Highlands Arh Regional Medical Center

5000 Kentucky Route 321 · Prestonsburg, KY 41653

🤖AI Overview

⚠️ This hospital charges 6.3x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$33.8M

Medicare Payments

$5.3M

Discharges

574

Avg Length of Stay

5.3 days

Markup Ratio

6.3x

Risk Score

2.12

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Highlands Arh Regional Medical Center charges an average of $58,805 per discharge, but Medicare only pays $9,312 — a markup of 6.3x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio

This Hospital

6.3x

State Avg

5.7x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$58,805

State Avg

$68,838

National Avg

$69,838

Avg Length of Stay

This Hospital

5.3 days

State Avg

5.2 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

21.2%

65–74

31.5%

75–84

32.7%

85+

14.6%

Gender

54.7%

Female

45.3%

Male

Dual Eligibility

43.2%

Dual Eligible

56.8%

Non-Dual

Race & Ethnicity

White

97.3%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Arthritis

58.1%

Anxiety

52.0%

Diabetes

51.6%

Ischemic Heart Disease

51.1%

COPD

50.5%

Heart Failure

46.0%

Mood Disorders

45.0%

Depression

43.0%

Chronic Kidney Disease

42.6%

Atrial Fibrillation

36.5%

Tobacco Use

30.4%

Alzheimer's/Dementia

25.7%

Cancer

19.4%

Stroke/TIA

17.6%

Substance Use

14.6%

Osteoporosis

13.7%

Bipolar Disorder

10.1%

Asthma

8.3%

Schizophrenia/Psychosis

7.9%

Parkinson's

3.6%

PTSD

2.3%

ADHD/Conduct Disorders

1.4%

Personality Disorders

0.9%

Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.