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 |
|---|---|---|---|---|
| MRI orbit/face/neck without & w/contrast CPT 70543 | $3,441.00 | $5,735.00 | $244.80 – $760.00 | 9 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,022.20 | $5,037.00 | $244.80 – $760.00 | 9 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,053.80 | $3,423.00 | $165.69 – $760.00 | 9 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,022.20 | $5,037.00 | $244.80 – $760.00 | 9 |
| MRI upper extremity w/dye CPT 73219 | $2,609.40 | $4,349.00 | $244.80 – $760.00 | 9 |
| Mthfr gene analy common variants CPT 81291 | $1,072.80 | $1,788.00 | $26.30 – $65.34 | 9 |
| Mumps antibody igg CPT 86735 | $330.60 | $551.00 | $11.09 – $13.05 | 9 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $3.60 | $6.00 | $0.19 – $0.19 | 2 |
| Mycoplasma antibody igm CPT 86738 | $375.60 | $626.00 | $11.26 – $13.24 | 9 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $195.00 | $325.00 | $9.26 – $11.53 | 9 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $12.60 | $21.00 | $4.15 – $4.15 | 2 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $110.40 | $184.00 | $0.08 – $0.08 | 2 |
| Natriuretic peptide CPT 83880 | $197.40 | $329.00 | $28.85 – $39.26 | 9 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $33.60 | $56.00 | $16.79 – $16.79 | 7 |
| Ndl insj without njx 3+ musc CPT 20561 | $33.60 | $56.00 | $16.79 – $16.79 | 7 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $2,706.60 | $4,511.00 | $122.03 – $542.00 | 9 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,292.00 | $3,820.00 | $244.80 – $542.00 | 9 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,986.60 | $3,311.00 | $72.89 – $542.00 | 9 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $4,588.80 | $7,648.00 | $244.80 – $760.00 | 9 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,851.80 | $4,753.00 | $165.69 – $760.00 | 9 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,623.80 | $4,373.00 | $244.80 – $760.00 | 9 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,475.00 | $4,125.00 | $165.69 – $760.00 | 9 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $340.20 | $567.00 | $0.10 – $0.10 | 2 |
| New Patient Office Visit (level 2) CPT 99202 | $165.60 | $276.00 | $40.23 – $66.38 | 7 |
| New Patient Office Visit (level 3) CPT 99203 | $192.60 | $321.00 | $69.96 – $115.43 | 7 |
| New Patient Office Visit (level 4) CPT 99204 | $695.40 | $1,159.00 | $114.34 – $188.66 | 7 |
| New Patient Office Visit (level 5) CPT 99205 | $916.20 | $1,527.00 | $156.59 – $258.37 | 7 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $103.20 | $172.00 | $0.10 – $0.10 | 2 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $57.60 | $96.00 | $1.68 – $1.68 | 2 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $20,981.40 | $34,969.00 | $32.96 – $38.91 | 9 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,228.80 | $2,048.00 | $275.44 – $275.44 | 7 |
| Nm imaging bone/joint whole body CPT 78306 | $1,330.20 | $2,217.00 | $275.44 – $275.44 | 7 |
| Nm imaging gastric emptying study CPT 78264 | $1,356.60 | $2,261.00 | $275.44 – $275.44 | 7 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $996.00 | $1,660.00 | $275.44 – $275.44 | 7 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,330.20 | $2,217.00 | $368.97 – $368.97 | 7 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,459.20 | $2,432.00 | $368.97 – $368.97 | 7 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,247.40 | $2,079.00 | $368.97 – $368.97 | 7 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $828.00 | $1,380.00 | $275.44 – $275.44 | 7 |
| Nuclear Stress Test (Heart) CPT 78452 | $1,185.60 | $1,976.00 | $894.86 – $894.86 | 7 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | $110.40 | $184.00 | $103.21 – $188.94 | 7 |
| Nushield 1 square cm HCPCS Q4160 | $817.69 | $1,362.81 | $625.00 – $625.00 | 2 |
| Observation direct referral from physician office for admission HCPCS G0379 | $413.40 | $689.00 | $420.26 – $420.26 | 7 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | $139.80 | $233.00 | $86.39 – $142.54 | 7 |
| Observation per hour HCPCS G0378 | $78.00 | $130.00 | not published | 0 |
| Obstetric panel inc HIV tstg CPT 80081 | $430.80 | $718.00 | $61.18 – $74.86 | 9 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $801.00 | $1,335.00 | $0.71 – $0.71 | 2 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $19,353.00 | $32,255.00 | $203.58 – $250.24 | 9 |
| Off/op cnsltj new/est low 30 CPT 99243 | $75.00 | $125.00 | $96.55 – $96.55 | 2 |
| Off/op cnsltj new/est mod 40 CPT 99244 | $90.00 | $150.00 | $153.24 – $153.24 | 2 |
| Off/op consltj new/est sf 20 CPT 99242 | $60.00 | $100.00 | $69.20 – $69.20 | 2 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $121.20 | $202.00 | $1.08 – $1.08 | 2 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $11,300.70 | $18,834.50 | $44.60 – $47.84 | 9 |
| Onco (ovar) two proteins CPT 81500 | $442.20 | $737.00 | $13.28 – $260.50 | 9 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $17.40 | $29.00 | $0.11 – $0.11 | 2 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | $17,931.60 | $29,886.00 | $42.48 – $48.83 | 9 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $53.40 | $89.00 | $11.14 – $11.14 | 2 |
| Osmolality blood CPT 83930 | $150.00 | $250.00 | $5.62 – $6.61 | 9 |
| Osmolality urine CPT 83935 | $100.20 | $167.00 | $5.79 – $6.82 | 9 |
| Ot evaluation high complexity patient/family CPT 97167 | $229.80 | $383.00 | $95.10 – $122.74 | 9 |
| Ot evaluation low complexity patient/family CPT 97165 | $229.80 | $383.00 | $95.10 – $122.74 | 9 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $229.80 | $383.00 | $95.10 – $122.74 | 9 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $126.00 | $210.00 | $46.33 – $89.96 | 9 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $126.00 | $210.00 | $42.84 – $45.50 | 9 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $183.60 | $306.00 | $26.25 – $41.00 | 9 |
| Ot re-evaluation patient/family CPT 97168 | $179.40 | $299.00 | $64.44 – $98.18 | 9 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $148.80 | $248.00 | $32.82 – $36.74 | 9 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $156.60 | $261.00 | $27.51 – $44.00 | 9 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $135.00 | $225.00 | $30.96 – $44.00 | 9 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $143.40 | $239.00 | $30.48 – $41.76 | 9 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $667.20 | $1,112.00 | $0.11 – $0.11 | 2 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $3.60 | $6.00 | $0.63 – $0.63 | 2 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $334.20 | $557.00 | $0.13 – $0.13 | 2 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $5,716.20 | $9,527.00 | $10.54 – $14.30 | 9 |
| Palonosetron hcl HCPCS J2469 | $1,510.80 | $2,518.00 | $0.53 – $0.53 | 2 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $120.60 | $201.00 | $13.16 – $13.16 | 2 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $11.40 | $19.00 | $5.36 – $5.36 | 2 |
| Parathormone (pth) intact CPT 83970 | $406.80 | $678.00 | $35.08 – $41.28 | 9 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $43.20 | $72.00 | $13.53 – $136.20 | 8 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $19,804.20 | $33,007.00 | $68.86 – $89.34 | 9 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $14,410.80 | $24,018.00 | $131.16 – $155.71 | 9 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $13,920.00 | $23,200.00 | $106.33 – $160.43 | 9 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,713.80 | $4,523.00 | $122.03 – $542.00 | 9 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,375.40 | $3,959.00 | $122.03 – $542.00 | 9 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,714.20 | $2,857.00 | $72.89 – $542.00 | 9 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,840.20 | $8,067.00 | $244.80 – $760.00 | 9 |
| Pelvic MRI (without contrast) CPT 72195 | $2,184.60 | $3,641.00 | $165.69 – $760.00 | 9 |
| Pelvic Ultrasound (complete) CPT 76856 | $715.80 | $1,193.00 | $72.89 – $72.89 | 7 |
| Pelvic Ultrasound (limited) CPT 76857 | $574.20 | $957.00 | $72.89 – $72.89 | 7 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $15,735.00 | $26,225.00 | $60.29 – $69.06 | 9 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $1,013.40 | $1,689.00 | $30.01 – $34.55 | 9 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $43.20 | $72.00 | $1.04 – $1.04 | 2 |
| Perq skel fix ulnar styld fx CPT 25651 | $4,515.00 | $7,525.00 | $2,224.08 – $2,224.08 | 7 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $16,712.40 | $27,854.00 | $17.02 – $19.93 | 9 |
| Pet CT skull-mid thgh initial CPT 78815 | $5,751.00 | $9,585.00 | $999.82 – $999.82 | 7 |
| Pet CT whole body initial CPT 78816 | $5,751.00 | $9,585.00 | $999.82 – $999.82 | 7 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $3,393.94 | $5,656.56 | not published | 0 |
| Ph body fluid CPT 83986 | $139.20 | $232.00 | $3.04 – $3.58 | 9 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $70.20 | $117.00 | $32.26 – $32.26 | 2 |
| Phenobarbital therapeutic drug level CPT 80184 | $175.20 | $292.00 | $9.73 – $15.30 | 9 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $80.40 | $134.00 | not published | 0 |
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.