CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Middlesboro Arh Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$71
about 0.6× the $118 Medicare rate · typically $70–$97
modeled estimate · not a bill or quote
What this hospital charges insurers
$70
About the fair price
about $1 under the fair price · 0.6× Medicare
Medicare pays $118 Fair price $71 This hospital $70 Cash price $179 Hospital's list price $298

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

One of the lower prices — 0 of 8 other KY hospitals charge more for the same procedure.

Cheapest $65 Priciest $70

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

A fair price for a New patient office visit (30-44 min) is about $71 (about 0.6× the $118 Medicare rate). Middlesboro Arh Hospital charges insurers about $70, or about $179 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 $70 - $239 60%
Blue Cross Blue Shieldmajor $55 - $281 47%
Aetnamajor $20 - $299 17%
Humanamajor $20 - $59 17%
Molina $55 - $59 47%
WellCare $27 - $80 23%
+ 1 smaller / regional plan $64 - $193

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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