Kentucky / Whitesburg Arh Hospital
CMS certification 180002 · Whitesburg, KY
Whitesburg Arh Hospital: charges and Medicare payments
Whitesburg Arh Hospital reported 192 Medicare inpatient stays across 8 DRGs in 2024. Across them it charged 4.94 times what it was paid — mid-range in Kentucky, number 18 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: 58 stays at an average charge of $63,234, 30% below the national average. It also billed 144 outpatient services, charging 9.96 times what Medicare paid.
- 1Medicare inpatient stays 192
- 2Charge ÷ paid, inpatient 4.94×
- 3Rank in KY (highest ratio = 1) 18 of 51
- 4CMS price-transparency actions 0
Inpatient stays
For the 8 DRGs that can be compared with the national average, Whitesburg Arh Hospital charged more than the national average in 0 (0%). 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 | 58 | $63,234 | -30% | $13,250 |
| 291 Heart Failure and Shock with MCC | 27 | $41,553 | -26% | $9,080 |
| 193 Simple Pneumonia and Pleurisy with MCC | 25 | $50,027 | -16% | $9,477 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 23 | $38,867 | -23% | $7,240 |
| 177 Respiratory Infections and Inflammations with MCC | 19 | $52,509 | -26% | $11,892 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 17 | $34,329 | -15% | $5,717 |
| 689 Kidney and Urinary Tract Infections with MCC | 12 | $47,536 | -7% | $7,760 |
| 690 Kidney and Urinary Tract Infections without MCC | 11 | $26,235 | -31% | $5,807 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 81 | $23,568 | $2,459 |
| Level 1 Intraocular Procedures | 24 | $13,022 | $1,959 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 14 | $10,664 | $1,374 |
| Level 1 Laparoscopy and Related Services | 13 | $19,553 | $5,184 |
| Level 3 Airway Endoscopy | 12 | $12,694 | $1,525 |
Against the Kentucky average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Whitesburg Arh Hospital charged $63,234 on average, 0% less than the Kentucky average of $63,454, and was paid $13,250 against a state average of $14,765. For Heart Failure and Shock with MCC (DRG 291), Whitesburg Arh Hospital charged $41,553 on average, 2% more than the Kentucky average of $40,730, and was paid $9,080 against a state average of $9,552. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Whitesburg Arh Hospital charged $50,027 on average, 14% more than the Kentucky average of $43,745, and was paid $9,477 against a state average of $9,962. For Chronic Obstructive Pulmonary Disease with MCC (DRG 190), Whitesburg Arh Hospital charged $38,867 on average, 5% more than the Kentucky average of $37,165, and was paid $7,240 against a state average of $8,277. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,568 was 16% above the state average of $20,333. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $13,022 was 17% above the state average of $11,097. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,664 was 11% below the state average of $11,961. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $19,553 was 43% below the state average of $34,303.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.