Harlan ARH Hospital
81 Ball Park Road Harlan, KY 40831, KY · Arh · · NPI 1306842521
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $368.40 | $614.00 | $0.53 – $0.53 | 2 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $576.00 | $960.00 | $0.18 – $0.18 | 2 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $116,523.60 | $194,206.00 | $183.48 – $216.29 | 9 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $648.00 | $1,080.00 | $1.65 – $1.65 | 2 |
| Iron CPT 83540 | $133.20 | $222.00 | $5.51 – $6.47 | 7 |
| Iron binding capacity CPT 83550 | $118.80 | $198.00 | $7.43 – $8.74 | 7 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $321.00 | $535.00 | $0.26 – $0.26 | 2 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $86.40 | $144.00 | $54.55 – $54.55 | 7 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $86.40 | $144.00 | $65.36 – $65.36 | 7 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $289.20 | $482.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $55.20 | $92.00 | $42.37 – $42.37 | 7 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $363.00 | $605.00 | $193.50 – $193.50 | 7 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $234.00 | $390.00 | $6.94 – $8.17 | 9 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $18.00 | $30.00 | $0.30 – $0.41 | 9 |
| Kidney imag w/bld flow multi CPT 78709 | $1,695.00 | $2,825.00 | $494.35 – $494.35 | 7 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,539.60 | $2,566.00 | $494.35 – $494.35 | 7 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $538.20 | $897.00 | $97.66 – $97.66 | 7 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $923.90 | $1,539.83 | not published | 0 |
| Knee MRI (with and without contrast) CPT 73723 | $3,763.20 | $6,272.00 | $327.99 – $760.00 | 9 |
| Knee MRI (without contrast) CPT 73721 | $3,517.20 | $5,862.00 | $222.00 – $760.00 | 9 |
| Knee X-ray CPT 73564 | $732.60 | $1,221.00 | $97.66 – $97.66 | 7 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $33.60 | $56.00 | $0.46 – $0.46 | 2 |
| Lactate dehydrogenase (ldh) CPT 83615 | $85.20 | $142.00 | $5.13 – $6.04 | 7 |
| Lactated ringers intravenous solution HCPCS J7120 | $21.00 | $35.00 | $2.90 – $2.90 | 2 |
| Lactic acid CPT 83605 | $48.00 | $80.00 | $9.08 – $11.57 | 9 |
| Lactoferrin fecal qualitative CPT 83630 | $276.00 | $460.00 | $16.68 – $19.70 | 7 |
| Lactoferrin fecal quant CPT 83631 | $82.80 | $138.00 | $16.68 – $19.63 | 7 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $24,168.60 | $40,281.00 | $34.05 – $43.23 | 9 |
| Lead capillary CPT 83655 | $161.40 | $269.00 | $10.29 – $12.11 | 9 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $957.60 | $1,596.00 | $222.00 – $222.00 | 7 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,499.40 | $2,499.00 | not published | 0 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $274.80 | $458.00 | $4.65 – $4.65 | 2 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $32,536.80 | $54,228.00 | $176.45 – $183.28 | 9 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $12,801.00 | $21,335.00 | $1,730.32 – $2,048.46 | 9 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $27.00 | $45.00 | $0.05 – $0.05 | 2 |
| Levetiracetam therapeutic drug level CPT 80177 | $160.20 | $267.00 | $13.25 – $13.25 | 7 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $39.00 | $65.00 | $2.31 – $2.31 | 2 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $814.80 | $1,358.00 | $9.08 – $9.08 | 2 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $14.70 | $24.50 | not published | 0 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $27.30 | $45.50 | $0.00 – $0.00 | 7 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $135.60 | $226.00 | $4.09 – $4.09 | 2 |
| Lipase CPT 83690 | $164.40 | $274.00 | $5.86 – $6.89 | 7 |
| Lipoprotein blood quant CPT 83704 | $85.20 | $142.00 | $26.81 – $34.19 | 7 |
| Lipoprotein direct measurement hdl CPT 83718 | $97.80 | $163.00 | $6.96 – $8.19 | 9 |
| Lipoprotein direct measurement ldl CPT 83721 | $112.80 | $188.00 | $8.11 – $10.50 | 9 |
| Lithium therapeutic drug level CPT 80178 | $115.20 | $192.00 | $5.62 – $6.61 | 9 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $145.80 | $243.00 | $176.19 – $176.19 | 9 |
| Liver Function Test CPT 80076 | $178.80 | $298.00 | $5.69 – $8.17 | 7 |
| Liver/spleen imag static only CPT 78215 | $1,539.60 | $2,566.00 | $369.04 – $369.04 | 7 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,612.20 | $2,687.00 | $369.04 – $369.04 | 7 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $4.20 | $7.00 | $1.55 – $1.55 | 2 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,442.80 | $5,738.00 | $163.49 – $542.00 | 9 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,910.60 | $4,851.00 | $327.99 – $542.00 | 9 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,389.20 | $3,982.00 | $97.66 – $542.00 | 9 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,315.80 | $7,193.00 | $327.99 – $760.00 | 9 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,509.40 | $5,849.00 | $222.00 – $760.00 | 9 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $349.80 | $583.00 | $97.66 – $97.66 | 7 |
| Lung Function Test (Spirometry) CPT 94010 | $198.60 | $331.00 | $143.69 – $143.69 | 7 |
| Lung perfusion imaging CPT 78580 | $801.60 | $1,336.00 | $369.04 – $369.04 | 7 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $36,126.00 | $60,210.00 | $41.98 – $49.49 | 9 |
| Lymphatics/lymph node imaging CPT 78195 | $852.00 | $1,420.00 | $494.35 – $494.35 | 7 |
| Macroscopic exam parasite CPT 87169 | $28.80 | $48.00 | $3.05 – $4.31 | 7 |
| Magnesium CPT 83735 | $473.40 | $789.00 | $5.69 – $6.70 | 7 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $28.20 | $47.00 | $0.59 – $0.59 | 2 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $91.80 | $153.00 | $118.38 – $118.38 | 7 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $105.00 | $175.00 | $118.38 – $118.38 | 7 |
| Marker biop eviva buckle ss HCPCS A4648 | $132.26 | $220.44 | not published | 0 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $82.79 | $137.99 | not published | 0 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $27.60 | $46.00 | $12.29 – $14.46 | 7 |
| Mayo aathr protein s free CPT 85306 | $198.00 | $330.00 | $13.02 – $15.32 | 7 |
| Mayo activated protein c resistance assay CPT 85307 | $238.80 | $398.00 | $13.02 – $15.32 | 7 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $1,053.00 | $1,755.00 | $15.43 – $38.57 | 9 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $161.40 | $269.00 | $12.57 – $14.78 | 7 |
| Mayo alpha 1 antitrypsin CPT 82103 | $330.60 | $551.00 | $11.42 – $13.44 | 7 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $93.60 | $156.00 | $12.81 – $15.08 | 7 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $1,233.60 | $2,056.00 | $66.59 – $121.63 | 7 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $277.20 | $462.00 | $26.30 – $91.66 | 7 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,297.40 | $3,829.00 | $9.64 – $1,160.00 | 7 |
| Mayo androstenedione CPT 82157 | $336.00 | $560.00 | $24.88 – $29.28 | 7 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $250.80 | $418.00 | $12.41 – $14.60 | 7 |
| Mayo antithrombin iii antigen CPT 85301 | $127.20 | $212.00 | $9.19 – $10.81 | 7 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $27.60 | $46.00 | $12.80 – $15.05 | 7 |
| Mayo avwpr vw factor activity CPT 85397 | $516.60 | $861.00 | $19.50 – $30.86 | 7 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $87.60 | $146.00 | $8.65 – $10.18 | 7 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $95.40 | $159.00 | $10.97 – $12.90 | 7 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $160.20 | $267.00 | $11.21 – $13.19 | 7 |
| Mayo c1 esterase inhibitor CPT 83883 | $18.00 | $30.00 | $11.55 – $13.60 | 7 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $37.20 | $62.00 | $1.73 – $16.87 | 7 |
| Mayo ceruloplasmin CPT 82390 | $198.00 | $330.00 | $9.13 – $10.74 | 7 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $266.40 | $444.00 | $12.01 – $14.12 | 7 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $112.80 | $188.00 | $10.95 – $12.88 | 7 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $39.00 | $65.00 | $10.05 – $11.82 | 7 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $1,348.20 | $2,247.00 | $99.01 – $116.49 | 7 |
| Mayo chromium CPT 82495 | $229.80 | $383.00 | $17.24 – $20.28 | 7 |
| Mayo coccidioides antibody CPT 86635 | $79.20 | $132.00 | $9.75 – $11.47 | 7 |
| Mayo cocou cortisone urine CPT 82542 | $891.60 | $1,486.00 | $8.50 – $24.09 | 7 |
| Mayo cortisol free CPT 82530 | $73.80 | $123.00 | $14.20 – $16.71 | 7 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $96.00 | $160.00 | $42.13 – $42.13 | 9 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $27.00 | $45.00 | $11.26 – $13.25 | 7 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $184.20 | $307.00 | $21.47 – $25.27 | 7 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.