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 |
|---|---|---|---|---|
| Gamunex-c/gammaked HCPCS J1561 | $8,343.60 | $13,906.00 | $48.96 – $56.64 | 9 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $346.80 | $578.00 | $3.49 – $3.49 | 2 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $4.20 | $7.00 | $3.09 – $3.09 | 2 |
| Gentamicin peak therapeutic drug level CPT 80170 | $175.20 | $292.00 | $13.93 – $16.38 | 9 |
| Ghs bladder cath - complex-foley CPT 51703 | $304.20 | $507.00 | $107.25 – $107.25 | 7 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $112.80 | $188.00 | $474.70 – $474.70 | 6 |
| Ghs change cysto/gastrost CPT 43762 | $378.00 | $630.00 | $166.71 – $166.71 | 7 |
| Ghs chemo >8 hrs CPT 96416 | $443.40 | $739.00 | $227.36 – $227.36 | 7 |
| Ghs chemo IV push, ea addtl CPT 96411 | $327.00 | $545.00 | $48.78 – $48.78 | 7 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $267.60 | $446.00 | $164.43 – $164.43 | 7 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $957.60 | $1,596.00 | $1,097.03 – $1,097.03 | 7 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $3,543.60 | $5,906.00 | $1,097.03 – $1,097.03 | 7 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $3,543.60 | $5,906.00 | $1,097.03 – $1,097.03 | 7 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $3,543.60 | $5,906.00 | $1,097.03 – $1,097.03 | 7 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $267.60 | $446.00 | $164.43 – $164.43 | 7 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $255.00 | $425.00 | $273.53 – $273.53 | 7 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $255.00 | $425.00 | $88.36 – $88.36 | 7 |
| Ghs dislocation elbow closed treatment CPT 24600 | $267.60 | $446.00 | $164.43 – $164.43 | 7 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $45.60 | $76.00 | $182.05 – $182.05 | 6 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $109.20 | $182.00 | $56.28 – $273.87 | 8 |
| Ghs fish cytogen CPT 88271 | $101.40 | $169.00 | $12.30 – $21.42 | 9 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $222.60 | $371.00 | $34.13 – $51.19 | 9 |
| Ghs gastric intub aspiration lavage CPT 43753 | $405.00 | $675.00 | $213.45 – $213.45 | 7 |
| Ghs histoplasma antigen CPT 87385 | $109.80 | $183.00 | $9.73 – $13.25 | 9 |
| Ghs inhibitor screen CPT 85335 | $332.40 | $554.00 | $10.94 – $12.87 | 9 |
| Ghs init tx 1st degree burn CPT 16000 | $171.00 | $285.00 | $136.20 – $136.20 | 7 |
| Ghs inj tendon origin/insertion CPT 20551 | $49.80 | $83.00 | $202.34 – $202.34 | 6 |
| Ghs insertion of needle - bone CPT 36680 | $397.80 | $663.00 | $273.53 – $273.53 | 7 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $398.40 | $664.00 | $227.36 – $227.36 | 7 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $267.60 | $446.00 | $273.87 – $273.87 | 7 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $267.60 | $446.00 | $273.87 – $273.87 | 7 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $267.60 | $446.00 | $273.87 – $273.87 | 7 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $267.60 | $446.00 | $273.87 – $273.87 | 7 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $328.80 | $548.00 | $273.87 – $273.87 | 7 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $287.40 | $479.00 | $419.60 – $419.60 | 7 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $294.00 | $490.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $294.00 | $490.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $148.20 | $247.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $148.20 | $247.00 | not published | 0 |
| Ghs ot prosthetic training/15 min CPT 97761 | $126.00 | $210.00 | $37.79 – $41.76 | 9 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $126.00 | $210.00 | $38.72 – $55.83 | 9 |
| Ghs plngl fx pm cl CPT 26725 | $267.60 | $446.00 | $164.43 – $164.43 | 7 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $2,277.00 | $3,795.00 | $697.39 – $697.39 | 7 |
| Ghs quinidine CPT 80194 | $102.00 | $170.00 | $12.41 – $14.60 | 9 |
| Ghs removal intranasal foreign body CPT 30300 | $315.60 | $526.00 | $88.36 – $88.36 | 7 |
| Ghs sensitivity (per antimicro) CPT 87184 | $112.80 | $188.00 | $5.87 – $7.48 | 9 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $287.40 | $479.00 | $273.87 – $273.87 | 7 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $287.40 | $479.00 | $136.20 – $136.20 | 7 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $287.40 | $479.00 | $136.20 – $136.20 | 7 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $287.40 | $479.00 | $136.20 – $136.20 | 7 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $82.80 | $138.00 | $31.63 – $31.63 | 7 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $738.60 | $1,231.00 | $419.60 – $419.60 | 7 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,347.60 | $2,246.00 | $1,015.37 – $1,015.37 | 7 |
| Ghs urine, porphyrins quant CPT 84120 | $63.00 | $105.00 | $12.50 – $14.71 | 9 |
| Gi inhouse confirmation CPT 87045 | $27.00 | $45.00 | $7.91 – $9.44 | 9 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $1,080.00 | $1,800.00 | $182.45 – $230.89 | 9 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $690.60 | $1,151.00 | $148.99 – $170.85 | 9 |
| Glucagon plasma - sendout CPT 82943 | $277.20 | $462.00 | $4.94 – $14.29 | 9 |
| Glucose 1 hr post dose CPT 82950 | $108.60 | $181.00 | $4.04 – $4.75 | 9 |
| Glucose blood quantitative CPT 82947 | $111.00 | $185.00 | $3.34 – $3.93 | 9 |
| Glucose body fluid CPT 82945 | $127.80 | $213.00 | $3.34 – $3.93 | 9 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $163.80 | $273.00 | $10.94 – $12.87 | 9 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $103.20 | $172.00 | $3.33 – $3.92 | 9 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $10.20 | $17.00 | $0.46 – $0.51 | 9 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $247.80 | $413.00 | $15.79 – $18.58 | 9 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $247.80 | $413.00 | $15.74 – $18.52 | 9 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $5,087.40 | $8,479.00 | $35.74 – $35.74 | 2 |
| Graft axiofill 1000mg HCPCS J3590 | $133.20 | $222.00 | $0.01 – $0.01 | 2 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $70.67 | $117.78 | $36.69 – $36.69 | 2 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $94.08 | $156.80 | $77.13 – $77.13 | 2 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $22,192.80 | $36,988.00 | $116.20 – $116.20 | 2 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $10,595.70 | $17,659.50 | $160.59 – $160.59 | 2 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $526.26 | $877.10 | $57.61 – $57.61 | 2 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $517.44 | $862.40 | $105.16 – $105.16 | 2 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $4,018.57 | $6,697.61 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $353.77 | $589.62 | not published | 0 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $924.25 | $1,540.41 | not published | 0 |
| Gw stiffened micro access kit HCPCS C1894 | $19.40 | $32.34 | not published | 0 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $172.20 | $287.00 | $5.53 – $5.53 | 2 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $4.80 | $8.00 | $0.99 – $0.99 | 2 |
| Hand X-ray CPT 73130 | $462.60 | $771.00 | $60.36 – $60.36 | 7 |
| Haptoglobin quantitative CPT 83010 | $136.20 | $227.00 | $10.69 – $12.58 | 9 |
| Hbot, full body chamber, 30m HCPCS G0277 | $892.20 | $1,487.00 | $94.53 – $94.53 | 7 |
| Hcg qualitative CPT 84703 | $102.00 | $170.00 | $6.38 – $7.52 | 9 |
| Hcg quantitative CPT 84702 | $163.80 | $273.00 | $12.80 – $15.05 | 9 |
| Hc nm kidney imaging with flow CPT 78701 | $898.80 | $1,498.00 | $275.44 – $275.44 | 7 |
| Head CT scan (with and without contrast) CPT 70470 | $2,260.20 | $3,767.00 | $122.03 – $542.00 | 9 |
| Head CT scan (with contrast) CPT 70460 | $1,590.60 | $2,651.00 | $122.03 – $542.00 | 9 |
| Head CT scan (without contrast) CPT 70450 | $1,453.20 | $2,422.00 | $72.89 – $542.00 | 9 |
| Hematocrit CPT 85014 | $55.20 | $92.00 | $1.81 – $2.37 | 9 |
| Hemodialysis one evaluation CPT 90935 | $1,500.00 | $2,500.00 | $479.64 – $479.64 | 7 |
| Hemoglobin CPT 85018 | $54.60 | $91.00 | $1.81 – $2.37 | 9 |
| Hemophilus influenza antibdy CPT 86684 | $100.20 | $167.00 | $13.46 – $15.84 | 9 |
| Heparin bolus from bag HCPCS J1644 | $33.00 | $55.00 | $0.26 – $0.26 | 2 |
| Hepatitis a antibody igm CPT 86709 | $140.40 | $234.00 | $9.57 – $11.26 | 9 |
| Hepatitis b core antibody igm CPT 86705 | $142.20 | $237.00 | $10.00 – $11.77 | 9 |
| Hepatitis b core antibody total CPT 86704 | $136.80 | $228.00 | $10.24 – $12.05 | 9 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $2,938.20 | $4,897.00 | $134.19 – $154.09 | 9 |
| Hepatitis b surface antibody CPT 86706 | $185.40 | $309.00 | $9.13 – $10.74 | 9 |
| Hepatitis c antibody CPT 86803 | $130.80 | $218.00 | $12.13 – $14.27 | 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.