49/100
#1,285 nationally
Harlan Arh Hospital
81 Ball Park Road, Harlan, KY 40831 · (606) 573-8100
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Harlan Arh Hospital billed $4.80 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.8x
- volume-weighted across all its priced work
- Procedures priced
- 11
- inpatient and outpatient combined
- Rank in KY
- #24
- lower markup ranks higher
- CMS quality stars
- 2/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 67% of U.S. hospitals.
Better than 24% of U.S. hospitals.
Better than 50% of U.S. hospitals.
Better than 42% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
263 | $22,713 | $2,442 | +17% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
82 | $46,779 | $15,110 | -28% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
27 | $12,165 | $2,094 | +3% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
24 | $31,946 | $10,599 | -31% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
19 | $27,987 | $8,977 | -33% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
15 | $25,704 | $10,109 | -47% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
15 | $24,173 | $6,794 | -19% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
15 | $23,651 | $3,132 | +15% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
14 | $61,324 | $12,764 | +11% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
14 | $21,332 | $2,864 | +12% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$19,062 | $1,830 | +48% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$22,713 | $2,442 | +17% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$23,651 | $3,132 | +15% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$21,332 | $2,864 | +12% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$61,324 | $12,764 | +11% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$12,165 | $2,094 | +3% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$24,173 | $6,794 | -19% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$46,779 | $15,110 | -28% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$25,704 | $10,109 | -47% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$27,987 | $8,977 | -33% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$31,946 | $10,599 | -31% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$46,779 | $15,110 | -28% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$24,173 | $6,794 | -19% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$12,165 | $2,094 | +3% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$61,324 | $12,764 | +11% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$21,332 | $2,864 | +12% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.