Kentucky / Hazard Arh Regional Medical Center
CMS certification 180029 · Hazard, KY · 2 entries in CMS's price-transparency list
Hazard Arh Regional Medical Center: charges and Medicare payments
Hazard Arh Regional Medical Center reported 528 Medicare inpatient stays across 25 DRGs in 2024. Across them it charged 5.91 times what it was paid — among the higher ratios in Kentucky, number 10 of 51 hospitals with at least 100 stays (state median 4.06×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 130 stays at an average charge of $92,507, 2% above the national average. It also billed 778 outpatient services, charging 12.87 times what Medicare paid.
- 1Medicare inpatient stays 528
- 2Charge ÷ paid, inpatient 5.91×
- 3Rank in KY (highest ratio = 1) 10 of 51
- 4CMS price-transparency actions 2
Inpatient stays
For the 25 DRGs that can be compared with the national average, Hazard Arh Regional Medical Center charged more than the national average in 11 (44%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 130 | $92,507 | +2% | $14,708 |
| 193 Simple Pneumonia and Pleurisy with MCC | 38 | $68,885 | +15% | $9,482 |
| 291 Heart Failure and Shock with MCC | 31 | $52,114 | -8% | $9,870 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 29 | $169,284 | -26% | $35,702 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 25 | $254,836 | -21% | $51,819 |
| 683 Renal Failure with CC | 21 | $41,230 | +1% | $6,367 |
| 177 Respiratory Infections and Inflammations with MCC | 19 | $74,330 | +5% | $12,670 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 17 | $92,570 | +22% | $11,926 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 16 | $50,967 | +4% | $7,627 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 15 | $72,082 | -23% | $13,801 |
| 682 Renal Failure with MCC | 15 | $98,752 | +50% | $11,310 |
| 207 Respiratory System Diagnosis with Ventilator Support >96... | 14 | $272,775 | -7% | $48,849 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 14 | $57,805 | +2% | $9,035 |
| 481 Hip and Femur Procedures except Major Joint with CC | 14 | $77,335 | -23% | $15,135 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 13 | $49,553 | -2% | $6,840 |
| 603 Cellulitis without MCC | 13 | $66,096 | +77% | $6,684 |
| 689 Kidney and Urinary Tract Infections with MCC | 13 | $48,371 | -6% | $8,816 |
| 690 Kidney and Urinary Tract Infections without MCC | 13 | $37,203 | -2% | $6,221 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 12 | $45,964 | -28% | $7,805 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 11 | $52,312 | -6% | $7,261 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 11 | $81,135 | +60% | $8,421 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 11 | $116,147 | -14% | $18,134 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 11 | $134,176 | -16% | $22,743 |
| 378 Gastrointestinal Hemorrhage with CC | 11 | $50,202 | +3% | $7,463 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $25,803 | -30% | $6,051 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 250 | $28,957 | $2,356 |
| Level 1 Intraocular Procedures | 85 | $17,184 | $1,987 |
| Level 1 Endovascular Procedures | 77 | $37,601 | $2,733 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 74 | $8,960 | $1,371 |
| Level 2 Upper GI Procedures | 61 | $12,720 | $1,616 |
| Level 3 Urology and Related Services | 50 | $16,329 | $1,697 |
| Level 1 Laparoscopy and Related Services | 33 | $29,332 | $4,966 |
| Level 2 Urology and Related Services | 33 | $7,553 | $588 |
| Level 4 Urology and Related Services | 27 | $27,738 | $3,000 |
| Level 3 Vascular Procedures | 25 | $20,825 | $2,568 |
| Level 2 Vascular Procedures | 22 | $23,961 | $1,378 |
| Level 3 Pacemaker and Similar Procedures | 21 | $68,466 | $8,466 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 20 | $14,392 | $2,446 |
Against the Kentucky average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Hazard Arh Regional Medical Center charged $92,507 on average, 46% more than the Kentucky average of $63,454, and was paid $14,708 against a state average of $14,765. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Hazard Arh Regional Medical Center charged $68,885 on average, 57% more than the Kentucky average of $43,745, and was paid $9,482 against a state average of $9,962. For Heart Failure and Shock with MCC (DRG 291), Hazard Arh Regional Medical Center charged $52,114 on average, 28% more than the Kentucky average of $40,730, and was paid $9,870 against a state average of $9,552. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Hazard Arh Regional Medical Center charged $169,284 on average, 3% more than the Kentucky average of $164,235, and was paid $35,702 against a state average of $38,113. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,957 was 42% above the state average of $20,333. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $17,184 was 55% above the state average of $11,097. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $37,601 was 28% above the state average of $29,393. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,960 was 25% below the state average of $11,961.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Hazard Arh Regional Medical Center in Hazard, KY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2026-04-09 (CMS case 7400)
- Closure Notice — 2026-06-24 (CMS case 7400)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.