CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Highlands Arh Regional Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$6,109
about 1.1× the $5,676 Medicare rate · typically $3,764–$6,785
modeled estimate · not a bill or quote
What this hospital charges insurers
$6,733
About the fair price
about $624 over the fair price · 1.2× Medicare
Medicare pays $5,676 Fair price $6,109 This hospital $6,733

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

Highest price of the 9 KY hospitals we have prices for — worth calling around.

Cheapest $5,231 Priciest $6,733

Black dot = this hospital, among the 9 KY hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $6,109 (about 1.1× the $5,676 Medicare rate). Highlands Arh Regional Medical Center charges insurers about $6,733 — about the fair price. Located in Prestonsburg, KY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $6,733 119%
Blue Cross Blue Shieldmajor $5,230 - $9,783 92%
Aetnamajor $4,969 - $6,733 88%
Humanamajor $5,230 - $6,733 92%
Molina $5,335 94%
WellCare $6,733 119%

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Facility Profile & Credentials

  • Address: 5000 Kentucky Route 321, Prestonsburg, KY 41653
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals