684.41
MRI brain with contrast	CPT	70552	10	$5,666	$3,399.6	$244.8	$1,040.28	$5,269.38
MRI brain with and without contrast	CPT	70553	10	$7,240	$4,344	$244.8	$1,329.26	$6,733.2
Chest X-ray single view	CPT	71045	10	$357	$214.2	$60.36	$65.55	$332.01
Chest X-ray 2 views	CPT	71046	10	$419	$251.4	$60.36	$76.93	$389.67
CT chest without contrast	CPT	71250	10	$2,980	$1,788	$72.89	$547.13	$2,771.4
CT chest with contrast	CPT	71260	10	$4,074	$2,444.4	$122.03	$747.99	$3,788.82
CT chest with and without contrast	CPT	71270	10	$4,869	$2,921.4	$122.03	$893.95	$4,528.17
Lumbosacral spine X-ray	CPT	72100	10	$446	$267.6	$72.89	$81.89	$414.78
CT cervical spine without contrast	CPT	72125	10	$3,311	$1,986.6	$72.89	$607.9	$3,079.23
CT thoracic spine without contrast	CPT	72128	10	$3,379	$2,027.4	$72.89	$620.38	$3,142.47
CT lumbar spine without contrast	CPT	72131	10	$3,140	$1,884	$72.89	$576.5	$2,920.2
MRI cervical spine without contrast	CPT	72141	10	$4,753	$2,851.8	$165.69	$872.65	$4,420.29
MRI thoracic spine without contrast	CPT	72146	10	$4,753	$2,851.8	$165.69	$872.65	$4,420.29
MRI lumbar spine without contrast	CPT	72148	10	$5,111	$3,066.6	$165.69	$938.38	$4,753.23
MRI lumbar spine with and without contrast	CPT	72149	10	$5,253	$3,151.8	$244.8	$964.45	$4,885.29
MRI cervical spine with and without contrast	CPT	72156	10	$7,648	$4,588.8	$244.8	$1,404.17	$7,112.64
MRI lumbar spine with contrast	CPT	72158	10	$6,290	$3,774	$244.8	$1,154.84	$5,849.7
CT pelvis without contrast	CPT	72192	10	$2,857	$1,714.2	$72.89	$524.55	$2,657.01
CT pelvis with contrast	CPT	72193	10	$3,959	$2,375.4	$122.03	$726.87	$3,681.87
Shoulder X-ray	CPT	73030	10	$769	$461.4	$60.36	$141.19	$715.17
Humerus X-ray	CPT	73060	10	$769	$461.4	$60.36	$141.19	$715.17
Hand X-ray 3 views	CPT	73130	10	$771	$462.6	$60.36	$141.56	$717.03
MRI upper extremity joint without contrast	CPT	73221	10	$4,753	$2,851.8	$165.69	$872.65	$4,420.29
MRI upper extremity joint with and without contrast	CPT	73223	10	$5,037	$3,022.2	$244.8	$924.79	$4,684.41
Knee X-ray 1-2 views	CPT	73560	10	$730	$438	$60.36	$134.03	$678.9
Ankle X-ray 3 views	CPT	73610	10	$838	$502.8	$60.36	$153.86	$779.34
MRI lower extremity joint without contrast	CPT	73721	10	$10,074	$6,044.4	$165.69	$1,849.59	$9,368.82
MRI lower extremity joint with and without contrast	CPT	73723	10	$5,037	$3,022.2	$244.8	$924.79	$4,684.41
CT abdomen without contrast	CPT	74150	10	$2,578	$1,546.8	$72.89	$473.32	$2,397.54
CT abdomen with contrast	CPT	74160	10	$3,178	$1,906.8	$122.03	$583.48	$2,955.54
CT abdomen with and without contrast	CPT	74170	10	$3,793	$2,275.8	$122.03	$696.39	$3,527.49
CT abdomen and pelvis without contrast	CPT	74176	10	$5,430	$3,258	$165.69	$996.95	$5,049.9
CT abdomen and pelvis with contrast	CPT	74177	10	$7,138	$4,282.8	$244.8	$1,310.54	$6,638.34
CT abdomen and pelvis with and without contrast	CPT	74178	10	$8,315	$4,989	$244.8	$1,526.63	$7,732.95
MRI abdomen without contrast	CPT	74181	10	$3,961	$2,376.6	$165.69	$727.24	$3,683.73
MRI abdomen with and without contrast	CPT	74183	10	$4,197	$2,518.2	$244.8	$770.57	$3,903.21
Abdominal ultrasound complete	CPT	76700	10	$1,429	$857.4	$72.89	$262.36	$1,328.97
Abdominal ultrasound limited	CPT	76705	10	$865	$519	$72.89	$158.81	$804.45
Retroperitoneal ultrasound complete	CPT	76770	10	$757	$454.2	$72.89	$138.99	$704.01
Obstetric ultrasound first trimester	CPT	76801	10	$1,347	$808.2	$72.89	$247.31	$1,252.71
Obstetric ultrasound with fetal anatomy	CPT	76811	10	$1,989	$1,193.4	$165.69	$365.18	$1,849.77
Transvaginal ultrasound	CPT	76830	10	$1,347	$808.2	$72.89	$247.31	$1,252.71
Pelvic ultrasound complete	CPT	76856	10	$1,193	$715.8	$72.89	$219.03	$1,109.49
Scrotal ultrasound	CPT	76870	10	$1,347	$808.2	$72.89	$247.31	$1,252.71
Diagnostic mammography unilateral	CPT	77065	10	$608	$364.8	$76.62	$111.63	$565.44
Diagnostic mammography bilateral	CPT	77066	10	$1,216	$729.6	$98.3	$223.26	$1,130.88
Screening mammography bilateral	CPT	77067	10	$621	$372.6	$9.18	$81.07	$577.53
EKG tracing only	CPT	93005	10	$425	$255	$19.65	$78.03	$395.25
EKG interpretation only	CPT	93010	6	$72	$43.2	$8.1	$8.1	$13.37
Transthoracic echocardiogram complete	CPT	93306	10	$3,959	$2,375.4	$375.84	$726.87	$3,681.87
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	9	—	—	$10,729	$13,497	$22,674
COPD w MCC	MS-DRG	190	9	—	—	$6,969.68	$9,566.92	$16,072
COPD w CC	MS-DRG	191	9	—	—	$5,369.57	$7,280.77	$12,232
Simple pneumonia & pleurisy w CC	MS-DRG	194	9	—	—	$5,200.07	$6,960.35	$11,693
AMI discharged alive w MCC	MS-DRG	280	9	—	—	$10,034	$13,854	$23,275
AMI discharged alive w CC	MS-DRG	281	9	—	—	$5,774.34	$7,938.03	$13,336
AMI discharged alive w/o CC/MCC	MS-DRG	282	9	—	—	$4,541.68	$6,245.23	$10,492
Heart failure & shock w MCC	MS-DRG	291	9	—	—	$8,120.13	$11,088	$18,628
Heart failure & shock w/o CC/MCC	MS-DRG	293	9	—	—	$3,551.25	$4,888.39	$8,212.5
Cardiac arrhythmia w MCC	MS-DRG	308	9	—	—	$7,603.41	$10,399	$17,470
Cardiac arrhythmia w CC	MS-DRG	309	9	—	—	$4,709.91	$6,354.05	$10,675
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	9	—	—	$3,497.49	$4,889.26	$8,213.95
GI hemorrhage w CC	MS-DRG	378	9	—	—	$6,222.12	$8,470.05	$14,230
GI hemorrhage w/o CC/MCC	MS-DRG	379	9	—	—	$4,004.72	$5,444.6	$9,146.93
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	9	—	—	$4,968.59	$6,733.2	$11,312
Kidney/UTI w MCC	MS-DRG	689	9	—	—	$7,427.58	$10,021	$16,836
Kidney/UTI w/o MCC	MS-DRG	690	9	—	—	$5,103.3	$6,991.44	$11,746
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	9	—	—	$12,539	$16,777	$28,185
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	9	—	—	$6,513.68	$8,837.98	$14,848
Initial hospital care, low complexity	CPT	99221	6	$162	$97.2	$72.79	$72.79	$120.1
Initial hospital care, moderate complexity	CPT	99222	6	$222	$133.2	$114.33	$114.33	$188.64
Initial hospital care, high complexity	CPT	99223	6	$321	$192.6	$152.94	$152.94	$252.35
Hospital discharge, <30 min	CPT	99238	6	$152	$91.2	$71.59	$72.54	$119.69
Hospital discharge, >30 min	CPT	99239	6	$198	$118.8	$103.34	$103.34	$170.51
lab
Basic metabolic panel (BMP)	CPT	80048	10	$217	$130.2	$5.69	$8.46	$201.81
Comprehensive metabolic panel	CPT	80053	10	$251	$150.6	$7.15	$10.56	$233.43
Lipid panel	CPT	80061	10	$357	$214.2	$9.68	$13.39	$332.01
Renal function panel	CPT	80069	10	$307	$184.2	$5.69	$8.68	$285.51
Hepatic function panel	CPT	80076	10	$274	$164.4	$5.69	$8.17	$254.82
Urinalysis non-automated	CPT	81002	10	$53	$31.8	$2.05	$15.65	$49.29
Urinalysis automated	CPT	81003	10	$45	$27	$1.91	$13.2	$41.85
Glucose quantitative	CPT	82947	10	$185	$111	$3.34	$3.93	$172.05
Hemoglobin A1c	CPT	83036	10	$117	$70.2	$8.25	$9.71	$108.81
Thyroid stimulating hormone (TSH)	CPT	84443	10	$264	$158.4	$14.28	$16.8	$245.52
Complete blood count with automated differential	CPT	85025	10	$119	$71.4	$6.61	$7.77	$110.67
Complete blood count without differential	CPT	85027	10	$96	$57.6	$5.5	$6.47	$89.28
Urine culture bacterial	CPT	87086	10	$181	$108.6	$6.86	$8.07	$168.33
Tissue exam by pathologist level IV	CPT	88305	10	$141	$84.6	$35.25	$61.81	$131.13
maternity
Fetal non-stress test	CPT	59025	10	$394	$236.4	$72.34	$137.9	$366.42
office
Office visit, new patient, 15-29 min	CPT	99202	10	$276	$165.6	$13.59	$49.23	$256.68
Office visit, new patient, 30-44 minutes	CPT	99203	10	$321	$192.6	$19.65	$72.23	$298.53
Office visit, new patient, 45-59 min	CPT	99204	10	$1,159	$695.4	$33.42	$200.73	$1,077.87
Office visit, new patient, 60-74 min	CPT	99205	10	$1,527	$916.2	$42.96	$269.37	$1,420.11
Office visit, established patient, 5 min	CPT	99211	8	$689	$413.4	$10.47	$154	$640.77
Office visit, established patient, 10-19 min	CPT	99212	10	$276	$165.6	$13.59	$37.41	$256.68
Office visit, established patient, 20-29 minutes	CPT	99213	10	$700	$420	$13.59	$86.53	$651
Office visit, established patient, 30-39 minutes	CPT	99214	10	$1,159	$695.4	$20.01	$82.78	$1,077.87
Office visit, established patient, 40-54 min	CPT	99215	10	$1,527	$916.2	$28.27	$241.51	$1,420.11
surgery
Major small/large bowel procedures w MCC	MS-DRG	329	9	—	—	$28,567	$39,699	$66,694
Major small/large bowel procedures w CC	MS-DRG	330	9	—	—	$15,003	$20,704	$34,783
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	9	—	—	$10,575	$14,535	$24,418
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	9	—	—	$10,339	$14,610	$24,545
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	9	—	—	$8,305.44	$11,796	$19,817
Hip & femur procedures except major joint w CC	MS-DRG	481	9	—	—	$13,123	$18,090	$30,391
Coronary angiography with cath	CPT	93455	10	$16,674	$10,004	$2,204.75	$3,061.35	$15,507
Coronary angiography with bypass cath	CPT	93458	10	$24,131	$14,479	$2,204.75	$4,430.45	$22,442

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 10)

Payer	Codes covered	Median rate
Aetna	118	$332.01
caresoure kentucky	118	$482.7
UnitedHealthcare	118	$289.73
WellCare	118	$165.69
optum ccn region 1	117	$122.03
optum ccn region 2	117	$122.03
Molina	111	$486.72
Anthem BCBS	111	$542
Humana	111	$189.8
umr	85	$753.94

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