Fosaprepitant 150 mg intravenous powder for solution at Middlesboro ARH Hospital

3600 W Cumberland Avenue, Middlesboro, KY · Arh · · NPI 1891792495

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

$96.60

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.

$161.00

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.

$0.14 with Anthem Traditional/PPO vs $144.90 with Aetna POS — 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 Traditional/PPO Commercial $0.14 ↓ -100%
Anthem HMO Commercial $0.14 ↓ -100%
Humana Choice Care $29.56 ↓ -69%
Aetna Better Health Medicaid $29.56 ↓ -69%
Passport Molina Medicaid $29.56 ↓ -69%
Anthem Medicaid $29.56 ↓ -69%
WellCare of Kentucky Medicaid $40.25 ↓ -58%
CareSoure Kentucky Commercial $96.60 ↑ +0%
United Healthcare HMO Commercial $119.95 ↑ +24%
UMR Commercial $119.95 ↑ +24%
United Healthcare PPO Commercial $119.95 ↑ +24%
Aetna PPO Commercial $144.90 ↑ +50%
Aetna POS Commercial $144.90 ↑ +50%
Optum CCN Region 2 Veterans Affairs Plan not published by hospital
United Healthcare Medicare not published by hospital
Anthem Medicare Advantage not published by hospital
Aetna Medicare not published by hospital
Optum CCN Region 1 Veterans Affairs Plan not published by hospital
Humana Medicare not published by hospital
WellCare of Kentucky Medicare not published by hospital

Visitor-reported prices

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Fosaprepitant 150 mg intravenous powder for solution at other Kentucky hospitals

Hospital City Cash price Negotiated range
CHI Saint Joseph Health - Saint Joseph Berea Berea $101.55 $0.19 – $106.54
Lourdes Hospital Paducah $241.62 not published
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling $77.21 $0.14 – $106.54
CHI Saint Joseph Health - Saint Joseph London London $75.18 $0.14 – $106.54
CHI Saint Joseph Health - Saint Joseph East Lexington $84.62 $0.14 – $106.54
CHI Saint Joseph Health - Saint Joseph Hospital Lexington $106.10 $0.14 – $106.54
CHI Saint Joseph Health - Flaget Memorial Hospital Bardstown $89.38 $0.14 – $106.54
GREENVIEW REGIONAL HOSPITAL BOWLING GREEN $1,738.52 $0.12 – $0.18

All Kentucky hospitals for this procedure →