Middlesboro ARH Hospital — Pricing

158 procedures published in this hospital's Machine-Readable File (MRF) — 0 with a comparable price, 158 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 158
Lowest published price —
Average published price —
Highest published price —

Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.

Showing all 158 procedures

Procedures with negotiated rates only

These 158 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $8,622 – $18,799 · median $11,190 17 plans
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $12,668 – $29,179 · median $17,368 17 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $6,428 – $14,659 · median $8,726 17 plans
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $4,348 – $9,930 · median $5,911 17 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,051 – $11,590 · median $6,899 17 plans
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $11,318 – $24,156 · median $14,378 17 plans
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $6,715 – $14,887 · median $8,861 17 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $13,969 – $26,263 · median $15,633 17 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $4,898 – $11,554 · median $6,877 17 plans
101 SEIZURES WITHOUT MCC $5,753 – $13,096 · median $7,796 17 plans
149 DYSEQUILIBRIUM $4,710 – $10,906 · median $6,491 17 plans
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $8,873 – $19,931 · median $11,863 17 plans
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $10,729 – $22,674 · median $13,497 17 plans
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $6,240 – $14,161 · median $8,429 17 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $4,828 – $10,955 · median $6,521 17 plans
180 RESPIRATORY NEOPLASMS WITH MCC $10,993 – $25,624 · median $15,252 17 plans
181 RESPIRATORY NEOPLASMS WITH CC $6,964 – $15,540 · median $9,250 17 plans
186 PLEURAL EFFUSION WITH MCC $9,816 – $22,613 · median $13,460 17 plans
187 PLEURAL EFFUSION WITH CC $6,301 – $14,352 · median $8,543 17 plans
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $7,792 – $17,925 · median $10,670 17 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $6,970 – $16,072 · median $9,567 17 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $5,370 – $12,232 · median $7,281 17 plans
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $8,390 – $19,072 · median $11,352 17 plans
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,200 – $11,693 · median $6,960 17 plans
199 PNEUMOTHORAX WITH MCC $11,220 – $25,597 · median $15,236 17 plans
200 PNEUMOTHORAX WITH CC $6,812 – $15,951 · median $9,494 17 plans
202 BRONCHITIS AND ASTHMA WITH CC/MCC $6,056 – $14,092 · median $8,388 17 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $5,204 – $11,715 · median $6,973 17 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $11,449 – $26,567 · median $15,814 17 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $43,690 – $93,366 · median $55,575 17 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $17,100 – $39,883 · median $23,740 17 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $51,325 – $122,316 · median $72,807 17 plans
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $10,034 – $23,275 · median $13,854 17 plans
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $5,774 – $13,336 · median $7,938 17 plans
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $4,542 – $10,492 · median $6,245 17 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $13,633 – $32,107 · median $19,111 17 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $6,841 – $15,527 · median $9,242 17 plans
291 HEART FAILURE AND SHOCK WITH MCC $8,120 – $18,628 · median $11,088 17 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,551 – $8,213 · median $4,888 17 plans
303 ATHEROSCLEROSIS WITHOUT MCC $4,162 – $9,768 · median $5,814 17 plans
305 HYPERTENSION WITHOUT MCC $4,766 – $10,956 · median $6,522 17 plans
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $7,603 – $17,470 · median $10,399 17 plans
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $4,710 – $10,675 · median $6,354 17 plans
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $3,497 – $8,214 · median $4,889 17 plans
312 SYNCOPE AND COLLAPSE $5,461 – $12,647 · median $7,528 17 plans
313 CHEST PAIN $4,576 – $10,447 · median $6,218 17 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $13,241 – $30,256 · median $18,009 17 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $6,118 – $13,977 · median $8,320 17 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $32,123 – $72,366 · median $43,075 17 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $28,567 – $66,694 · median $39,699 17 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $15,003 – $34,783 · median $20,704 17 plans
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $10,575 – $24,418 · median $14,535 17 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $15,179 – $36,157 · median $21,522 17 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $10,864 – $24,411 · median $14,530 17 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $13,894 – $33,742 · median $20,085 17 plans
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $11,053 – $25,727 · median $15,314 17 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $4,532 – $10,554 · median $6,282 17 plans
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $11,323 – $26,524 · median $15,788 17 plans
378 GASTROINTESTINAL HEMORRHAGE WITH CC $6,222 – $14,230 · median $8,470 17 plans
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,005 – $9,147 · median $5,445 17 plans
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $9,193 – $21,428 · median $12,755 17 plans
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,037 – $11,460 · median $6,821 17 plans
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,535 – $7,893 · median $4,698 17 plans
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $8,068 – $18,403 · median $10,954 17 plans
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $4,969 – $11,312 · median $6,733 17 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $10,243 – $23,205 · median $13,813 17 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $5,926 – $13,577 · median $8,081 17 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,095 – $9,417 · median $5,605 17 plans
397 APPENDIX PROCEDURES WITH MCC $14,209 – $34,749 · median $20,684 17 plans
398 APPENDIX PROCEDURES WITH CC $9,571 – $21,962 · median $13,073 17 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $14,659 – $34,626 · median $20,611 17 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $10,339 – $24,545 · median $14,610 17 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $8,305 – $19,817 · median $11,796 17 plans
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $12,118 – $28,558 · median $16,999 17 plans
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $6,521 – $15,325 · median $9,122 17 plans
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $10,554 – $23,654 · median $14,080 17 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $5,409 – $12,206 · median $7,265 17 plans
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $11,563 – $26,041 · median $15,500 17 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $6,018 – $14,006 · median $8,337 17 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $6,874 – $15,879 · median $9,452 17 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,069 – $12,004 · median $7,145 17 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $13,564 – $33,020 · median $19,655 17 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $15,076 – $35,682 · median $21,239 17 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $13,123 – $30,391 · median $18,090 17 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $11,822 – $29,114 · median $17,330 17 plans
539 OSTEOMYELITIS WITH MCC $12,550 – $28,580 · median $17,012 17 plans
540 OSTEOMYELITIS WITH CC $8,211 – $18,809 · median $11,196 17 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $11,534 – $25,631 · median $15,257 17 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $6,111 – $13,948 · median $8,303 17 plans
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $5,556 – $12,960 · median $7,714 17 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $7,160 – $16,339 · median $9,726 17 plans
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $6,321 – $14,138 · median $8,416 17 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $4,747 – $10,872 · median $6,472 17 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $7,207 – $16,633 · median $9,900 17 plans
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $11,047 – $25,073 · median $14,924 17 plans
603 CELLULITIS WITHOUT MCC $5,595 – $12,637 · median $7,522 17 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $5,748 – $13,291 · median $7,911 17 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $12,551 – $27,138 · median $16,153 17 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $11,773 – $26,029 · median $15,493 17 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $14,311 – $31,614 · median $18,818 17 plans
637 DIABETES WITH MCC $9,166 – $20,846 · median $12,408 17 plans
638 DIABETES WITH CC $5,688 – $13,004 · median $7,740 17 plans
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $8,318 – $19,379 · median $11,535 17 plans
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $4,942 – $11,291 · median $6,721 17 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $8,243 – $20,634 · median $12,282 17 plans
682 RENAL FAILURE WITH MCC $9,492 – $21,489 · median $12,791 17 plans
683 RENAL FAILURE WITH CC $5,697 – $12,708 · median $7,564 17 plans
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $7,428 – $16,836 · median $10,021 17 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,103 – $11,746 · median $6,991 17 plans
693 URINARY STONES WITH MCC $8,958 – $19,508 · median $11,612 17 plans
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $10,463 – $24,005 · median $14,289 17 plans
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $6,456 – $14,727 · median $8,766 17 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $11,270 – $26,622 · median $15,847 17 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $10,601 – $25,205 · median $15,003 17 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $11,716 – $26,723 · median $15,906 17 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $7,704 – $15,549 · median $9,255 17 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $9,765 – $24,519 · median $14,594 17 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $6,477 – $15,382 · median $9,156 17 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $5,479 – $13,897 · median $8,272 17 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $11,065 – $23,934 · median $14,246 17 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $6,648 – $16,204 · median $9,646 17 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $5,408 – $13,912 · median $8,281 17 plans
795 NORMAL NEWBORN $1,276 – $2,899 · median $1,726 17 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $6,376 – $15,659 · median $9,321 17 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $4,723 – $10,940 · median $6,512 17 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,138 – $9,782 · median $5,823 17 plans
811 RED BLOOD CELL DISORDERS WITH MCC $8,877 – $20,376 · median $12,129 17 plans
812 RED BLOOD CELL DISORDERS WITHOUT MCC $5,697 – $13,323 · median $7,930 17 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $4,666 – $10,470 · median $6,232 17 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,237 – $7,587 · median $4,516 17 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $31,618 – $71,658 · median $42,653 17 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $12,891 – $28,992 · median $17,257 17 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $28,008 – $66,000 · median $39,286 17 plans
864 FEVER AND INFLAMMATORY CONDITIONS $5,583 – $12,880 · median $7,667 17 plans
866 VIRAL ILLNESS WITHOUT MCC $5,804 – $12,618 · median $7,511 17 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $44,050 – $100,288 · median $59,695 17 plans
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $12,539 – $28,185 · median $16,777 17 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $6,514 – $14,848 · median $8,838 17 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $8,578 – $19,047 · median $11,337 17 plans
915 ALLERGIC REACTIONS WITH MCC $11,220 – $24,400 · median $14,524 17 plans
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $10,093 – $22,757 · median $13,546 17 plans
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $5,445 – $12,436 · median $7,403 17 plans
919 COMPLICATIONS OF TREATMENT WITH MCC $11,540 – $26,564 · median $15,812 17 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $4,413 – $9,988 · median $5,946 17 plans
947 SIGNS AND SYMPTOMS WITH MCC $7,916 – $18,419 · median $10,963 17 plans
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,066 – $11,615 · median $6,914 17 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,732 – $8,067 · median $4,802 17 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $29,981 – $68,077 · median $40,522 17 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $15,723 – $35,672 · median $21,233 17 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $21,356 – $49,745 · median $29,610 17 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $10,733 – $23,848 · median $14,195 17 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $11,507 – $26,149 · median $15,565 15 plans
791 PREMATURITY WITH MAJOR PROBLEMS $25,916 – $58,895 · median $35,057 15 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $15,638 – $35,537 · median $21,153 15 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $9,423 – $21,415 · median $12,747 15 plans
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $11,112 – $23,345 · median $13,896 15 plans
885 PSYCHOSES $8,642 – $20,267 · median $12,064 15 plans
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $5,411 – $12,809 · median $7,625 15 plans
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