Carotene at Harlan ARH Hospital

81 Ball Park Road Harlan, KY 40831, KY · Arh · · NPI 1306842521

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 16, 2026

$57.60

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$96.00

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$7.84 with Anthem vs $86.40 with Aetna PPO — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Anthem Medicaid $7.84 ↓ -86%
Humana Medicaid $9.22 ↓ -84%
United Healthcare Medicare $9.22 ↓ -84%
Anthem Medicare Advantage $9.22 ↓ -84%
Aetna Medicare $9.22 ↓ -84%
Humana Medicare $9.22 ↓ -84%
Optum CCN Region 1 Veterans Affairs Plan $9.22 ↓ -84%
Optum CCN Region 2 Veterans Affairs Plan $9.22 ↓ -84%
WellCare of Kentucky Medicare $9.22 ↓ -84%
Aetna Better Health Medicaid $15.36 ↓ -73%
Passport Molina Medicaid $15.67 ↓ -73%
WellCare of Kentucky Medicaid $24.96 ↓ -57%
CareSoure Kentucky Commercial $57.60 ↑ +0%
United Healthcare HMO Commercial $71.62 ↑ +24%
UMR Commercial $71.62 ↑ +24%
Anthem HMO Commercial $79.74 ↑ +38%
Anthem Traditional/PPO Commercial $83.93 ↑ +46%
Aetna POS Commercial $86.40 ↑ +50%
Aetna PPO Commercial $86.40 ↑ +50%

Visitor-reported prices

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Carotene at other Kentucky hospitals

Hospital City Cash price Negotiated range
CHI Saint Joseph Health - Saint Joseph Berea Berea $62.67 $7.84 – $118.30
Marcum Wallace Hospital Irvine $33.60 not published
Lourdes Hospital Paducah $50.40 not published
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling $60.84 $7.84 – $151.06
CHI Saint Joseph Health - Saint Joseph London London $48.89 $7.84 – $124.67
CHI Saint Joseph Health - Saint Joseph East Lexington $46.20 $7.84 – $104.65
CHI Saint Joseph Health - Saint Joseph Hospital Lexington $57.92 $7.84 – $104.65
CHI Saint Joseph Health - Flaget Memorial Hospital Bardstown $65.34 $7.84 – $140.14

All Kentucky hospitals for this procedure →