Pet CT whole body initial at Middlesboro ARH Hospital
3600 W Cumberland Avenue, Middlesboro, KY · Arh · · NPI 1891792495
$5,751.00
Cash price 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.
?
What you pay up front if you don't use insurance.
$9,585.00
Gross charge 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.
?
The hospital's undiscounted list price — almost no one pays this.
$999.82 with Humana vs $8,626.50 with Aetna PPO — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 ?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 ?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 |
|---|---|---|---|
| Humana | Medicare | $999.82 | ↓ -83% |
| United Healthcare | Medicare | $999.82 | ↓ -83% |
| Anthem | Medicare Advantage | $999.82 | ↓ -83% |
| Aetna | Medicare | $999.82 | ↓ -83% |
| Optum CCN Region 1 | Veterans Affairs Plan | $999.82 | ↓ -83% |
| Optum CCN Region 2 | Veterans Affairs Plan | $999.82 | ↓ -83% |
| WellCare of Kentucky | Medicare | $999.82 | ↓ -83% |
| Humana | Choice Care | $1,759.81 | ↓ -69% |
| Anthem | Medicaid | $1,759.81 | ↓ -69% |
| Passport Molina | Medicaid | $1,759.81 | ↓ -69% |
| Aetna Better Health | Medicaid | $1,759.81 | ↓ -69% |
| WellCare of Kentucky | Medicaid | $2,396.25 | ↓ -58% |
| CareSoure Kentucky | Commercial | $5,751.00 | ↑ +0% |
| United Healthcare PPO | Commercial | $7,140.83 | ↑ +24% |
| UMR | Commercial | $7,140.83 | ↑ +24% |
| United Healthcare HMO | Commercial | $7,140.83 | ↑ +24% |
| Anthem HMO | Commercial | $7,961.30 | ↑ +38% |
| Anthem Traditional/PPO | Commercial | $8,380.17 | ↑ +46% |
| Aetna POS | Commercial | $8,626.50 | ↑ +50% |
| Aetna PPO | Commercial | $8,626.50 | ↑ +50% |
Visitor-reported prices
Comments
Pet CT whole body initial at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Lourdes Hospital | Paducah | $6,111.00 | not published |
| CHI Saint Joseph Health - Saint Joseph London | London | $1,444.47 | $578.06 – $3,683.68 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $1,625.98 | $989.34 – $3,683.68 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $2,965.30 | $1,232.86 – $6,359.99 |
| Baptist Health Corbin | Corbin | $8,087.69 | $3,659.00 – $21,567.18 |
| Baptist Health Lexington | Lexington | $8,087.69 | $1,396.49 – $10,783.59 |
| Baptist Health Hardin | Elizabethtown | $8,087.69 | $614.00 – $21,567.18 |
| Baptist Health La Grange | La Grange | $8,087.69 | $5,612.00 – $21,567.18 |