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 |
|---|---|---|---|---|
| Remove vaginal foreign body 57415 CPT 57415 | $267.00 | $445.00 | $149.07 – $245.97 | 7 |
| Renal function panel CPT 80069 | $184.20 | $307.00 | $5.69 – $8.68 | 9 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $394.20 | $657.00 | $419.60 – $419.60 | 7 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $607.20 | $1,012.00 | $159.18 – $159.18 | 7 |
| Resuscitation cardiopulmonary CPT 92950 | $720.00 | $1,200.00 | $167.11 – $275.73 | 9 |
| Resuscitation delivery/birthing room CPT 99465 | $702.60 | $1,171.00 | $448.56 – $448.56 | 7 |
| Reticulocyte automated CPT 85045 | $31.80 | $53.00 | $3.40 – $3.99 | 9 |
| Rheumatoid factor qualitative CPT 86430 | $30.60 | $51.00 | $4.82 – $6.14 | 9 |
| Rheumatoid factor quantitative CPT 86431 | $197.40 | $329.00 | $4.82 – $5.67 | 9 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $289.80 | $483.00 | $5.86 – $5.86 | 2 |
| Rho d immune globulin inj HCPCS J2790 | $394.20 | $657.00 | $97.20 – $97.20 | 2 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $15,661.80 | $26,103.00 | $75.22 – $89.54 | 9 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $1,954.80 | $3,258.00 | $1,110.62 – $1,110.62 | 7 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $10,461.60 | $17,436.00 | $11.01 – $12.96 | 9 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $271.80 | $453.00 | $0.08 – $0.08 | 2 |
| Rpm tx mgmt 1st 20 min CPT 99457 | $54.60 | $91.00 | $25.88 – $42.70 | 7 |
| Rpm tx mgmt ea addl 20 min CPT 99458 | $45.00 | $75.00 | $25.88 – $42.70 | 7 |
| Rubella antibody igg CPT 86762 | $103.20 | $172.00 | $12.23 – $14.39 | 9 |
| Rubeola antibody igg CPT 86765 | $103.20 | $172.00 | $10.95 – $12.88 | 9 |
| Russell viper venom diluted CPT 85613 | $260.40 | $434.00 | $8.14 – $9.58 | 9 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $75.60 | $126.00 | $65.49 – $108.06 | 7 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $96.60 | $161.00 | $88.84 – $157.26 | 7 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $53.40 | $89.00 | $35.78 – $59.04 | 7 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $975.60 | $1,626.00 | $165.69 – $165.69 | 7 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $174.60 | $291.00 | $72.89 – $72.89 | 7 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $158.40 | $264.00 | $165.69 – $165.69 | 7 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $163.20 | $272.00 | $72.89 – $72.89 | 7 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $721.20 | $1,202.00 | $72.89 – $72.89 | 7 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $755.40 | $1,259.00 | $165.69 – $165.69 | 7 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $603.60 | $1,006.00 | $72.89 – $72.89 | 7 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $597.60 | $996.00 | $72.89 – $72.89 | 7 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $37.80 | $63.00 | $13.52 – $18.05 | 9 |
| Screening Mammogram CPT 77067 | $372.60 | $621.00 | $81.07 – $120.00 | 9 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $4,459.39 | $7,432.32 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $4.20 | $7.00 | $2.30 – $2.70 | 9 |
| Semen analysis w/count CPT 89310 | $95.40 | $159.00 | $7.32 – $8.61 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $67.80 | $113.00 | $35.49 – $136.20 | 8 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $94.20 | $157.00 | $49.44 – $136.20 | 8 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $94.80 | $158.00 | $58.86 – $273.87 | 8 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $132.60 | $221.00 | $75.19 – $273.87 | 8 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $55.20 | $92.00 | $32.21 – $136.20 | 8 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $70.80 | $118.00 | $39.98 – $136.20 | 8 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $103.20 | $172.00 | $50.41 – $136.20 | 8 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $118.80 | $198.00 | $58.82 – $273.87 | 8 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $51.00 | $85.00 | $27.02 – $273.87 | 8 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $65.40 | $109.00 | $40.65 – $136.20 | 8 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $108.00 | $180.00 | $47.15 – $136.20 | 8 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,022.20 | $5,037.00 | $244.80 – $760.00 | 9 |
| Shoulder MRI (with contrast) CPT 73222 | $3,022.20 | $5,037.00 | $541.56 – $760.00 | 9 |
| Shoulder MRI (without contrast) CPT 73221 | $2,851.80 | $4,753.00 | $165.69 – $760.00 | 9 |
| Shoulder X-ray CPT 73030 | $461.40 | $769.00 | $60.36 – $60.36 | 7 |
| Sickling rbc CPT 85660 | $78.00 | $130.00 | $4.69 – $5.51 | 9 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $545.40 | $909.00 | $160.35 – $160.35 | 2 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,115.00 | $3,525.00 | $122.03 – $542.00 | 9 |
| Sinus CT scan (with contrast) CPT 70487 | $1,861.80 | $3,103.00 | $122.03 – $542.00 | 9 |
| Sinus CT scan (without contrast) CPT 70486 | $1,473.60 | $2,456.00 | $72.89 – $542.00 | 9 |
| Skin Biopsy CPT 11102 | $204.00 | $340.00 | $136.20 – $136.20 | 7 |
| Sleep study attended CPT 95807 | $2,586.60 | $4,311.00 | $363.71 – $363.71 | 7 |
| Sleep Study (Polysomnography) CPT 95810 | $3,183.60 | $5,306.00 | $697.39 – $697.39 | 7 |
| Sling suprapubic suburetheral HCPCS C1771 | $3,590.89 | $5,984.81 | not published | 0 |
| Slp stdy unatnd w/anal CPT 95801 | $494.40 | $824.00 | $40.72 – $40.72 | 7 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $177.00 | $295.00 | $4.57 – $5.39 | 9 |
| Smear gram stain CPT 87205 | $12.00 | $20.00 | $3.63 – $4.27 | 9 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $112.80 | $188.00 | $5.09 – $5.99 | 9 |
| Sodium 24 hour urine CPT 84300 | $92.40 | $154.00 | $4.13 – $5.06 | 9 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $18.60 | $31.00 | $1.63 – $1.63 | 2 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $117.60 | $196.00 | $2.58 – $2.58 | 2 |
| Sodium serum/plasma/whole blood CPT 84295 | $78.00 | $130.00 | $4.09 – $4.81 | 9 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $529.80 | $883.00 | $213.45 – $213.45 | 7 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $340.51 | $567.51 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $324.60 | $541.00 | $106.63 – $106.63 | 7 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $324.60 | $541.00 | $215.57 – $215.57 | 7 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $553.80 | $923.00 | $86.26 – $86.26 | 7 |
| St evaluation swallow function CPT 92610 | $424.20 | $707.00 | $80.25 – $80.25 | 7 |
| Strep b dna amp probe CPT 87653 | $63.00 | $105.00 | $29.83 – $35.09 | 9 |
| Stress test pulmonary CPT 94618 | $424.80 | $708.00 | $88.36 – $88.36 | 7 |
| St treatment speech individual CPT 92507 | $199.20 | $332.00 | $72.53 – $72.53 | 7 |
| St treatment swallow dysfunction/oral CPT 92526 | $165.60 | $276.00 | $79.80 – $79.80 | 7 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $64.80 | $108.00 | $1.60 – $1.60 | 2 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $247.20 | $412.00 | $61.19 – $61.19 | 2 |
| Surgical pathology level 1 gross examination only CPT 88300 | $186.60 | $311.00 | $12.35 – $16.79 | 9 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $331.80 | $553.00 | $25.77 – $34.49 | 9 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $107.40 | $179.00 | $26.66 – $43.71 | 9 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $84.60 | $141.00 | $36.44 – $61.81 | 9 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $980.40 | $1,634.00 | $81.27 – $246.58 | 9 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $3,936.60 | $6,561.00 | $113.06 – $559.96 | 9 |
| Susceptibility agar dilution per agent CPT 87181 | $58.80 | $98.00 | $0.76 – $4.75 | 9 |
| Susceptibility mic per plate CPT 87186 | $185.40 | $309.00 | $7.35 – $8.65 | 9 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $33.60 | $56.00 | $3.74 – $4.40 | 9 |
| T3 (triiodothyronine) free CPT 84481 | $307.80 | $513.00 | $14.40 – $16.94 | 9 |
| T3 (triiodothyronine) total CPT 84480 | $175.20 | $292.00 | $12.05 – $14.18 | 9 |
| T4 (thyroxine) free CPT 84439 | $163.80 | $273.00 | $7.66 – $9.02 | 9 |
| T4 (thyroxine) total CPT 84436 | $189.00 | $315.00 | $5.84 – $6.87 | 9 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $9.60 | $16.00 | $0.19 – $0.19 | 2 |
| Tacrolimus therapeutic drug level CPT 80197 | $111.60 | $186.00 | $11.67 – $13.73 | 9 |
| Talymed HCPCS Q4127 | $318.50 | $530.83 | not published | 0 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $132.60 | $221.00 | $52.67 – $61.98 | 9 |
| Tc-99m depreotide HCPCS A9536 | $2,739.60 | $4,566.00 | not published | 0 |
| Tc-99m labeled rbc HCPCS A9560 | $22.80 | $38.00 | $117.93 – $117.93 | 2 |
| Tc-99m maa HCPCS A9540 | $118.80 | $198.00 | $35.38 – $35.38 | 2 |
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.