CMS Price Transparency Data

CT scan, sinuses

Facility: Middlesboro Arh Hospital

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$80
about 0.7× the $107 Medicare rate · typically $73–$121
modeled estimate · not a bill or quote
What this hospital charges insurers
$73
About the fair price
about $7 under the fair price · 0.7× Medicare
Medicare pays $107 Fair price $80 This hospital $73 Cash price $1,474 Hospital's list price $2,456

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

A typical price — 5 charge more and 3 charge less, among the 9 KY hospitals compared.

Cheapest $56 Priciest $98

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, sinuses is about $80 (about 0.7× the $107 Medicare rate). Middlesboro Arh Hospital charges insurers about $73, or about $1,474 in cash — about the fair price. Located in Middlesboro, 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 $73 - $1,830 68%
Blue Cross Blue Shieldmajor $73 - $542 68%
Aetnamajor $73 - $2,284 68%
Humanamajor $73 - $451 68%
Molina $451 422%
WellCare $73 - $614 68%
+ 1 smaller / regional plan $1,474

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 3600 West Cumberland Avenue, Middlesboro, KY 40965
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals