Middlesboro Appalachian Regional Healthcare Hospit

3600 West Cumberland Avenue · Middlesboro, KY 40965

🤖AI Overview

⚠️ This hospital charges 4.4x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$10.3M

Medicare Payments

$2.3M

Discharges

266

Avg Length of Stay

3.8 days

Markup Ratio

4.4x

Risk Score

1.89

Fairness Grade: D

Poor — charges 4–5x what Medicare pays

Middlesboro Appalachian Regional Healthcare Hospit charges an average of $38,571 per discharge, but Medicare only pays $8,742 — a markup of 4.4x. 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

4.4x

State Avg

5.7x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$38,571

State Avg

$68,838

National Avg

$69,838

Avg Length of Stay

This Hospital

3.8 days

State Avg

5.2 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

17.0%

65–74

26.5%

75–84

29.0%

85+

27.5%

Gender

55.5%

Female

44.5%

Male

Dual Eligibility

49.5%

Dual Eligible

50.5%

Non-Dual

Race & Ethnicity

White

97.0%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

71.0%

Arthritis

58.5%

COPD

53.5%

Heart Failure

52.5%

Anxiety

52.5%

Ischemic Heart Disease

49.5%

Diabetes

48.0%

Atrial Fibrillation

43.0%

Mood Disorders

42.5%

Depression

41.0%

Chronic Kidney Disease

39.5%

Tobacco Use

34.0%

Alzheimer's/Dementia

27.5%

Substance Use

22.5%

Stroke/TIA

14.5%

Cancer

13.5%

Bipolar Disorder

13.5%

Osteoporosis

9.5%

Asthma

7.5%

Schizophrenia/Psychosis

6.0%

Parkinson's

5.5%

PTSD

2.5%

Personality Disorders

2.0%

ADHD/Conduct Disorders

1.0%

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.