▸ Hospital · KY · CCN 181331

Mcdowell Arh Hospital

9879 ROUTE 122, MCDOWELL, KY, 41647

25 bedsCritical Access Hospitals2
Compliance grade
A
100/100
Procedures tracked
108
of 209 target codes
Payers
10
with negotiated rates
Rates published
13,900
last crawl 2026-05-23

Procedures & rates

ProcedureTypeCodePayersGrossCashNeg minNeg medianNeg max
behavioral
PsychosesMS-DRG8853$1,055.6$10,059$19,008
Psychiatric diagnostic evaluationCPT9079110$260$156$44.2$44.86$228.8
Psychiatric eval with medical servicesCPT9079210$614$368.4$45.9$104.38$540.32
Psychotherapy 30 minutesCPT9083210$207$124.2$28.9$35.37$182.16
Psychotherapy 45 minutesCPT9083410$225$135$38.25$38.83$198
Psychotherapy 60 minutesCPT9083710$530$318$52.7$90.1$466.4
Crisis psychotherapy 60 minutesCPT9083910$321$192.6$54.57$55.39$282.48
emergency
ED visit level 1CPT9928110$102$61.2$15.64$17.69$89.76
ED visit level 2CPT9928210$239$143.4$40.63$51.79$210.32
ED visit level 3CPT9928310$463$277.8$78.71$100.33$407.44
ED visit level 4CPT9928410$2,909$1,745.4$494.53$514.02$2,559.92
ED visit level 5CPT9928510$4,960$2,976$314.33$843.2$4,364.8
imaging
CT head without contrastCPT7045010$2,401$1,440.6$408.17$412.25$2,112.88
CT head with contrastCPT7046010$2,629$1,577.4$446.93$451.4$2,313.52
CT head with and without contrastCPT7047010$3,734$2,240.4$542$634.78$3,285.92
CT neck with contrastCPT7049110$3,446$2,067.6$542$585.82$3,032.48
MRI brain without contrastCPT7055110$5,342$3,205.2$760$908.14$4,700.96
MRI brain with and without contrastCPT7055310$7,671$4,602.6$760$1,304.07$6,750.48
Chest X-ray single viewCPT7104510$356$213.6$60.52$61.43$313.28
Chest X-ray 2 viewsCPT7104610$419$251.4$71.23$72.3$368.72
CT chest without contrastCPT7125010$2,955$1,773$502.35$507.37$2,600.4
CT chest with contrastCPT7126010$4,038$2,422.8$542$686.46$3,553.44
CT chest with and without contrastCPT7127010$4,833$2,899.8$542$821.61$4,253.04
Lumbosacral spine X-rayCPT7210010$580$348$98.6$100.08$510.4
CT cervical spine without contrastCPT7212510$4,229$2,537.4$542$718.93$3,721.52
CT thoracic spine without contrastCPT7212810$3,745$2,247$542$636.65$3,295.6
CT lumbar spine without contrastCPT7213110$3,481$2,088.6$542$591.77$3,063.28
MRI cervical spine without contrastCPT7214110$5,087$3,052.2$760$864.79$4,476.56
MRI thoracic spine without contrastCPT7214610$5,342$3,205.2$760$908.14$4,700.96
MRI lumbar spine without contrastCPT7214810$5,089$3,053.4$760$865.13$4,478.32
MRI cervical spine with and without contrastCPT7215610$8,108$4,864.8$760$1,378.36$7,135.04
MRI lumbar spine with contrastCPT7215810$6,258$3,754.8$760$1,063.86$5,507.04
CT pelvis without contrastCPT7219210$2,834$1,700.4$481.78$486.6$2,493.92
Shoulder X-rayCPT7303010$824$494.4$70.21$140.08$725.12
Humerus X-rayCPT7306010$490$294$83.3$84.55$431.2
Hand X-ray 3 viewsCPT7313010$1,001$600.6$85.17$170.17$880.88
MRI upper extremity joint without contrastCPT7322110$5,342$3,205.2$760$908.14$4,700.96
MRI upper extremity joint with and without contrastCPT7322310$5,342$3,205.2$760$908.14$4,700.96
Knee X-ray 1-2 viewsCPT7356010$794$476.4$67.49$134.98$698.72
Ankle X-ray 3 viewsCPT7361010$1,058$634.8$89.93$179.86$931.04
MRI lower extremity joint without contrastCPT7372110$10,686$6,411.6$760$1,816.62$9,403.68
CT abdomen without contrastCPT7415010$2,555$1,533$434.35$438.69$2,248.4
CT abdomen with contrastCPT7416010$3,154$1,892.4$536.18$541.54$2,775.52
CT abdomen with and without contrastCPT7417010$3,761$2,256.6$542$639.37$3,309.68
CT abdomen and pelvis without contrastCPT7417610$5,385$3,231$542$915.45$4,738.8
CT abdomen and pelvis with contrastCPT7417710$7,079$4,247.4$542$1,203.43$6,229.52
CT abdomen and pelvis with and without contrastCPT7417810$8,784$5,270.4$542$1,493.28$7,729.92
MRI abdomen without contrastCPT7418110$3,611$2,166.6$613.87$620.01$3,177.68
MRI abdomen with and without contrastCPT7418310$4,445$2,667$755.65$760$3,911.6
Abdominal ultrasound completeCPT7670010$1,546$927.6$262.82$266.77$1,360.48
Abdominal ultrasound limitedCPT7670510$958$574.8$162.86$165.31$843.04
Obstetric ultrasound first trimesterCPT7680110$1,349$809.4$229.33$232.77$1,187.12
Pelvic ultrasound completeCPT7685610$1,531$918.6$260.27$264.18$1,347.28
Scrotal ultrasoundCPT7687010$1,512$907.2$257.04$260.9$1,330.56
Diagnostic mammography unilateralCPT7706510$799$479.4$120$135.83$703.12
Diagnostic mammography bilateralCPT7706610$946$567.6$120$160.82$832.48
Screening mammography bilateralCPT7706710$382$229.2$8.5$64.94$336.16
EKG completeCPT9300010$239$143.4$40.63$41.24$210.32
EKG tracing onlyCPT9300510$397$238.2$18.19$67.49$349.36
EKG interpretation onlyCPT9301010$72$43.2$8.1$12.24$63.36
Transthoracic echocardiogram completeCPT9330610$3,961$2,376.6$673.37$683.47$3,485.68
inpatient
Respiratory infections & inflammations w MCCMS-DRG1773$20,828$21,265$21,924
COPD w MCCMS-DRG1903$14,764$15,074$15,541
COPD w CCMS-DRG1913$11,236$11,472$11,827
COPD w/o CC/MCCMS-DRG1923$8,556.72$8,736.34$9,007.07
Simple pneumonia & pleurisy w CCMS-DRG1943$10,741$10,967$11,307
Simple pneumonia & pleurisy w/o CC/MCCMS-DRG1953$8,376.79$8,552.63$8,817.67
AMI discharged alive w MCCMS-DRG2803$21,380$21,829$22,505
AMI discharged alive w/o CC/MCCMS-DRG2823$9,637.64$9,839.94$10,145
Heart failure & shock w MCCMS-DRG2913$17,111$17,470$18,011
Heart failure & shock w CCMS-DRG2923$11,316$11,553$11,911
Heart failure & shock w/o CC/MCCMS-DRG2933$7,543.77$7,702.13$7,940.82
Cardiac arrhythmia w MCCMS-DRG3083$16,047$16,384$16,892
Cardiac arrhythmia w CCMS-DRG3093$9,805.57$10,011$10,322
Esophagitis/gastroenteritis w/o MCCMS-DRG3923$10,391$10,609$10,938
Kidney/UTI w MCCMS-DRG6893$15,465$15,789$16,279
Kidney/UTI w/o MCCMS-DRG6903$10,789$11,016$11,357
Septicemia or severe sepsis w MV 96+ hrsMS-DRG8713$25,890$26,434$27,253
Septicemia or severe sepsis w/o MV 96+ hrsMS-DRG8723$13,639$13,925$14,357
Initial hospital care, low complexityCPT992215$162$97.2$51.66$72.79$120.1
Initial hospital care, moderate complexityCPT992225$222$133.2$85.6$114.33$188.64
Initial hospital care, high complexityCPT992235$321$192.6$119.25$152.94$252.35
Hospital discharge, <30 minCPT992385$152$91.2$53.44$72.54$119.69
Hospital discharge, >30 minCPT992395$198$118.8$72.89$103.34$170.51
lab
Basic metabolic panel (BMP)CPT8004810$248$148.8$8.46$42.16$218.24
General health panelCPT8005010$457$274.2$77.69$78.86$402.16
Comprehensive metabolic panelCPT8005310$288$172.8$10.56$48.96$253.44
Lipid panelCPT8006110$190$114$13.39$32.3$167.2
Renal function panelCPT8006910$392$235.2$8.68$66.64$344.96
Hepatic function panelCPT8007610$333$199.8$56.61$57.46$293.04
Urinalysis non-automatedCPT8100210$48$28.8$3.57$8.16$42.24
Urinalysis automatedCPT8100310$57$34.2$2.25$9.69$50.16
Glucose quantitativeCPT8294710$113$67.8$3.93$19.21$99.44
Hemoglobin A1cCPT8303610$134$80.4$9.71$24.18$117.92
Thyroid stimulating hormone (TSH)CPT8444310$107$64.2$16.8$18.19$94.16
Complete blood count with automated differentialCPT8502510$137$82.2$7.77$23.29$120.56
Complete blood count without differentialCPT8502710$107$64.2$18.19$18.46$94.16
Urine culture bacterialCPT8708610$235$141$39.95$40.55$206.8
office
Office visit, new patient, 15-29 minCPT9920210$78$46.8$8.33$13.26$68.64
Office visit, new patient, 30-44 minutesCPT9920310$298$178.8$18.19$50.66$262.24
Office visit, new patient, 45-59 minCPT9920410$492$295.2$30.94$83.64$432.96
Office visit, new patient, 60-74 minCPT9920510$656$393.6$39.78$111.52$577.28
Office visit, established patient, 5 minCPT9921110$689$413.4$9.69$83.65$606.32
Office visit, established patient, 10-19 minCPT9921210$216$129.6$8.33$36.59$190.08
Office visit, established patient, 20-29 minutesCPT9921310$227$136.2$12.58$38.59$199.76
Office visit, established patient, 30-39 minutesCPT9921410$335$201$18.53$56.95$294.8
Office visit, established patient, 40-54 minCPT9921510$487$292.2$26.18$82.79$428.56
surgery
Major small/large bowel procedures w CCMS-DRG3303$31,950$32,621$33,632
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)

PayerCodes coveredMedian rate
umr103$456.82
Anthem BCBS103$208.96
UnitedHealthcare103$295.37
optum ccn region 288$72.79
WellCare88$72.89
caresoure kentucky88$258.05
optum ccn region 188$72.79
Aetna88$160.82
Humana83$74.63
Molina83$79.24