Appalachian Regional Healthcare · Mcdowell, KY
29
In-network payers
176
Disclosed rate categories
25
Beds
Mcdowell Arh Hospital is a 25-bed voluntary non-profit - private hospital in Mcdowell, KY, affiliated with Appalachian Regional Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 176 disclosed rate categories.
CCN (Medicare provider number)
181331
NPI
1649209263
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
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 Mcdowell 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 - $1,203
from 4 insurers · median $510
Typical for a hospital with this service line
CT imaging
CPT 70450
$107 - $1,786
from 4 insurers · median $356
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$30 - $357
from 4 insurers · median $182
Typical for a hospital with this service line
Mammography
CPT 77067
$116 - $284
from 4 insurers · median $160
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$186 - $3,463
from 4 insurers · median $491
Typical for a hospital with this service line
CT imaging
CPT 74176
$187 - $4,006
from 4 insurers · median $417
Typical for a hospital with this service line
CT imaging
CPT 71275
$255 - $3,340
from 4 insurers · median $481
Typical for a hospital with this service line
Ultrasound
CPT 76705
$80 - $838
from 4 insurers · median $424
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 743
$16,916 - $20,541
from 3 insurers · median $17,014
Hospital reports inpatient surgical services to CMS
MRI imaging
CPT 72197
$532 - $4,701
from 4 insurers · median $2,367
Typical for a hospital with this service line
Ultrasound
CPT 76856
$97 - $1,339
from 4 insurers · median $652
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,671
negotiated rate
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$110 - $1,051
from 4 insurers · median $539
Typical for a hospital with this service line
MRI imaging
CPT 70553
$316 - $5,707
from 4 insurers · median $633
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$33 - $823
from 4 insurers · median $390
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,671
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76536
$101 - $1,028
from 4 insurers · median $534
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,671
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 72148
$190 - $3,786
from 4 insurers · median $590
Typical for a hospital with this service line
Ultrasound
CPT 76700
$107 - $1,352
from 4 insurers · median $667
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$4,162
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 70551
$194 - $3,974
from 4 insurers · median $536
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$31 - $439
from 4 insurers · median $214
Typical for a hospital with this service line
Lung function and sleep
CPT 94060
$1,048 - $1,201
from 2 insurers · median $1,125
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 | 840% | 16 | 2 |
| Insurer B* | 20 | 402% | 13 | 6 |
| Insurer C* | 23 | 146% | 4 | 15 |
| Insurer D* | 18 | 88% | 1 | 17 |
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 Mcdowell Arh Hospital.
Route 122, Mcdowell, KY 41647
(606) 377-3400
The nearest hospitals of similar type and size. Their rates are compared with Mcdowell Arh Hospital for the same insurers and services above.
Dickenson Community Hospital
▲ Rates typically 9% higher than Mcdowell Arh Hospital (20 services)
Boone Memorial Hospital
▲ Rates typically 250% higher than Mcdowell Arh Hospital (22 services)
Hancock County Hospital
▲ Rates typically 38% higher than Mcdowell Arh Hospital (21 services)
Mercy Health - Marcum And Wallace Hospital
Rates about the same as Mcdowell Arh Hospital (19 services)
Chi Saint Joseph Health - Saint Joseph Berea
Rates about the same as Mcdowell Arh Hospital (21 services)
Johnson County Community Hospital
▲ Rates typically 7% higher than Mcdowell Arh Hospital (21 services)
Arh Our Lady Of The Way Hospital
Morgan County Arh Hospital
Barbourville Arh Hospital
Mary Breckinridge Arh Hospital
About Mcdowell Arh Hospital's rates and hospital price transparency.
For MRI of the pelvis, before and after contrast (CPT 72197), published negotiated rates at Mcdowell Arh Hospital range from $532 to $4,701 across 4 insurers. Cigna's rate is $532. The median at nearby comparable hospitals is $1,164. 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 Mcdowell Arh Hospital range from $311 to $1,203 across 4 insurers. Aetna's rate is $311. The median at nearby comparable hospitals is $845. 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 Mcdowell Arh Hospital range from $1,671 to $1,671 across 1 insurers. Cigna's rate is $1,671. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mcdowell Arh Hospital range from $116 to $284 across 4 insurers. Blue Cross Blue Shield's rate is $120. The median at nearby comparable hospitals is $156. What a patient pays depends on their plan's deductible, coinsurance and network status.
Mcdowell Arh Hospital has 25 beds. Facility type: Critical Access Hospital.
Mcdowell Arh Hospital is located at Route 122, Mcdowell, KY 41647. Its main phone number is (606) 377-3400.
Mcdowell Arh Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 181331.
The National Provider Identifier (NPI) on file for Mcdowell Arh Hospital is 1649209263.
Mcdowell Arh Hospital is affiliated with Appalachian Regional Healthcare.
Mcdowell Arh Hospital lists 29 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.
176 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