Biopsy bone trocar/needle superficial at Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.)
1907 W Sycamore St, Kokomo, IN · Ascension · · NPI 1780625442
$2,504.40
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$4,174.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$14.59 with UHC vs $3,548.00 with ANTHEM PPO PREFERRED — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $14.59 | ↓ -99% |
| UHC SELF | 6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002 | $20.61 | ↓ -99% |
| UHC | 9470_UNITED HEALTHCARE VEIN 20250101 | $20.61 | ↓ -99% |
| ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $89.63 | ↓ -96% |
| ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $89.63 | ↓ -96% |
| ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $89.63 | ↓ -96% |
| PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $89.63 | ↓ -96% |
| ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $89.63 | ↓ -96% |
| ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $89.63 | ↓ -96% |
| PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $89.63 | ↓ -96% |
| ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $89.63 | ↓ -96% |
| ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $89.63 | ↓ -96% |
| ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $89.63 | ↓ -96% |
| PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $89.63 | ↓ -96% |
| ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $89.63 | ↓ -96% |
| PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $89.63 | ↓ -96% |
| MDWISE HOOSIER ALLIANCE MEDICAID | 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 | $115.59 | ↓ -95% |
| MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $115.59 | ↓ -95% |
| ANTHEM CARE CONNECT | 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $115.59 | ↓ -95% |
| ANTHEM CARE CONNECT | 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $115.59 | ↓ -95% |
| ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $115.59 | ↓ -95% |
| MHS CARE CONNECT | 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $115.59 | ↓ -95% |
| MHS CARE CONNECT | 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $115.59 | ↓ -95% |
| MDWISE HOOSIER ALLIANCE MEDICAID | 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $115.59 | ↓ -95% |
| MEDICAID ADVANTAGE | 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 | $115.59 | ↓ -95% |
| CARESOURCE MARKETPLACE | 9054_CARESOURCE MARKETPLACE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001 | $668.59 | ↓ -73% |
| MHS CENPATICO AMBETTER | 9036_MHS CENPATICO AMBETTER MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001 | $668.59 | ↓ -73% |
| ANTHEM MCR | 8964_ANTHEM MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001 | $668.59 | ↓ -73% |
| UHC MCR | 9009_UNITED HEALTHCARE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001 | $668.59 | ↓ -73% |
| HUMANA PPO MCR REPLACEMENT | 8982_HUMANA PPO MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001 | $668.59 | ↓ -73% |
| AETNA MCR CHOICE | 8955_AETNA CHOICE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001 | $668.59 | ↓ -73% |
| IMMERGRUN | 9081_IMMERGRUN MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001 | $668.59 | ↓ -73% |
| SECURE HORIZONS-PACIFICARE | 9099_SECURE HORIZONS PACIFICARE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001 | $668.59 | ↓ -73% |
| CARESOURCE HMO MEDICARE ADVANTAGE | 8973_CARESOURCE HMO MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001 | $668.59 | ↓ -73% |
| ZING MEDICARE ADVANTAGE | 9027_ZING MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001 | $668.59 | ↓ -73% |
| CORIZON | 9072_CORIZON MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001 | $668.59 | ↓ -73% |
| MEDICARE REPLACEMENT | 9063_MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001 | $668.59 | ↓ -73% |
| ASCENSION COMPLETE MCR | 9108_ASCENSION COMPLETE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001 | $668.59 | ↓ -73% |
| HUMANA MCR CHOICE | 8991_HUMANA CHOICE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001 | $668.59 | ↓ -73% |
| WELLCARE MEDICARE ADVANTAGE | 9018_WELLCARE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001 | $668.59 | ↓ -73% |
| AETNA MCR | 8946_AETNA MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001 | $668.59 | ↓ -73% |
| MDWISE MEDICARE | 9090_MDWISE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001 | $668.59 | ↓ -73% |
| PERSONALIZED CARE | 9045_ASCENSION PERSONALIZED CARE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001 | $668.59 | ↓ -73% |
| HUMANA GOLD MCR | 9000_HUMANA GOLD CHOICE MEDICARE REPLACEMENT ASC OUTPATIENT ASIN, ECIN, NRIN 20241001 | $668.59 | ↓ -73% |
| ANTHEM BEHAVIORAL | 4090_ANTHEM BEHAVIORAL MEDICAID REPLACEMENT OUTPATIENT 20200201 | $1,416.85 | ↓ -43% |
| ANTHEM PATHWAY X | 9337_ANTHEM PATHWAY X VKIN 20250101 | $2,661.00 | ↑ +6% |
| ANTHEM SHORT TERM LIMITED DURATION | 9364_ANTHEM SHORT TERM LIMITED DURATION VKIN 20250101 | $2,661.00 | ↑ +6% |
| ANTHEM HEALTHSYNC HMO | 9333_ANTHEM HEALTHSYNC HMO VKIN 20250101 | $2,661.00 | ↑ +6% |
| UNIFIED GROUP SERVICES | 8811_ANTHEM UNIFIED GROUPS VCIN ECIN ASIN 20241001 | $2,671.36 | ↑ +7% |
| UNIFIED GROUP SERVICES | 8813_ANTHEM UNIFIED GROUPS VKIN 20241001 | $2,838.32 | ↑ +13% |
| ANTHEM HEALTHSYNC POS | 9334_ANTHEM HEALTHSYNC POS VKIN 20250101 | $2,892.00 | ↑ +15% |
| ANTHEM HMO/POS | 9335_ANTHEM HMO POS VKIN 20250101 | $3,386.00 | ↑ +35% |
| ANTHEM TRADITIONAL | 9339_ANTHEM TRADITIONAL VKIN 20250101 | $3,548.00 | ↑ +42% |
| ANTHEM PATHWAY | 9336_ANTHEM PATHWAY VKIN 20250101 | $3,548.00 | ↑ +42% |
| ANTHEM PPO PREFERRED | 9338_ANTHEM PREFERRED VKIN 20250101 | $3,548.00 | ↑ +42% |
Visitor-reported prices
Comments
Biopsy bone trocar/needle superficial at other Indiana hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh | $2,522.40 | $20.61 – $2,690.56 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel | $1,552.80 | $20.61 – $1,656.32 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel | $1,552.80 | $14.59 – $1,656.32 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis | $1,552.80 | $14.59 – $1,656.32 |
| Ascension St. Vincent Seton (St. Vincent Seton Specialty Hospital, Inc.) | Indianapolis | $1,552.80 | $20.61 – $1,656.32 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson | $1,670.40 | $14.59 – $1,781.76 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers | $1,552.80 | $20.61 – $1,656.32 |
| Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) | Salem | not published | $20.61 – $668.59 |