▸ 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
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 3 | — | — | $1,055.6 | $10,059 | $19,008 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 10 | $260 | $156 | $44.2 | $44.86 | $228.8 |
| Psychiatric eval with medical services | CPT | 90792 | 10 | $614 | $368.4 | $45.9 | $104.38 | $540.32 |
| Psychotherapy 30 minutes | CPT | 90832 | 10 | $207 | $124.2 | $28.9 | $35.37 | $182.16 |
| Psychotherapy 45 minutes | CPT | 90834 | 10 | $225 | $135 | $38.25 | $38.83 | $198 |
| Psychotherapy 60 minutes | CPT | 90837 | 10 | $530 | $318 | $52.7 | $90.1 | $466.4 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 10 | $321 | $192.6 | $54.57 | $55.39 | $282.48 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 10 | $102 | $61.2 | $15.64 | $17.69 | $89.76 |
| ED visit level 2 | CPT | 99282 | 10 | $239 | $143.4 | $40.63 | $51.79 | $210.32 |
| ED visit level 3 | CPT | 99283 | 10 | $463 | $277.8 | $78.71 | $100.33 | $407.44 |
| ED visit level 4 | CPT | 99284 | 10 | $2,909 | $1,745.4 | $494.53 | $514.02 | $2,559.92 |
| ED visit level 5 | CPT | 99285 | 10 | $4,960 | $2,976 | $314.33 | $843.2 | $4,364.8 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 10 | $2,401 | $1,440.6 | $408.17 | $412.25 | $2,112.88 |
| CT head with contrast | CPT | 70460 | 10 | $2,629 | $1,577.4 | $446.93 | $451.4 | $2,313.52 |
| CT head with and without contrast | CPT | 70470 | 10 | $3,734 | $2,240.4 | $542 | $634.78 | $3,285.92 |
| CT neck with contrast | CPT | 70491 | 10 | $3,446 | $2,067.6 | $542 | $585.82 | $3,032.48 |
| MRI brain without contrast | CPT | 70551 | 10 | $5,342 | $3,205.2 | $760 | $908.14 | $4,700.96 |
| MRI brain with and without contrast | CPT | 70553 | 10 | $7,671 | $4,602.6 | $760 | $1,304.07 | $6,750.48 |
| Chest X-ray single view | CPT | 71045 | 10 | $356 | $213.6 | $60.52 | $61.43 | $313.28 |
| Chest X-ray 2 views | CPT | 71046 | 10 | $419 | $251.4 | $71.23 | $72.3 | $368.72 |
| CT chest without contrast | CPT | 71250 | 10 | $2,955 | $1,773 | $502.35 | $507.37 | $2,600.4 |
| CT chest with contrast | CPT | 71260 | 10 | $4,038 | $2,422.8 | $542 | $686.46 | $3,553.44 |
| CT chest with and without contrast | CPT | 71270 | 10 | $4,833 | $2,899.8 | $542 | $821.61 | $4,253.04 |
| Lumbosacral spine X-ray | CPT | 72100 | 10 | $580 | $348 | $98.6 | $100.08 | $510.4 |
| CT cervical spine without contrast | CPT | 72125 | 10 | $4,229 | $2,537.4 | $542 | $718.93 | $3,721.52 |
| CT thoracic spine without contrast | CPT | 72128 | 10 | $3,745 | $2,247 | $542 | $636.65 | $3,295.6 |
| CT lumbar spine without contrast | CPT | 72131 | 10 | $3,481 | $2,088.6 | $542 | $591.77 | $3,063.28 |
| MRI cervical spine without contrast | CPT | 72141 | 10 | $5,087 | $3,052.2 | $760 | $864.79 | $4,476.56 |
| MRI thoracic spine without contrast | CPT | 72146 | 10 | $5,342 | $3,205.2 | $760 | $908.14 | $4,700.96 |
| MRI lumbar spine without contrast | CPT | 72148 | 10 | $5,089 | $3,053.4 | $760 | $865.13 | $4,478.32 |
| MRI cervical spine with and without contrast | CPT | 72156 | 10 | $8,108 | $4,864.8 | $760 | $1,378.36 | $7,135.04 |
| MRI lumbar spine with contrast | CPT | 72158 | 10 | $6,258 | $3,754.8 | $760 | $1,063.86 | $5,507.04 |
| CT pelvis without contrast | CPT | 72192 | 10 | $2,834 | $1,700.4 | $481.78 | $486.6 | $2,493.92 |
| Shoulder X-ray | CPT | 73030 | 10 | $824 | $494.4 | $70.21 | $140.08 | $725.12 |
| Humerus X-ray | CPT | 73060 | 10 | $490 | $294 | $83.3 | $84.55 | $431.2 |
| Hand X-ray 3 views | CPT | 73130 | 10 | $1,001 | $600.6 | $85.17 | $170.17 | $880.88 |
| MRI upper extremity joint without contrast | CPT | 73221 | 10 | $5,342 | $3,205.2 | $760 | $908.14 | $4,700.96 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 10 | $5,342 | $3,205.2 | $760 | $908.14 | $4,700.96 |
| Knee X-ray 1-2 views | CPT | 73560 | 10 | $794 | $476.4 | $67.49 | $134.98 | $698.72 |
| Ankle X-ray 3 views | CPT | 73610 | 10 | $1,058 | $634.8 | $89.93 | $179.86 | $931.04 |
| MRI lower extremity joint without contrast | CPT | 73721 | 10 | $10,686 | $6,411.6 | $760 | $1,816.62 | $9,403.68 |
| CT abdomen without contrast | CPT | 74150 | 10 | $2,555 | $1,533 | $434.35 | $438.69 | $2,248.4 |
| CT abdomen with contrast | CPT | 74160 | 10 | $3,154 | $1,892.4 | $536.18 | $541.54 | $2,775.52 |
| CT abdomen with and without contrast | CPT | 74170 | 10 | $3,761 | $2,256.6 | $542 | $639.37 | $3,309.68 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 10 | $5,385 | $3,231 | $542 | $915.45 | $4,738.8 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 10 | $7,079 | $4,247.4 | $542 | $1,203.43 | $6,229.52 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 10 | $8,784 | $5,270.4 | $542 | $1,493.28 | $7,729.92 |
| MRI abdomen without contrast | CPT | 74181 | 10 | $3,611 | $2,166.6 | $613.87 | $620.01 | $3,177.68 |
| MRI abdomen with and without contrast | CPT | 74183 | 10 | $4,445 | $2,667 | $755.65 | $760 | $3,911.6 |
| Abdominal ultrasound complete | CPT | 76700 | 10 | $1,546 | $927.6 | $262.82 | $266.77 | $1,360.48 |
| Abdominal ultrasound limited | CPT | 76705 | 10 | $958 | $574.8 | $162.86 | $165.31 | $843.04 |
| Obstetric ultrasound first trimester | CPT | 76801 | 10 | $1,349 | $809.4 | $229.33 | $232.77 | $1,187.12 |
| Pelvic ultrasound complete | CPT | 76856 | 10 | $1,531 | $918.6 | $260.27 | $264.18 | $1,347.28 |
| Scrotal ultrasound | CPT | 76870 | 10 | $1,512 | $907.2 | $257.04 | $260.9 | $1,330.56 |
| Diagnostic mammography unilateral | CPT | 77065 | 10 | $799 | $479.4 | $120 | $135.83 | $703.12 |
| Diagnostic mammography bilateral | CPT | 77066 | 10 | $946 | $567.6 | $120 | $160.82 | $832.48 |
| Screening mammography bilateral | CPT | 77067 | 10 | $382 | $229.2 | $8.5 | $64.94 | $336.16 |
| EKG complete | CPT | 93000 | 10 | $239 | $143.4 | $40.63 | $41.24 | $210.32 |
| EKG tracing only | CPT | 93005 | 10 | $397 | $238.2 | $18.19 | $67.49 | $349.36 |
| EKG interpretation only | CPT | 93010 | 10 | $72 | $43.2 | $8.1 | $12.24 | $63.36 |
| Transthoracic echocardiogram complete | CPT | 93306 | 10 | $3,961 | $2,376.6 | $673.37 | $683.47 | $3,485.68 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 3 | — | — | $20,828 | $21,265 | $21,924 |
| COPD w MCC | MS-DRG | 190 | 3 | — | — | $14,764 | $15,074 | $15,541 |
| COPD w CC | MS-DRG | 191 | 3 | — | — | $11,236 | $11,472 | $11,827 |
| COPD w/o CC/MCC | MS-DRG | 192 | 3 | — | — | $8,556.72 | $8,736.34 | $9,007.07 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 3 | — | — | $10,741 | $10,967 | $11,307 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 3 | — | — | $8,376.79 | $8,552.63 | $8,817.67 |
| AMI discharged alive w MCC | MS-DRG | 280 | 3 | — | — | $21,380 | $21,829 | $22,505 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 3 | — | — | $9,637.64 | $9,839.94 | $10,145 |
| Heart failure & shock w MCC | MS-DRG | 291 | 3 | — | — | $17,111 | $17,470 | $18,011 |
| Heart failure & shock w CC | MS-DRG | 292 | 3 | — | — | $11,316 | $11,553 | $11,911 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 3 | — | — | $7,543.77 | $7,702.13 | $7,940.82 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 3 | — | — | $16,047 | $16,384 | $16,892 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 3 | — | — | $9,805.57 | $10,011 | $10,322 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 3 | — | — | $10,391 | $10,609 | $10,938 |
| Kidney/UTI w MCC | MS-DRG | 689 | 3 | — | — | $15,465 | $15,789 | $16,279 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 3 | — | — | $10,789 | $11,016 | $11,357 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 3 | — | — | $25,890 | $26,434 | $27,253 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 3 | — | — | $13,639 | $13,925 | $14,357 |
| Initial hospital care, low complexity | CPT | 99221 | 5 | $162 | $97.2 | $51.66 | $72.79 | $120.1 |
| Initial hospital care, moderate complexity | CPT | 99222 | 5 | $222 | $133.2 | $85.6 | $114.33 | $188.64 |
| Initial hospital care, high complexity | CPT | 99223 | 5 | $321 | $192.6 | $119.25 | $152.94 | $252.35 |
| Hospital discharge, <30 min | CPT | 99238 | 5 | $152 | $91.2 | $53.44 | $72.54 | $119.69 |
| Hospital discharge, >30 min | CPT | 99239 | 5 | $198 | $118.8 | $72.89 | $103.34 | $170.51 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 10 | $248 | $148.8 | $8.46 | $42.16 | $218.24 |
| General health panel | CPT | 80050 | 10 | $457 | $274.2 | $77.69 | $78.86 | $402.16 |
| Comprehensive metabolic panel | CPT | 80053 | 10 | $288 | $172.8 | $10.56 | $48.96 | $253.44 |
| Lipid panel | CPT | 80061 | 10 | $190 | $114 | $13.39 | $32.3 | $167.2 |
| Renal function panel | CPT | 80069 | 10 | $392 | $235.2 | $8.68 | $66.64 | $344.96 |
| Hepatic function panel | CPT | 80076 | 10 | $333 | $199.8 | $56.61 | $57.46 | $293.04 |
| Urinalysis non-automated | CPT | 81002 | 10 | $48 | $28.8 | $3.57 | $8.16 | $42.24 |
| Urinalysis automated | CPT | 81003 | 10 | $57 | $34.2 | $2.25 | $9.69 | $50.16 |
| Glucose quantitative | CPT | 82947 | 10 | $113 | $67.8 | $3.93 | $19.21 | $99.44 |
| Hemoglobin A1c | CPT | 83036 | 10 | $134 | $80.4 | $9.71 | $24.18 | $117.92 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 10 | $107 | $64.2 | $16.8 | $18.19 | $94.16 |
| Complete blood count with automated differential | CPT | 85025 | 10 | $137 | $82.2 | $7.77 | $23.29 | $120.56 |
| Complete blood count without differential | CPT | 85027 | 10 | $107 | $64.2 | $18.19 | $18.46 | $94.16 |
| Urine culture bacterial | CPT | 87086 | 10 | $235 | $141 | $39.95 | $40.55 | $206.8 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 10 | $78 | $46.8 | $8.33 | $13.26 | $68.64 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 10 | $298 | $178.8 | $18.19 | $50.66 | $262.24 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 10 | $492 | $295.2 | $30.94 | $83.64 | $432.96 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 10 | $656 | $393.6 | $39.78 | $111.52 | $577.28 |
| Office visit, established patient, 5 min | CPT | 99211 | 10 | $689 | $413.4 | $9.69 | $83.65 | $606.32 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 10 | $216 | $129.6 | $8.33 | $36.59 | $190.08 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 10 | $227 | $136.2 | $12.58 | $38.59 | $199.76 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 10 | $335 | $201 | $18.53 | $56.95 | $294.8 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 10 | $487 | $292.2 | $26.18 | $82.79 | $428.56 |
| surgery | ||||||||
| Major small/large bowel procedures w CC | MS-DRG | 330 | 3 | — | — | $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)
| Payer | Codes covered | Median rate |
|---|---|---|
| umr | 103 | $456.82 |
| Anthem BCBS | 103 | $208.96 |
| UnitedHealthcare | 103 | $295.37 |
| optum ccn region 2 | 88 | $72.79 |
| WellCare | 88 | $72.89 |
| caresoure kentucky | 88 | $258.05 |
| optum ccn region 1 | 88 | $72.79 |
| Aetna | 88 | $160.82 |
| Humana | 83 | $74.63 |
| Molina | 83 | $79.24 |