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Hospital Profile Acute Care Hospitals Proprietary

Highlands Arh Regional Medical Center

5000 KY ROUTE 321, Prestonsburg, KY 41653

CMS Overall Rating ★★☆☆☆
Factual Overview

Highlands Arh Regional Medical Center is a Acute Care Hospitals (Proprietary) operating in Prestonsburg, KY. Mapped commercial insurance prices across 89 procedures average 1.64x the Medicare baseline. The facility holds a CMS quality rating of 2/5 stars with a patient recommendation score of 64%.

Facility Overview

Setting: rural Bed Count: 63 Beds Teaching Status: Non-Teaching Annual Discharges: 3,142

Patient Experience

Recommendation Rate: 64% High Patient Rating: 65% ER Wait Time (Med): 193 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 89 codes Avg Markup vs Medicare: 1.64x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
 $670 Calc
Total hip replacement
CPT Code: 27130
 $4,007 Calc
Total knee replacement
CPT Code: 27447
 $3,775 Calc
Knee arthroscopy with meniscus repair
CPT Code: 29881
 $1,961 Calc
Heart stent placement (inpatient stay)
MS-DRG Code: 322
 Contact Desk Calc
Blood transfusion
CPT Code: 36430
 $511 Calc
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
 Contact Desk Calc
Upper endoscopy with biopsy
CPT Code: 43239
 $590 Calc
Colonoscopy (diagnostic)
CPT Code: 45378
 $745 Calc
Colonoscopy with biopsy
CPT Code: 45380
 $847 Calc
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
 Contact Desk Calc
Gallbladder removal (laparoscopic)
CPT Code: 47562
 $1,828 Calc
Inguinal hernia repair
CPT Code: 49505
 $995 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $1,693 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $1,853 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $2,632 Calc
CT scan, sinuses
CPT Code: 70486
 $1,869 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $3,763 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $5,409 Calc
X-ray, chest (single view)
CPT Code: 71045
 $259 Calc
X-ray, chest (two views)
CPT Code: 71046
 $302 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $2,080 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $337 Calc
X-ray, lower back
CPT Code: 72110
 $574 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $2,522 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $2,389 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $3,509 Calc
X-ray, pelvis
CPT Code: 72170
 $302 Calc
CT scan, pelvis
CPT Code: 72192
 $1,997 Calc
X-ray, shoulder
CPT Code: 73030
 $454 Calc
X-ray, hand
CPT Code: 73130
 $454 Calc
X-ray, hip
CPT Code: 73502
 $295 Calc
X-ray, ankle
CPT Code: 73610
 $481 Calc
X-ray, foot
CPT Code: 73630
 $458 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $5,276 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $3,797 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $4,987 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $764 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $1,012 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $616 Calc
Ultrasound, pelvis
CPT Code: 76856
 $845 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $578 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $239 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $144 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $149 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $211 Calc
Blood test, liver function panel
CPT Code: 80076
 $179 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $56 Calc
Blood test, amylase
CPT Code: 82150
 $187 Calc
Blood test, vitamin D
CPT Code: 82306
 $220 Calc
Blood test, calcium
CPT Code: 82310
 $83 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $85 Calc
Blood test, vitamin B12
CPT Code: 82607
 $114 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $230 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $116 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $71 Calc
Blood test, lipase
CPT Code: 83690
 $106 Calc
Blood test, magnesium
CPT Code: 83735
 $9 Calc
Blood test, potassium
CPT Code: 84132
 $77 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $184 Calc
Blood test, sodium
CPT Code: 84295
 $85 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $159 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $38 Calc
Blood test, hemoglobin
CPT Code: 85018
 $55 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $72 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $116 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $257 Calc
Hepatitis C antibody test
CPT Code: 86803
 $139 Calc
Blood antibody screen
CPT Code: 86850
 $88 Calc
Culture, blood
CPT Code: 87040
 $179 Calc
Culture, bacterial
CPT Code: 87070
 $160 Calc
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
 Contact Desk Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $266 Calc
Speech therapy (group session)
CPT Code: 92508
 $163 Calc
Electrocardiogram (ECG/EKG)
CPT Code: 93000
 $137 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $149 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $1,087 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $958 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $253 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $189 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $164 Calc
Physical therapy (gait training)
CPT Code: 97116
 $150 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $223 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $175 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $172 Calc
Orthotic fitting and training
CPT Code: 97760
 $150 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $124 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $92 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $122 Calc