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 |
|---|---|---|---|---|
| Tc-99m mebrofenin HCPCS A9537 | $127.20 | $212.00 | $66.63 – $66.63 | 2 |
| Tc-99m medronate HCPCS A9503 | $118.80 | $198.00 | $15.33 – $15.33 | 2 |
| Tc-99m mertiatide HCPCS A9562 | $460.80 | $768.00 | not published | 0 |
| Tc-99m pentetate dtpa HCPCS A9539 | $118.80 | $198.00 | $0.01 – $0.01 | 2 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $3.00 | $5.00 | $1.99 – $1.99 | 2 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $369.00 | $615.00 | not published | 0 |
| Tc-99m sulfur colloid HCPCS A9541 | $135.00 | $225.00 | $315.30 – $315.30 | 2 |
| Tc-99m tilmanocept diag HCPCS A9520 | $860.40 | $1,434.00 | $780.15 – $780.15 | 2 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $235.80 | $393.00 | $39.93 – $46.98 | 9 |
| T cells total count CPT 86359 | $120.00 | $200.00 | $32.06 – $37.73 | 9 |
| Telehealth original site facility fee HCPCS Q3014 | $30.60 | $51.00 | not published | 0 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $21,126.00 | $35,210.00 | $172.22 – $202.76 | 9 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $16.20 | $27.00 | $3.24 – $3.24 | 2 |
| Test stress cardiovascular tracing only CPT 93017 | $484.20 | $807.00 | $213.45 – $213.45 | 7 |
| Theophylline therapeutic drug level CPT 80198 | $120.60 | $201.00 | $12.02 – $14.14 | 9 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $17.40 | $29.00 | $2.11 – $2.11 | 2 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,608.00 | $2,680.00 | $423.80 – $423.80 | 7 |
| Thrombin time CPT 85670 | $76.80 | $128.00 | $4.91 – $5.77 | 9 |
| Thromboplastin inhibition CPT 85705 | $46.80 | $78.00 | $8.18 – $9.63 | 9 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $180.00 | $300.00 | $5.50 – $6.47 | 9 |
| Thyroglobulin antibody CPT 86800 | $477.60 | $796.00 | $13.52 – $15.91 | 9 |
| Thyroid imaging CPT 78013 | $663.00 | $1,105.00 | $275.44 – $275.44 | 7 |
| Thyroid (TSH) Test CPT 84443 | $158.40 | $264.00 | $14.28 – $16.80 | 9 |
| Thyroid Ultrasound CPT 76536 | $643.20 | $1,072.00 | $72.89 – $72.89 | 7 |
| Thyroid uptake measurement CPT 78012 | $297.00 | $495.00 | $275.44 – $275.44 | 7 |
| Thyroxine binding globulin (tbg) CPT 84442 | $186.60 | $311.00 | $12.57 – $14.78 | 9 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $152.63 | $254.38 | not published | 0 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | $830.41 | $1,384.01 | not published | 0 |
| Tobramycin peak therapeutic drug level CPT 80200 | $169.20 | $282.00 | $13.70 – $16.13 | 9 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $42.00 | $70.00 | $11.28 – $120.00 | 9 |
| Tomosynthesis breast screen bilateral CPT 77063 | $42.00 | $70.00 | $20.79 – $120.00 | 9 |
| Toxoplasma antibody igg CPT 86777 | $185.40 | $309.00 | $12.23 – $14.39 | 9 |
| Toxoplasma antibody igm CPT 86778 | $435.60 | $726.00 | $12.24 – $14.41 | 9 |
| Tpmt gene com vrnts CPT 81335 | $619.20 | $1,032.00 | $69.92 – $174.81 | 9 |
| Transferrin CPT 84466 | $102.60 | $171.00 | $10.85 – $12.76 | 9 |
| Transfusion blood/blood component(s) CPT 36430 | $546.60 | $911.00 | $299.67 – $299.67 | 7 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $5,196.60 | $8,661.00 | $75.03 – $89.84 | 9 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $1,602.60 | $2,671.00 | $906.99 – $906.99 | 7 |
| Treat fracture of radius CPT 25505 | $935.40 | $1,559.00 | $1,097.03 – $1,097.03 | 7 |
| Treat hip dislocation CPT 27257 | $2,643.60 | $4,406.00 | $1,097.03 – $1,097.03 | 7 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $247.20 | $412.00 | $139.42 – $139.42 | 7 |
| Treatment of ankle fracture 27786 CPT 27786 | $240.60 | $401.00 | $164.43 – $164.43 | 6 |
| Treatment of toe fracture 28510 CPT 28510 | $108.00 | $180.00 | $164.43 – $164.43 | 6 |
| Treat metatarsal fracture CPT 28476 | $4,515.00 | $7,525.00 | $2,224.08 – $2,224.08 | 7 |
| Treponema pallidum antibody CPT 86780 | $168.00 | $280.00 | $5.42 – $13.24 | 9 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $239.40 | $399.00 | $1.01 – $1.01 | 2 |
| Triglycerides CPT 84478 | $82.80 | $138.00 | $4.89 – $5.74 | 9 |
| Troponin quantitative CPT 84484 | $149.40 | $249.00 | $8.36 – $12.47 | 9 |
| Tx closed hip disl traumatic without anes CPT 27250 | $267.60 | $446.00 | $164.43 – $164.43 | 7 |
| Ua w/micro/comp poc CPT 81000 | $58.20 | $97.00 | $2.69 – $4.02 | 9 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $404.40 | $674.00 | $72.89 – $72.89 | 7 |
| Ultrasound breast complete CPT 76641 | $718.20 | $1,197.00 | $72.89 – $72.89 | 7 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $361.20 | $602.00 | $60.36 – $60.36 | 7 |
| Ultrasound chest CPT 76604 | $857.40 | $1,429.00 | $72.89 – $72.89 | 7 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $939.00 | $1,565.00 | $72.89 – $72.89 | 7 |
| Ultrasound guidance for vascular access CPT 76937 | $97.80 | $163.00 | not published | 0 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $904.20 | $1,507.00 | not published | 0 |
| Ultrasound hips infant dynamic CPT 76885 | $331.80 | $553.00 | $60.36 – $60.36 | 7 |
| Ultrasound joint complete left CPT 76881 | $461.40 | $769.00 | $72.89 – $72.89 | 7 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $299.40 | $499.00 | $72.89 – $72.89 | 7 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $279.60 | $466.00 | not published | 0 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $279.60 | $466.00 | not published | 0 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $1,193.40 | $1,989.00 | $165.69 – $165.69 | 7 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $643.20 | $1,072.00 | $72.89 – $72.89 | 7 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $808.20 | $1,347.00 | $72.89 – $72.89 | 7 |
| Ultrasound retroperitoneal limited CPT 76775 | $808.20 | $1,347.00 | $72.89 – $72.89 | 7 |
| Ultrasound scrotum and contents CPT 76870 | $808.20 | $1,347.00 | $72.89 – $72.89 | 7 |
| Ultrasound transabd ea addl gest CPT 76812 | $808.20 | $1,347.00 | not published | 0 |
| Ultrasound transvaginal non obstetric CPT 76830 | $808.20 | $1,347.00 | $72.89 – $72.89 | 7 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,500.00 | $2,500.00 | $479.64 – $479.64 | 7 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,588.80 | $7,648.00 | $244.80 – $760.00 | 9 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,851.80 | $4,753.00 | $165.69 – $760.00 | 9 |
| Urea nitrogen CPT 84520 | $64.20 | $107.00 | $3.35 – $3.95 | 9 |
| Urethrocystography void s&i CPT 74455 | $334.80 | $558.00 | $165.69 – $165.69 | 7 |
| Uric acid blood CPT 84550 | $60.00 | $100.00 | $3.84 – $4.52 | 9 |
| Uric acid urine CPT 84560 | $64.20 | $107.00 | $4.04 – $5.08 | 9 |
| Urinalysis microscopic only CPT 81015 | $52.20 | $87.00 | $2.59 – $3.05 | 9 |
| Urinalysis (with microscopy) CPT 81001 | $57.60 | $96.00 | $2.69 – $3.17 | 9 |
| Urinalysis (without microscopy) CPT 81003 | $27.00 | $45.00 | $1.91 – $2.25 | 9 |
| Urine Culture Test CPT 87086 | $108.60 | $181.00 | $6.86 – $8.07 | 9 |
| Urine pregnancy test CPT 81025 | $122.40 | $204.00 | $1.02 – $8.61 | 9 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $7,440.00 | $12,400.00 | $12.99 – $15.68 | 9 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $103,222.80 | $172,038.00 | $149.40 – $183.83 | 9 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $589.50 | $982.50 | $164.49 – $164.49 | 2 |
| Vaccine dtap < 7 years im CPT 90700 | $109.80 | $183.00 | $35.59 – $35.59 | 2 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $189.00 | $315.00 | $82.76 – $82.76 | 2 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $102.00 | $170.00 | $33.58 – $33.58 | 2 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $61.80 | $103.00 | $26.25 – $26.25 | 2 |
| Vaccine mmr live subcutaneous CPT 90707 | $243.60 | $406.00 | $114.51 – $114.51 | 2 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $991.20 | $1,652.00 | $330.30 – $330.30 | 2 |
| Vaccine rabies im CPT 90675 | $1,326.00 | $2,210.00 | $313.68 – $497.86 | 9 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,990.20 | $3,317.00 | $583.73 – $583.73 | 2 |
| Vaccine tdap >=7 years im CPT 90715 | $173.40 | $289.00 | $58.64 – $58.64 | 2 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $147.00 | $245.00 | $48.49 – $48.49 | 2 |
| Valproic acid total therapeutic drug level CPT 80164 | $27.60 | $46.00 | $11.51 – $13.54 | 9 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $94.20 | $157.00 | $0.04 – $0.04 | 2 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $93.60 | $156.00 | $0.14 – $0.14 | 2 |
| Vancomycin peak therapeutic drug level CPT 80202 | $168.00 | $280.00 | $11.51 – $13.54 | 9 |
| Varicella zoster antibody igg CPT 86787 | $287.40 | $479.00 | $10.95 – $12.88 | 9 |
| Vasectomy CPT 55250 | $1,316.88 | $2,194.80 | $1,404.19 – $1,404.19 | 6 |
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.