Appalachian Regional Healthcare · Barbourville, KY
27
In-network payers
120
Disclosed rate categories
25
Beds
Barbourville Arh Hospital is a 25-bed government - local hospital in Barbourville, KY, affiliated with Appalachian Regional Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 120 disclosed rate categories.
CCN (Medicare provider number)
181328
NPI
1992176655
Type
Critical Access Hospital
Ownership
Government - Local
Beds
25
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Barbourville Arh Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$311 - $1,215
from 4 insurers · median $510
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$186 - $3,463
from 4 insurers · median $1,037
Typical for a hospital with this service line
CT imaging
CPT 70450
$74 - $542
from 4 insurers · median $312
Typical for a hospital with this service line
Mammography
CPT 77067
$116 - $201
from 4 insurers · median $131
Typical for a hospital with this service line
CT imaging
CPT 74176
$187 - $942
from 4 insurers · median $419
Typical for a hospital with this service line
CT imaging
CPT 71275
$255 - $771
from 4 insurers · median $481
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$30 - $359
from 4 insurers · median $120
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$400 - $3,430
from 4 insurers · median $1,213
Hospital reports nuclear medicine services to CMS
MRI imaging
CPT 70553
$183 - $3,421
from 4 insurers · median $634
Typical for a hospital with this service line
Ultrasound
CPT 76705
$80 - $944
from 4 insurers · median $315
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,671
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 72197
$534 - $4,701
from 4 insurers · median $1,571
Typical for a hospital with this service line
Ultrasound
CPT 76830
$109 - $1,280
from 4 insurers · median $419
Typical for a hospital with this service line
Ultrasound
CPT 76856
$97 - $1,339
from 4 insurers · median $424
Typical for a hospital with this service line
MRI imaging
CPT 72148
$190 - $2,270
from 4 insurers · median $590
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$4,162
negotiated rate
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$110 - $1,025
from 4 insurers · median $360
Typical for a hospital with this service line
MRI imaging
CPT 70551
$194 - $2,383
from 4 insurers · median $537
Typical for a hospital with this service line
Ultrasound
CPT 76536
$101 - $1,054
from 4 insurers · median $355
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$1,671
negotiated rate
Typical for a hospital with this service line
Lung function and sleep
CPT 94060
$628 - $1,232
from 2 insurers · median $930
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 743
$17,804
negotiated rate
Hospital reports inpatient surgical services to CMS
Lung function and sleep
CPT 95810
$548 - $3,609
from 4 insurers · median $1,608
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$173 - $1,252
from 4 insurers · median $465
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 20 | 446% | 7 | 9 |
| Insurer B* | 21 | 363% | 10 | 10 |
| Insurer C* | 22 | 146% | 15 | 2 |
| Insurer D* | 19 | 80% | 1 | 14 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Barbourville Arh Hospital.
80 Hospital Drive, Barbourville, KY 40906
(606) 546-4175
The nearest hospitals of similar type and size. Their rates are compared with Barbourville Arh Hospital for the same insurers and services above.
Hancock County Hospital
▲ Rates typically 33% higher than Barbourville Arh Hospital (20 services)
Chi Saint Joseph Health - Saint Joseph Berea
▲ Rates typically 18% higher than Barbourville Arh Hospital (22 services)
Wayne County Hospital
Rates about the same as Barbourville Arh Hospital (22 services)
Mercy Health - Marcum And Wallace Hospital
▲ Rates typically 23% higher than Barbourville Arh Hospital (20 services)
Ephraim Mcdowell Fort Logan Hospital
▼ Rates typically 19% lower than Barbourville Arh Hospital (20 services)
Casey County Hospital
▲ Rates typically 80% higher than Barbourville Arh Hospital (10 services)
Mcdowell Arh Hospital
Arh Our Lady Of The Way Hospital
Morgan County Arh Hospital
Mary Breckinridge Arh Hospital
About Barbourville Arh Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Barbourville Arh Hospital range from $183 to $3,421 across 4 insurers. Blue Cross Blue Shield's rate is $760. The median at nearby comparable hospitals is $1,510. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Barbourville Arh Hospital range from $311 to $1,215 across 4 insurers. Aetna's rate is $311. The median at nearby comparable hospitals is $1,107. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Barbourville Arh Hospital range from $1,671 to $1,671 across 1 insurers. Cigna's rate is $1,671. The median at nearby comparable hospitals is $1,196. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Barbourville Arh Hospital range from $116 to $201 across 4 insurers. Aetna's rate is $116. The median at nearby comparable hospitals is $152. What a patient pays depends on their plan's deductible, coinsurance and network status.
Barbourville Arh Hospital has 25 beds. Facility type: Critical Access Hospital.
Barbourville Arh Hospital is located at 80 Hospital Drive, Barbourville, KY 40906. Its main phone number is (606) 546-4175.
Barbourville Arh Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 181328.
The National Provider Identifier (NPI) on file for Barbourville Arh Hospital is 1992176655.
Barbourville Arh Hospital is affiliated with Appalachian Regional Healthcare.
Barbourville Arh Hospital lists 27 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
120 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers