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  • Financial data for hospital cost report period ending 06/30/2025 (HCRIS 836362 - 2010).
  • Medicare IPPS claims data are for federal fiscal year ending 09/30/2025 (Final rule MedPAR).
  • Medicare OPPS claims data are for calendar year ending 12/31/2025 (Proposed rule OPPS).
  • Data from other sources and their effective periods are identified within report headers.
  • Errata: Please notify us by email of any corrections or updates.

Highlands ARH Regional Medical Center

Prestonsburg, KY  41653
CMS Certification Number: 180005

Identification and Characteristics

Name and Address: Highlands ARH Regional Medical Center
5000 Kentucky Route 321
Prestonsburg, KY  41653
Telephone Number: (606) 886-8511
Hospital Website:
CMS Certification Number: 180005
   
Type of Facility: Short Term Acute Care
Type of Control: Voluntary Nonprofit, Other
Total Staffed Beds: 88
   
Total Patient Revenue: $646,425,757
Total Discharges: 3,357
Total Patient Days: 15,013
TPS Quality Score: 15.25
Patient Experience Rating: ***..
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Notes



This facility was acquired by Appalachian Regional Healthcare on August 1, 2019.

Source: Appalachian Regional Healthcare, 8/01/2019


Clinical Cost Analyzer
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Clinical Services

Cardiovascular Services
Cardiac Cath Lab
Cardiac Rehab
Coronary Interventions
Emergency Services
Emergency Department
Oncology Services
Chemotherapy
Orthopedic Services
Joint Replacement
Other Services
Hemodialysis
Obstetrics
Radiology / Nuclear Medicine / Imaging
Computed Tomography (CT)
Computed Tomography-Angiography (CTA)
Digital Mammography
Magnetic Resonance Imaging (MRI)
Positron Emission Tomography (PET)
Single Photon Emission Computerized Tomography (SPECT)
Rehabilitation Services
Physical Therapy
Special Care
Intensive Care Unit (ICU)
Subprovider Units
Psychiatric
Surgery
Inpatient Surgery
Robotic Surgery

DNV Hospital Accreditation

  • Accredited for the period: 07/15/2026 - 07/15/2029
ICD Diagnoses & Procedures
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MS-DRG Coding Indicators
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Inpatient Utilization Statistics by Medical Service

  Number Medicare Inpatients Average Length of Stay Average Charges Medicare Case Mix Index (CMI)
Cardiology 84 3.25 $44,300 1.1327
Cardiovascular Surgery 21 2.24 $100,354 2.4581
Medicine 187 5.71 $72,930 1.6576
Neurology 23 3.91 $53,350 1.2064
Orthopedic Surgery 46 6.83 $90,727 2.3305
Orthopedics 15 6.60 $52,938 1.0139
Psychiatry 71 13.04 $71,982 1.3680
Pulmonology 85 5.21 $65,819 1.4073
Surgery 34 12.15 $167,661 3.9823
Urology 55 5.00 $51,514 1.2240
Total 626 6.33 $72,051 1.6537
Market Analysis
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Inpatient Origin for Top 3 Zip Codes

  • Medicare Hospital Market Service Area File for calendar year ending 12/31/2025 / Definitions
ZIP Code of Residence Discharges Days of Care Charges Discharges Inc/(Dec) Market Share
41653 294 1,687 $22,491,410 5.0% 46.2%
41465 112 551 $7,963,205 -16.4% 20.5%
41240 85 514 $6,402,786 16.4% 19.6%

Outpatient Utilization Statistics by APC

APC
Number
APC Description Number
Patient
Claims
Average
Charge
Average
Cost
5441 Level 1 Nerve Injections 850 $235 $205
5115 Level 5 Musculoskeletal Procedures 27 $26,802 $3,800
5025 Level 5 Type A ED Visits 479 $3,999 $563
5012 Clinic Visits and Related Services 1,685 $109 $106
8011 Comprehensive Observation Services 75 $4,271 $728
5693 Level 3 Drug Administration 596 $529 $61
5024 Level 4 Type A ED Visits 339 $3,087 $435
5593 Level 3 Nuclear Medicine and Related Services 97 $1,976 $83
5361 Level 1 Laparoscopy and Related Services 22 $27,077 $3,840
5524 Level 4 Imaging without Contrast 220 $3,347 $383
5594 Level 4 Nuclear Medicine and Related Services 75 $9,585 $404
5522 Level 2 Imaging without Contrast 909 $1,730 $73
5523 Level 3 Imaging without Contrast 378 $4,938 $210
5521 Level 1 Imaging without Contrast 977 $465 $20
5114 Level 4 Musculoskeletal Procedures 13 $16,853 $2,390
5301 Level 1 Upper GI Procedures 81 $5,602 $664
5191 Level 1 Endovascular Procedures 24 $24,399 $3,550
5572 Level 2 Imaging with Contrast 191 $7,986 $341
5312 Level 2 Lower GI Procedures 50 $8,042 $1,007
5183 Level 3 Vascular Procedures 18 $9,610 $1,282

Beds and Patient Days by Unit

  Available Beds Inpatient Days
HOSPITAL
(including swing beds)
   
Routine Services 51 11,356
Special Care 12 2,987
Nursery 670
Total Hospital 88 22,604
Operational Trends
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Financial Statistics

  $ %
Gross Patient Revenue $646,425,757 92.7
Non-Patient Revenue $50,551,356 7.3
Total Revenue $696,977,113  
Net Income (or Loss) $26,165,649 3.8
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