Middlesboro ARH Hospital
3600 W Cumberland Avenue, Middlesboro, KY · Arh · · NPI 1891792495
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 |
|---|---|---|---|---|
| 17-hydroxypregnenolone CPT 84143 | $292.80 | $488.00 | $19.39 – $22.81 | 9 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | $136.80 | $228.00 | $79.48 – $131.14 | 7 |
| Abd aorta w/runoff s&i CPT 75630 | $2,695.80 | $4,493.00 | $2,157.51 – $2,157.51 | 7 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,275.80 | $3,793.00 | $122.03 – $542.00 | 9 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,906.80 | $3,178.00 | $122.03 – $542.00 | 9 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,546.80 | $2,578.00 | $72.89 – $542.00 | 9 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,518.20 | $4,197.00 | $244.80 – $760.00 | 9 |
| Abdominal MRI (without contrast) CPT 74181 | $2,376.60 | $3,961.00 | $165.69 – $760.00 | 9 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,819.20 | $3,032.00 | $542.00 – $642.67 | 9 |
| Abdominal Ultrasound (complete) CPT 76700 | $857.40 | $1,429.00 | $72.89 – $72.89 | 7 |
| Abdominal Ultrasound (limited) CPT 76705 | $519.00 | $865.00 | $72.89 – $72.89 | 7 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,148.40 | $1,914.00 | $642.67 – $642.67 | 7 |
| Abl1 gene CPT 81170 | $1,213.80 | $2,023.00 | $69.13 – $300.00 | 9 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $49.20 | $82.00 | $0.06 – $0.06 | 2 |
| Acetaminophen 120 mg rectal suppository HCPCS A9270 | $1,417.80 | $2,363.00 | not published | 0 |
| Acetaminophen level CPT 80143 | $34.20 | $57.00 | $18.64 – $18.64 | 9 |
| Acetone qualitative CPT 82009 | $85.20 | $142.00 | $3.84 – $4.52 | 9 |
| Acetylcholine receptor modulating antibody CPT 86043 | $1,070.40 | $1,784.00 | $12.05 – $12.05 | 9 |
| Acute hepatitis panel CPT 80074 | $307.80 | $513.00 | $40.48 – $47.63 | 9 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $37.80 | $63.00 | $0.04 – $0.04 | 2 |
| #acylcarnitineprfl CPT 82017 | $153.60 | $256.00 | $1.73 – $16.87 | 9 |
| Adh-sendout CPT 84588 | $141.60 | $236.00 | $28.85 – $33.94 | 9 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $1.20 | $2.00 | $1.06 – $1.06 | 2 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $143.40 | $239.00 | $48.78 – $48.78 | 7 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $136.20 | $227.00 | $48.78 – $48.78 | 7 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $477.00 | $795.00 | $227.36 – $227.36 | 7 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $223.20 | $372.00 | $227.36 – $227.36 | 7 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $54.00 | $90.00 | $48.78 – $48.78 | 7 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $136.20 | $227.00 | $48.78 – $48.78 | 7 |
| Administration immunization 1 vaccine CPT 90471 | $71.40 | $119.00 | $48.78 – $48.78 | 7 |
| Administration immunization each additional vaccine CPT 90472 | $34.20 | $57.00 | not published | 0 |
| Administration vaccine hepatitis b HCPCS G0010 | $52.20 | $87.00 | $31.63 – $31.63 | 7 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $19,651.20 | $32,752.00 | $230.15 – $271.54 | 9 |
| Albumin body fluid quantitative each specimen CPT 82042 | $5.40 | $9.00 | $4.40 – $7.78 | 9 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $294.00 | $490.00 | $62.59 – $62.59 | 2 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $73.80 | $123.00 | $4.91 – $5.78 | 9 |
| Albumin serum plasma or whole blood CPT 82040 | $85.20 | $142.00 | $4.20 – $4.95 | 9 |
| Alkaline phosphatase CPT 84075 | $75.60 | $126.00 | $4.40 – $5.18 | 9 |
| Allergen alpha lactalbumin ige CPT 86008 | $112.80 | $188.00 | $8.86 – $17.93 | 9 |
| Allergen egg white ige CPT 86003 | $10.20 | $17.00 | $4.43 – $5.22 | 9 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $19.20 | $32.00 | $6.77 – $7.97 | 9 |
| Allergy injections; 2 or more 95117 CPT 95117 | $18.60 | $31.00 | $31.63 – $31.63 | 6 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $635.04 | $1,058.40 | not published | 0 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $1,313.47 | $2,189.12 | $177.28 – $177.28 | 2 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $284.00 | $473.34 | $109.19 – $109.19 | 2 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $380.73 | $634.55 | $285.23 – $285.23 | 2 |
| Alpha-fetoprotein tumor marker CPT 82105 | $158.40 | $264.00 | $14.26 – $16.77 | 9 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $32,310.00 | $53,850.00 | $94.45 – $111.03 | 9 |
| Alt/sgpt CPT 84460 | $115.80 | $193.00 | $4.50 – $5.30 | 9 |
| Amantadine (symmetrel)-sendout CPT 80375 | $129.00 | $215.00 | $0.01 – $0.01 | 1 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $154.80 | $258.00 | $3.08 – $3.08 | 2 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $8.10 | $13.50 | $0.60 – $0.60 | 2 |
| Ammonia CPT 82140 | $186.60 | $311.00 | $12.38 – $14.57 | 9 |
| Amphetamine confirm urine -sendout CPT 80324 | $55.80 | $93.00 | $0.01 – $0.01 | 1 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $49.20 | $82.00 | $0.58 – $0.58 | 2 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $55.20 | $92.00 | $1.76 – $1.76 | 2 |
| Amylase CPT 82150 | $356.40 | $594.00 | $5.51 – $6.48 | 9 |
| Analysis gene f2 20210g>a variant CPT 81240 | $304.80 | $508.00 | $26.02 – $65.69 | 9 |
| Analysis gene f5 leiden variant CPT 81241 | $251.40 | $419.00 | $26.74 – $73.37 | 9 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $853.20 | $1,422.00 | $0.01 – $0.01 | 2 |
| Ankle X-ray CPT 73610 | $502.80 | $838.00 | $60.36 – $60.36 | 7 |
| Anora (draw only) CPT 99001 | $19.20 | $32.00 | $6.00 – $6.00 | 1 |
| Antibody elution rbc reference CPT 86860 | $103.20 | $172.00 | $18.30 – $117.46 | 7 |
| Antibody id rbc panel CPT 86870 | $177.00 | $295.00 | $15.30 – $246.58 | 7 |
| Antibody screen rbc CPT 86850 | $52.20 | $87.00 | $7.20 – $36.62 | 9 |
| Antinuclear antibodies CPT 86038 | $267.60 | $446.00 | $10.27 – $12.09 | 9 |
| Antistreptolysin o titer CPT 86060 | $21.60 | $36.00 | $4.36 – $7.30 | 9 |
| Antithrombin iii activity CPT 85300 | $192.60 | $321.00 | $10.07 – $11.85 | 9 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $610.20 | $1,017.00 | not published | 0 |
| Application finger splntstatic 29130 CPT 29130 | $192.60 | $321.00 | $88.36 – $88.36 | 7 |
| Application long leg splint 29505 CPT 29505 | $192.60 | $321.00 | $108.16 – $108.16 | 7 |
| Application lower leg splint 29515 CPT 29515 | $192.60 | $321.00 | $108.16 – $108.16 | 7 |
| Application multi layer compression below knee (both sides) CPT 29581 | $382.20 | $637.00 | $108.16 – $108.16 | 7 |
| Application of paste boot 29580 CPT 29580 | $196.20 | $327.00 | $108.16 – $108.16 | 7 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $1,358.40 | $2,264.00 | $1,253.88 – $1,253.88 | 7 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $860.40 | $1,434.00 | $1,253.88 – $1,253.88 | 7 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $100.80 | $168.00 | $5.58 – $10.28 | 9 |
| Apply rigid leg cast 29445 CPT 29445 | $454.80 | $758.00 | $87.53 – $182.05 | 9 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $2,695.80 | $4,493.00 | $2,157.51 – $2,157.51 | 7 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $4,248.60 | $7,081.00 | $2,157.51 – $2,157.51 | 7 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $2,695.80 | $4,493.00 | $3,705.43 – $3,705.43 | 7 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $394.80 | $658.00 | $202.34 – $202.34 | 7 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $109.80 | $183.00 | $202.34 – $202.34 | 6 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $318.60 | $531.00 | $38.49 – $202.34 | 9 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $265.80 | $443.00 | $202.34 – $202.34 | 6 |
| Aspirate pleura without imaging 32554 CPT 32554 | $2,589.60 | $4,316.00 | $423.80 – $423.80 | 7 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $933.00 | $1,555.00 | $482.29 – $482.29 | 7 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $504.00 | $840.00 | $482.29 – $482.29 | 7 |
| Assay of interleukin-6 (il-6) CPT 83529 | $637.20 | $1,062.00 | $17.27 – $17.27 | 9 |
| Assay of osteocalcin CPT 83937 | $184.20 | $307.00 | $24.20 – $29.85 | 9 |
| Assay of prostaglandin CPT 84150 | $391.20 | $652.00 | $21.21 – $41.77 | 9 |
| Assay toxin or antitoxin CPT 87230 | $468.60 | $781.00 | $16.78 – $19.74 | 9 |
| Ast/sgot CPT 84450 | $111.00 | $185.00 | $4.40 – $5.18 | 9 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $29,607.60 | $49,346.00 | $91.34 – $107.34 | 9 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $30.60 | $51.00 | $0.08 – $0.08 | 2 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $172.80 | $288.00 | $62.06 – $102.40 | 7 |
| Augment injectable kit 3.0cc HCPCS C1734 | $6,841.28 | $11,402.14 | not published | 0 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | $1,558.20 | $2,597.00 | $98.04 – $840.65 | 9 |
| Avul nail plate addl CPT 11732 | $265.80 | $443.00 | not published | 0 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $260.40 | $434.00 | $136.20 – $136.20 | 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.