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APPALACHIAN REGIONAL HEALTHCARE, INC.

General Acute Care Hospital·MIDDLESBORO, KY·NPI: 1891792495Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $38.8M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$38.8M

$38,841,476

Total Claims

853K

Beneficiaries

613K

1.4 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$5.4M
+16%
2019
$6.3M
-20%
2020
$5.0M
+9%
2021
$5.5M
-5%
2022
$5.2M
+8%
2023
$5.6M
+2%
2024
$5.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 19% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$7.4M

17K claims · 19.0%

Your Cost: $426.17/claim|Median: $69.51
6.1× median
74176Top 5%

CT abdomen and pelvis without contrast

$2.2M

3,586 claims · 5.7%

Your Cost: $619.35/claim|Median: $60.19
10.3× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$2.1M

4,356 claims · 5.4%

Your Cost: $479.44/claim|Median: $85.65
5.6× median
74177Top 5%

CT abdomen and pelvis with contrast

$1.8M

2,266 claims · 4.7%

Your Cost: $800.56/claim|Median: $65.76
12.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.6M

17K claims · 4.1%

Your Cost: $94.15/claim|Median: $42.48
2.2× median
G0378Top 25%

Hospital observation service, per hour

$1.5M

4,682 claims · 4.0%

Your Cost: $329.05/claim|Median: $99.39
3.3× median
80053Top 25%

Comprehensive metabolic panel

$1.4M

72K claims · 3.6%

Your Cost: $19.57/claim|Median: $7.24
2.7× median
70450Top 10%

CT head/brain without contrast

$869K

3,642 claims · 2.2%

Your Cost: $238.72/claim|Median: $45.53
5.2× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$691K

55K claims · 1.8%

Your Cost: $12.55/claim|Median: $4.71
2.7× median
99291Top 5%

Critical care, first 30-74 minutes

$675K

1,617 claims · 1.7%

Your Cost: $417.75/claim|Median: $101.24
4.1× median
96361Normal range

IV infusion, hydration, each additional hour

$628K

11K claims · 1.6%

Your Cost: $55.06/claim|Median: $38.92
1.4× median
80061Top 5%

Lipid panel

$589K

18K claims · 1.5%

Your Cost: $33.43/claim|Median: $8.41
4.0× median
43239Top 25%

Upper GI endoscopy with biopsy

$581K

1,896 claims · 1.5%

Your Cost: $306.41/claim|Median: $151.68
2.0× median
97110Top 25%

Therapeutic exercises, each 15 min

$579K

9,406 claims · 1.5%

Your Cost: $61.57/claim|Median: $24.49
2.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$524K

12K claims · 1.3%

Your Cost: $44.82/claim|Median: $35.43
1.3× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$510K

1,456 claims · 1.3%

Your Cost: $350.40/claim|Median: $54.68
6.4× median
84443Top 5%

Thyroid stimulating hormone (TSH)

$486K

18K claims · 1.3%

Your Cost: $27.20/claim|Median: $9.87
2.8× median
Q9967Top 10%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$400K

5,028 claims · 1.0%

Your Cost: $79.63/claim|Median: $3.42
23.3× median
82306Top 10%

Vitamin D, 25 hydroxy

$395K

10K claims · 1.0%

Your Cost: $38.05/claim|Median: $18.18
2.1× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$377K

7,935 claims · 1.0%

Your Cost: $47.53/claim|Median: $54.77
0.9× median
71045Top 10%

Chest X-ray, single view

$376K

10K claims · 1.0%

Your Cost: $36.93/claim|Median: $4.93
7.5× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$371K

4,516 claims · 1.0%

Your Cost: $82.17/claim|Median: $65.45
1.3× median
99282Normal range

Emergency dept visit, low complexity

$369K

5,578 claims · 1.0%

Your Cost: $66.24/claim|Median: $37.72
1.8× median
G0463Normal range

Hospital outpatient clinic visit

$358K

30K claims · 0.9%

Your Cost: $11.91/claim|Median: $26.41
0.5× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$353K

12K claims · 0.9%

Your Cost: $29.75/claim|Median: $21.76
1.4× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$340K

8,081 claims · 0.9%

Your Cost: $42.04/claim|Median: $7.50
5.6× median
36415Top 25%

Collection of venous blood by venipuncture

$299K

111K claims · 0.8%

Your Cost: $2.68/claim|Median: $1.57
1.7× median
83735Top 5%

Magnesium blood level test

$287K

9,969 claims · 0.7%

Your Cost: $28.78/claim|Median: $2.77
10.4× median
76830Top 5%

Ultrasound, transvaginal

$275K

1,710 claims · 0.7%

Your Cost: $160.62/claim|Median: $57.47
2.8× median
82607Top 5%

Cyanocobalamin (vitamin B-12)

$270K

9,095 claims · 0.7%

Your Cost: $29.72/claim|Median: $8.72
3.4× median
82728Top 10%

Ferritin

$260K

7,772 claims · 0.7%

Your Cost: $33.42/claim|Median: $6.00
5.6× median
71046Top 10%

Chest X-ray, 2 views

$247K

6,266 claims · 0.6%

Your Cost: $39.40/claim|Median: $8.92
4.4× median
84439Top 5%

Free thyroxine level blood test

$247K

9,405 claims · 0.6%

Your Cost: $26.22/claim|Median: $6.31
4.2× median
84484Top 5%

Troponin, quantitative

$243K

8,204 claims · 0.6%

Your Cost: $29.66/claim|Median: $4.84
6.1× median
97530Normal range

Therapeutic activities, each 15 min

$241K

5,149 claims · 0.6%

Your Cost: $46.77/claim|Median: $33.11
1.4× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$239K

4,146 claims · 0.6%

Your Cost: $57.64/claim|Median: $91.47
0.6× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$238K

2,951 claims · 0.6%

Your Cost: $80.78/claim|Median: $10.88
7.4× median
76700Top 10%

Ultrasound, abdominal, complete

$226K

1,740 claims · 0.6%

Your Cost: $129.86/claim|Median: $50.69
2.6× median
D7210Top 1%

Extraction, erupted tooth, surgical approach

$211K

217 claims · 0.5%

Your Cost: $972.25/claim|Median: $109.42
8.9× median
81001Top 10%

Urinalysis, automated, with microscopy

$205K

21K claims · 0.5%

Your Cost: $9.63/claim|Median: $2.03
4.7× median
80074Top 10%

$191K

3,524 claims · 0.5%

Your Cost: $54.14/claim|Median: $27.54
2.0× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$187K

12K claims · 0.5%

Your Cost: $15.62/claim|Median: $9.56
1.6× median
87040Top 5%

$185K

4,124 claims · 0.5%

Your Cost: $44.91/claim|Median: $5.54
8.1× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$179K

2,330 claims · 0.5%

Your Cost: $76.92/claim|Median: $35.80
2.1× median
U0003Normal range

Infectious disease detection (COVID-19)

$177K

5,282 claims · 0.5%

Your Cost: $33.42/claim|Median: $63.08
0.5× median
83036Top 10%

Hemoglobin A1c (glycated hemoglobin)

$176K

15K claims · 0.5%

Your Cost: $12.06/claim|Median: $5.50
2.2× median
82150Top 5%

Amylase blood test

$171K

3,694 claims · 0.4%

Your Cost: $46.39/claim|Median: $3.65
12.7× median
83690Top 5%

$164K

6,133 claims · 0.4%

Your Cost: $26.73/claim|Median: $3.35
8.0× median
92507Normal range

Speech/hearing/language treatment

$163K

4,237 claims · 0.4%

Your Cost: $38.52/claim|Median: $49.45
0.8× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$153K

5,845 claims · 0.4%

Your Cost: $26.24/claim|Median: $14.92
1.8× median

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