Ungraded
#1,437 nationally
Middlesboro Arh Hospital
3600 West Cumberland Avenue, Middlesboro, KY 40965 · (606) 242-1101
Not enough published pricing to grade
For every $1 of care Medicare actually paid for here, Middlesboro Arh Hospital billed $4.95 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
- 4.9x
- volume-weighted across all its priced work
- Procedures priced
- 8
- inpatient and outpatient combined
- Rank in KY
- #27
- lower markup ranks higher
- CMS quality stars
- 1/5
- shown for context, not in the grade
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 |
95 | $21,115 | $2,296 | +9% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
43 | $45,153 | $14,632 | -31% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
41 | $12,825 | $1,955 | +9% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
32 | $460 | $573 | -85% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
22 | $37,170 | $2,649 | +47% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
14 | $46,451 | $10,562 | about average |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
13 | $8,264 | $1,360 | -18% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
12 | $36,213 | $11,973 | -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 |
|---|---|---|---|
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$37,170 | $2,649 | +47% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$12,825 | $1,955 | +9% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$21,115 | $2,296 | +9% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$46,451 | $10,562 | about average |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$8,264 | $1,360 | -18% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$45,153 | $14,632 | -31% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$36,213 | $11,973 | -34% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$460 | $573 | -85% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$460 | $573 | -85% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$36,213 | $11,973 | -34% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$45,153 | $14,632 | -31% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$8,264 | $1,360 | -18% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$46,451 | $10,562 | about average |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$21,115 | $2,296 | +9% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$12,825 | $1,955 | +9% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$37,170 | $2,649 | +47% |
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.