Whitesburg ARH Hospital
240 Hospital Road, Whitesburg, KY · Arh · · NPI 1194723726
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 |
|---|---|---|---|---|
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $251.40 | $419.00 | $37.79 – $37.79 | 7 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $240.60 | $401.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $116.40 | $194.00 | $24.50 – $24.50 | 7 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $319.80 | $533.00 | $111.87 – $111.87 | 7 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $224.40 | $374.00 | $6.94 – $8.17 | 8 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $18.00 | $30.00 | $0.30 – $0.41 | 9 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $508.20 | $847.00 | $56.47 – $56.47 | 7 |
| Knee MRI (with and without contrast) CPT 73723 | $3,325.20 | $5,542.00 | $189.63 – $760.00 | 9 |
| Knee MRI (with contrast) CPT 73722 | $3,325.20 | $5,542.00 | $419.51 – $760.00 | 9 |
| Knee MRI (without contrast) CPT 73721 | $6,651.00 | $11,085.00 | $61.08 – $760.00 | 11 |
| Knee X-ray CPT 73564 | $584.40 | $974.00 | $10.64 – $56.47 | 9 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $33.60 | $56.00 | $0.46 – $0.46 | 2 |
| Lactate dehydrogenase (ldh) CPT 83615 | $80.40 | $134.00 | $5.13 – $6.04 | 8 |
| Lactated ringers intravenous solution HCPCS J7120 | $21.00 | $35.00 | $2.90 – $2.90 | 2 |
| Lactic acid CPT 83605 | $49.80 | $83.00 | $9.08 – $11.57 | 8 |
| Lactoferrin fecal qualitative CPT 83630 | $287.40 | $479.00 | $16.68 – $19.70 | 8 |
| Lactoferrin fecal quant CPT 83631 | $82.80 | $138.00 | $16.68 – $19.63 | 8 |
| Laparo cholecystectomy/graph CPT 47563 | $2,020.20 | $3,367.00 | $562.24 – $933.88 | 7 |
| Laparo partial colectomy 44204 CPT 44204 | $2,259.60 | $3,766.00 | $1,037.52 – $2,027.48 | 7 |
| Laparoscopy aspiration CPT 49322 | $1,257.60 | $2,096.00 | $286.25 – $481.87 | 7 |
| Laparoscopy biopsy CPT 49321 | $1,147.20 | $1,912.00 | $275.28 – $449.99 | 7 |
| Lap colostomy 44188 CPT 44188 | $2,095.80 | $3,493.00 | $806.58 – $1,604.48 | 7 |
| Lap enterolysis CPT 44180 | $1,644.00 | $2,740.00 | $635.24 – $1,206.33 | 7 |
| Lap ing hernia repair recur CPT 49651 | $1,205.40 | $2,009.00 | $387.99 – $723.64 | 7 |
| Lead capillary CPT 83655 | $25.20 | $42.00 | $10.29 – $12.11 | 8 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $903.60 | $1,506.00 | $31.23 – $161.02 | 9 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,014.30 | $1,690.50 | not published | 0 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $27.00 | $45.00 | $0.05 – $0.05 | 2 |
| Levetiracetam therapeutic drug level CPT 80177 | $166.20 | $277.00 | $13.25 – $13.25 | 8 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $39.00 | $65.00 | $2.31 – $2.31 | 2 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $421.50 | $702.50 | $9.08 – $9.08 | 2 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $12.90 | $21.50 | not published | 0 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $27.30 | $45.50 | $0.00 – $0.00 | 7 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $135.60 | $226.00 | $4.09 – $4.09 | 2 |
| Lipase CPT 83690 | $108.00 | $180.00 | $5.86 – $6.89 | 8 |
| Lipoprotein blood quant CPT 83704 | $88.20 | $147.00 | $26.81 – $34.19 | 8 |
| Lipoprotein direct measurement hdl CPT 83718 | $95.40 | $159.00 | $6.96 – $8.19 | 8 |
| Lipoprotein direct measurement ldl CPT 83721 | $105.00 | $175.00 | $8.11 – $10.50 | 8 |
| Lithium therapeutic drug level CPT 80178 | $105.60 | $176.00 | $5.62 – $6.61 | 8 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $145.80 | $243.00 | $176.19 – $176.19 | 8 |
| Liver Function Test CPT 80076 | $171.00 | $285.00 | $5.69 – $8.17 | 8 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $163.20 | $272.00 | $2.13 – $2.13 | 2 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $4.20 | $7.00 | $1.55 – $1.55 | 2 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,428.20 | $4,047.00 | $54.63 – $542.00 | 11 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,992.60 | $3,321.00 | $45.18 – $542.00 | 11 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,153.80 | $6,923.00 | $102.72 – $760.00 | 11 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,469.20 | $5,782.00 | $189.63 – $760.00 | 9 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,377.40 | $5,629.00 | $66.61 – $760.00 | 11 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $274.20 | $457.00 | $10.34 – $56.47 | 9 |
| Lung Function Test (Spirometry) CPT 94010 | $197.40 | $329.00 | $83.08 – $83.08 | 7 |
| Lung perfusion imaging CPT 78580 | $697.20 | $1,162.00 | $32.86 – $213.37 | 9 |
| Macroscopic exam arthropod CPT 87168 | $100.80 | $168.00 | $3.05 – $4.27 | 8 |
| Macroscopic exam parasite CPT 87169 | $29.40 | $49.00 | $3.05 – $4.31 | 8 |
| Magnesium CPT 83735 | $39.00 | $65.00 | $5.69 – $6.70 | 8 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $28.20 | $47.00 | $0.59 – $0.59 | 2 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $91.20 | $152.00 | $68.44 – $68.44 | 7 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $133.80 | $223.00 | $68.44 – $68.44 | 7 |
| Mastectomy partial CPT 19301 | $1,122.60 | $1,871.00 | $281.70 – $604.23 | 7 |
| Mast mod rad CPT 19307 | $2,418.00 | $4,030.00 | $782.45 – $1,092.05 | 7 |
| Mast simple complete CPT 19303 | $1,903.20 | $3,172.00 | $621.09 – $923.65 | 7 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $27.00 | $45.00 | $12.29 – $14.46 | 8 |
| Mayo aathr protein s free CPT 85306 | $187.80 | $313.00 | $13.02 – $15.32 | 8 |
| Mayo activated protein c resistance assay CPT 85307 | $224.40 | $374.00 | $13.02 – $15.32 | 8 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $1,093.80 | $1,823.00 | $15.43 – $38.57 | 8 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $166.80 | $278.00 | $12.57 – $14.78 | 8 |
| Mayo alpha 1 antitrypsin CPT 82103 | $323.40 | $539.00 | $11.42 – $13.44 | 8 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $277.20 | $462.00 | $26.30 – $91.66 | 8 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,297.40 | $3,829.00 | $9.64 – $1,160.00 | 8 |
| Mayo androstenedione CPT 82157 | $348.60 | $581.00 | $24.88 – $29.28 | 8 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $165.60 | $276.00 | $12.41 – $14.60 | 8 |
| Mayo antithrombin iii antigen CPT 85301 | $123.00 | $205.00 | $9.19 – $10.81 | 8 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $54.60 | $91.00 | $12.80 – $15.05 | 8 |
| Mayo avwpr vw factor activity CPT 85397 | $291.00 | $485.00 | $19.50 – $30.86 | 8 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $41.40 | $69.00 | $8.65 – $10.18 | 8 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $91.20 | $152.00 | $10.97 – $12.90 | 8 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $158.40 | $264.00 | $11.21 – $13.19 | 8 |
| Mayo c1 esterase inhibitor CPT 83883 | $134.40 | $224.00 | $11.55 – $13.60 | 8 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $37.20 | $62.00 | $1.73 – $16.87 | 8 |
| Mayo ceruloplasmin CPT 82390 | $187.80 | $313.00 | $9.13 – $10.74 | 8 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $694.80 | $1,158.00 | $12.01 – $14.12 | 8 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $171.00 | $285.00 | $10.95 – $12.88 | 8 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $25.20 | $42.00 | $10.05 – $11.82 | 8 |
| Mayo coccidioides antibody CPT 86635 | $58.80 | $98.00 | $9.75 – $11.47 | 8 |
| Mayo cortisol free CPT 82530 | $77.40 | $129.00 | $14.20 – $16.71 | 8 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $96.00 | $160.00 | $42.13 – $42.13 | 8 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $61.20 | $102.00 | $10.31 – $12.12 | 8 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $101.40 | $169.00 | $0.01 – $0.01 | 1 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $26.40 | $44.00 | $11.26 – $13.25 | 8 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $190.20 | $317.00 | $21.47 – $25.27 | 8 |
| Mayo estriol CPT 82677 | $80.40 | $134.00 | $20.55 – $24.18 | 8 |
| Mayo estrone CPT 82679 | $486.00 | $810.00 | $21.21 – $24.95 | 8 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $187.80 | $313.00 | $13.89 – $16.34 | 8 |
| Mayo everolimus therapeutic drug level CPT 80169 | $589.80 | $983.00 | $13.73 – $13.73 | 8 |
| Mayo factor ii CPT 85210 | $133.80 | $223.00 | $11.03 – $12.98 | 8 |
| Mayo factor v CPT 85220 | $570.00 | $950.00 | $15.00 – $17.65 | 8 |
| Mayo factor vii CPT 85230 | $570.00 | $950.00 | $15.22 – $17.90 | 8 |
| Mayo factor viii vw factor antigen CPT 85246 | $150.60 | $251.00 | $19.50 – $22.94 | 8 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $288.00 | $480.00 | $19.50 – $22.94 | 8 |
| Mayo ffspg allergen clam igg CPT 86001 | $40.80 | $68.00 | $4.43 – $7.82 | 8 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $174.60 | $291.00 | $18.09 – $21.67 | 8 |
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.