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 |
|---|---|---|---|---|
| CT lwr extremity w/o&w/dye CPT 73702 | $2,115.00 | $3,525.00 | $122.03 – $542.00 | 9 |
| CT neck soft tissue w/contrast CPT 70491 | $1,861.80 | $3,103.00 | $122.03 – $542.00 | 9 |
| CT neck soft tissue without contrast CPT 70490 | $1,473.60 | $2,456.00 | $72.89 – $542.00 | 9 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,115.00 | $3,525.00 | $122.03 – $542.00 | 9 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,014.80 | $3,358.00 | $122.03 – $542.00 | 9 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,773.60 | $2,956.00 | $122.03 – $542.00 | 9 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,473.60 | $2,456.00 | $72.89 – $542.00 | 9 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $4,989.00 | $8,315.00 | $244.80 – $542.00 | 9 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $4,282.80 | $7,138.00 | $244.80 – $542.00 | 9 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,258.00 | $5,430.00 | $165.69 – $542.00 | 9 |
| CT thoracic spine w/contrast CPT 72129 | $2,329.80 | $3,883.00 | $122.03 – $542.00 | 9 |
| CT thoracic spine without contrast CPT 72128 | $2,027.40 | $3,379.00 | $72.89 – $542.00 | 9 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $1,788.00 | $2,980.00 | $72.89 – $542.00 | 9 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,970.40 | $3,284.00 | $244.80 – $542.00 | 9 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,473.60 | $2,456.00 | $72.89 – $542.00 | 9 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,111.40 | $3,519.00 | $122.03 – $542.00 | 9 |
| Culture aerobic additional method definitive id each CPT 87077 | $112.80 | $188.00 | $6.87 – $8.08 | 9 |
| Culture afb any source CPT 87116 | $149.40 | $249.00 | $9.18 – $10.80 | 9 |
| Culture anaerobic except blood CPT 87075 | $164.40 | $274.00 | $8.04 – $9.47 | 9 |
| Culture bact stool aero addl path ea CPT 87046 | $27.00 | $45.00 | $7.91 – $9.44 | 9 |
| Culture body fluid CPT 87070 | $154.80 | $258.00 | $7.32 – $8.62 | 9 |
| Culture fungi skin/hair/nail CPT 87101 | $25.20 | $42.00 | $6.56 – $7.71 | 9 |
| Culture mycoplasma any source CPT 87109 | $27.60 | $46.00 | $13.07 – $15.39 | 9 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $25.80 | $43.00 | $218.06 – $218.06 | 9 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $24.00 | $40.00 | $1.11 – $1.11 | 2 |
| Cyclic citrullinated peptide antibody CPT 86200 | $118.20 | $197.00 | $11.00 – $12.95 | 9 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $2,944.80 | $4,908.00 | $0.48 – $0.74 | 9 |
| Cyclosporine 2 hour CPT 80158 | $172.20 | $287.00 | $15.34 – $18.05 | 9 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $15,521.44 | $25,869.06 | not published | 0 |
| Cystatin c CPT 82610 | $122.40 | $204.00 | $11.55 – $18.52 | 9 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $277.80 | $463.00 | $244.80 – $244.80 | 7 |
| Cystoscopy (Bladder Scope) CPT 52000 | $216.00 | $360.00 | $457.53 – $457.53 | 6 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $79.20 | $132.00 | $12.23 – $14.39 | 9 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $95.40 | $159.00 | $14.32 – $16.85 | 9 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $97.80 | $163.00 | $24.17 – $87.65 | 9 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $39.00 | $65.00 | $21.82 – $26.61 | 9 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $95.40 | $159.00 | $36.62 – $36.62 | 7 |
| Cytopath smear oth prep screen & interp CPT 88161 | $28.80 | $48.00 | $16.79 – $36.81 | 9 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $5,117.40 | $8,529.00 | $15.61 – $18.34 | 9 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $116.40 | $194.00 | $0.04 – $0.04 | 2 |
| Dch glucoscan CPT 82948 | $30.00 | $50.00 | $2.69 – $5.04 | 9 |
| Dch validity tests CPT 81002 | $31.80 | $53.00 | $2.05 – $3.48 | 9 |
| Deamidated gliadin antibody iga CPT 86258 | $11.40 | $19.00 | $12.05 – $12.05 | 9 |
| Debridement (>20 cm) charge pt CPT 97598 | $135.00 | $225.00 | not published | 0 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,486.80 | $2,478.00 | $1,110.62 – $1,110.62 | 7 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $542.40 | $904.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $542.40 | $904.00 | $273.87 – $273.87 | 7 |
| Debride nail1-5 11720 CPT 11720 | $87.00 | $145.00 | $40.72 – $40.72 | 7 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $542.40 | $904.00 | not published | 0 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $542.40 | $904.00 | $419.60 – $419.60 | 7 |
| Decalcification CPT 88311 | $21.60 | $36.00 | $3.71 – $12.57 | 4 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $452.40 | $754.00 | $227.36 – $227.36 | 7 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $1,710.00 | $2,850.00 | $4.45 – $5.14 | 9 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $3,946.80 | $6,578.00 | $29.38 – $34.48 | 9 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $50.40 | $84.00 | $44.92 – $136.20 | 8 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $72.00 | $120.00 | $69.56 – $136.20 | 8 |
| Destruction 2-14 lesions 17003 CPT 17003 | $30.00 | $50.00 | $1.64 – $2.71 | 7 |
| Destruction benign lesions < 14 lesions CPT 17110 | $58.20 | $97.00 | $58.40 – $136.20 | 8 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $188.40 | $314.00 | $79.11 – $273.87 | 8 |
| Device intraute mirena HCPCS J7298 | $3,258.00 | $5,430.00 | $1,124.43 – $1,124.43 | 2 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $4.20 | $7.00 | $0.03 – $0.03 | 2 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $33.00 | $55.00 | $0.14 – $0.14 | 2 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $252.60 | $421.00 | $18.89 – $22.23 | 9 |
| Diabetes (HbA1c) Test CPT 83036 | $70.20 | $117.00 | $8.25 – $9.71 | 9 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $729.60 | $1,216.00 | $98.30 – $120.00 | 9 |
| Diagnostic Mammogram (one breast) CPT 77065 | $364.80 | $608.00 | $76.62 – $120.00 | 9 |
| Dialysis one evaluation CPT 90945 | $1,500.00 | $2,500.00 | $291.89 – $291.89 | 7 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $91.80 | $153.00 | $7.28 – $7.28 | 2 |
| Dicyclomine injection HCPCS J0500 | $268.20 | $447.00 | $13.76 – $13.76 | 2 |
| Diffusing capacity CPT 94729 | $208.20 | $347.00 | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $19.20 | $32.00 | $4.71 – $4.71 | 2 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $12,133.20 | $20,222.00 | $5,168.23 – $5,859.18 | 9 |
| Digoxin total therapeutic drug level CPT 80162 | $163.80 | $273.00 | $11.28 – $13.28 | 9 |
| Dilate urethra stricture CPT 53600 | $142.20 | $237.00 | $166.71 – $166.71 | 6 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $22.20 | $37.00 | $0.04 – $0.04 | 2 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $4.80 | $8.00 | $1.06 – $1.06 | 2 |
| Disaccharidases CPT 82657 | $969.00 | $1,615.00 | $15.34 – $22.17 | 9 |
| Dna antibody native/double stranded CPT 86225 | $271.80 | $453.00 | $10.07 – $13.74 | 9 |
| Dna gardnerella CPT 87510 | $37.20 | $62.00 | $16.76 – $20.05 | 9 |
| Dna trichomonas CPT 87660 | $37.20 | $62.00 | $16.76 – $20.05 | 9 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $42.60 | $71.00 | $9.41 – $9.41 | 2 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1,451.40 | $2,419.00 | $0.45 – $0.45 | 2 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $65.40 | $109.00 | $0.78 – $0.78 | 2 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $205.20 | $342.00 | $107.25 – $107.25 | 7 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $223.80 | $373.00 | $88.36 – $88.36 | 7 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $1,065.60 | $1,776.00 | $3.21 – $3.21 | 2 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $96.60 | $161.00 | $0.14 – $0.14 | 2 |
| Drain blood from under nail 11740 CPT 11740 | $126.00 | $210.00 | $88.36 – $88.36 | 7 |
| Drain finger abscess;simple 26010 CPT 26010 | $278.40 | $464.00 | $136.20 – $136.20 | 7 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $234.00 | $390.00 | $136.20 – $136.20 | 7 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $199.20 | $332.00 | $136.20 – $136.20 | 7 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $426.60 | $711.00 | $273.87 – $273.87 | 7 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,068.80 | $3,448.00 | $1,110.62 – $1,110.62 | 7 |
| Drng of hydrocele 55000 CPT 55000 | $716.40 | $1,194.00 | $482.29 – $482.29 | 7 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $193.15 | $321.91 | not published | 0 |
| Drug screening tapentadol CPT 80372 | $61.20 | $102.00 | $0.01 – $0.01 | 1 |
| Drug test def 15-21 classes HCPCS G0482 | $146.40 | $244.00 | $99.62 – $198.74 | 9 |
| Drug test def 1-7 classes HCPCS G0480 | $471.60 | $786.00 | $47.96 – $114.43 | 9 |
| Drug test def 8-14 classes HCPCS G0481 | $156.60 | $261.00 | $73.79 – $156.59 | 9 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $358.20 | $597.00 | $34.27 – $62.14 | 9 |
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.