Tobramycin peak therapeutic drug level at Tug Valley ARH Regional Medical Center

260 Hospital Drive South, Williamson, KY · Arh · · NPI 1649270257

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 16, 2026

$140.40

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

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What you pay up front if you don't use insurance.

$234.00

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$13.70 with Anthem vs $210.60 with Aetna PPO — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Anthem Medicaid $13.70 ↓ -90%
The Health Plan Medicaid $14.52 ↓ -90%
United Healthcare Medicare $16.13 ↓ -89%
The Health Plan Medicare $16.13 ↓ -89%
Anthem Medicare Advantage $16.13 ↓ -89%
Aetna Medicare $16.13 ↓ -89%
Aetna Better Health Medicaid $16.13 ↓ -89%
Passport Molina Medicaid $16.13 ↓ -89%
Humana Medicaid $16.13 ↓ -89%
Optum CCN Region 1 Veterans Affairs Plan $16.13 ↓ -89%
Optum CCN Region 2 Veterans Affairs Plan $16.13 ↓ -89%
WellCare of Kentucky Medicare $16.13 ↓ -89%
Humana Medicare $16.13 ↓ -89%
WellCare of Kentucky Medicaid $53.82 ↓ -62%
CareSoure Kentucky Commercial $140.40 ↑ +0%
United Healthcare PPO Commercial $167.78 ↑ +20%
UMR Commercial $167.78 ↑ +20%
United Healthcare HMO Commercial $167.78 ↑ +20%
Anthem HMO Commercial $194.36 ↑ +38%
Anthem PPO Commercial $204.59 ↑ +46%
Aetna POS Commercial $210.60 ↑ +50%
Aetna PPO Commercial $210.60 ↑ +50%

Visitor-reported prices

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Tobramycin peak therapeutic drug level at other Kentucky hospitals

Hospital City Cash price Negotiated range
CHI Saint Joseph Health - Saint Joseph Berea Berea $65.08 $13.70 – $122.85
Marcum Wallace Hospital Irvine $174.60 not published
Lourdes Hospital Paducah $121.80 not published
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling $73.30 $13.70 – $182.00
CHI Saint Joseph Health - Saint Joseph London London $58.88 $13.70 – $150.15
CHI Saint Joseph Health - Saint Joseph East Lexington $91.19 $13.70 – $145.60
CHI Saint Joseph Health - Saint Joseph Hospital Lexington $114.33 $13.70 – $117.39
CHI Saint Joseph Health - Flaget Memorial Hospital Bardstown $84.01 $13.70 – $180.18

All Kentucky hospitals for this procedure →