Middlesboro Arh Hospital is a nonprofit short-term acute care hospital in Middlesboro, Kentucky. Its CMS Certification Number (CCN) is 180020 and its NPI is 1801403092.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Middlesboro, KY
Negotiated rates
In-network rates for clinicians billing at this hospital, from each insurer's price transparency files. Median rate, with the range when more than one contract applies.
| Service | Code | Physician rate | vs. Kentucky hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $232$212–$285 · 5 rates | 82nd percentile · state median $214, mean $202 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $336$336–$942 · 11 rates | 50th percentile · state median $337, mean $360 |
| MRI, brain, with and without contrast | 70553 | $834$834–$1,573 · 11 rates | 75th percentile · state median $746, mean $686 |
| Colonoscopy, diagnostic | 45378 | $455$251–$785 · 11 rates | 54th percentile · state median $455, mean $451 |
See UnitedHealthcare rates for every billing code at Middlesboro Arh Hospital
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Every billing code
CPT, HCPCS, MS-DRG and revenue codes, not just the four shown here.
Institutional rates
What each insurer pays the hospital itself, its facility fees.
Professional rates
What insurers pay physicians and clinicians billing here.
Inpatient and outpatient
Per-stay rates for admissions and per-visit rates for outpatient care.
The table above shows physician rates: what the insurer pays clinicians for the service. Facility rates are in the full data. Source: insurer Transparency in Coverage files.
From the hospital's Medicare enrollment record.
From CMS Care Compare. Each measure is compared with the national rate.
CMS overall rating
1 out of 5 stars
0 better3 no different1 worsethan national
0 better2 no different0 worsethan national
0 better4 no different1 worsethan national
Same legal entity in Medicare, or billing insurers under the same tax ID.
Adventhealth Manchester
Manchester, KY
Barbourville Arh Hospital
Barbourville, KY
Pineville Community Health Center Inc
Pineville, KY
Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about Middlesboro Arh Hospital.
Middlesboro Arh Hospital's CMS Certification Number (CCN) is 180020. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Middlesboro Arh Hospital bills under National Provider Identifier (NPI) 1801403092.
Middlesboro Arh Hospital bills insurers under tax ID (EIN) 52-0795508, held by APPALACHIAN REGIONAL HEALTHCARE INC. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Middlesboro Arh Hospital is enrolled in Medicare as a short-term acute care hospital with nonprofit ownership. Its legal business name is Appalachian Regional Healthcare Inc.
Middlesboro Arh Hospital is at 3600 Cumberland Ave, Middlesboro, KY 40965.
Middlesboro Arh Hospital has a CMS overall star rating of 1 out of 5. CMS bases the rating on mortality, safety, readmission, patient experience and timely care measures.
Yes. Middlesboro Arh Hospital reports emergency services to CMS.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.