39/100
#1,613 nationally
Highlands Arh Regional Medical Center
5000 Kentucky Route 321, Prestonsburg, KY 41653 · (606) 886-8511
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Highlands Arh Regional Medical Center billed $6.05 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
- 6.1x
- volume-weighted across all its priced work
- Procedures priced
- 18
- inpatient and outpatient combined
- Rank in KY
- #31
- 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 24% of U.S. hospitals.
Better than 38% of U.S. hospitals.
Better than 51% of U.S. hospitals.
Better than 61% 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
78 | $76,771 | $12,806 | +18% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
76 | $25,661 | $2,321 | +32% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
32 | $10,288 | $1,341 | about average |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
25 | $48,023 | $8,642 | +3% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
23 | $28,058 | $2,595 | +11% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
19 | $28,865 | $5,813 | -28% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
18 | $52,406 | $7,247 | +25% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
16 | $19,323 | $2,745 | -5% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
15 | $44,064 | $9,880 | -29% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
15 | $23,244 | $4,893 | -34% |
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 |
|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$25,661 | $2,321 | +32% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$52,406 | $7,247 | +25% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$39,471 | $5,909 | +20% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$76,771 | $12,806 | +18% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$28,058 | $2,595 | +11% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$12,260 | $1,519 | +8% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$48,023 | $8,642 | +3% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$10,288 | $1,341 | about average |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$23,244 | $4,893 | -34% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$36,747 | $9,422 | -31% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$44,064 | $9,880 | -29% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$13,816 | $2,703 | -28% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$28,865 | $5,813 | -28% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$40,913 | $10,657 | -26% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$48,475 | $9,821 | -21% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$15,825 | $2,410 | -11% |
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.