Apl(pml-rara) quant - sendout at Baptist Health Floyd
1850 State St, New Albany, IN · Baptisthealth · · NPI 1497798847
$777.30
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.
$1,036.40
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.
$37.53 with ANTHEM BLUE ACCESS PPO vs $1,554.60 with AMBETTER EXH-ALL PLANS — 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 |
|---|---|---|---|
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $37.53 | ↓ -95% |
| ANTHEM INDIV ON/OFF | ANTHEM INDIV ON/OFF | $37.53 | ↓ -95% |
| ANTHEM BLUE TRAD - ALL OTHER PLANS | ANTHEM BLUE TRAD - ALL OTHER PLANS | $37.53 | ↓ -95% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $37.53 | ↓ -95% |
| ANTHEM PATH/HPN | ANTHEM PATH/HPN | $37.53 | ↓ -95% |
| MHS MCAID - ALL PLANS | MHS MCAID - ALL PLANS | $207.31 | ↓ -73% |
| CARESOURCE JUST4ME - ALL PLANS | CARESOURCE JUST4ME - ALL PLANS | $207.31 | ↓ -73% |
| HUMANA HMOX - ALL OTHER PLANS | HUMANA HMOX - ALL OTHER PLANS | $213.32 | ↓ -73% |
| UHC ALL PAYER-ALL PLANS | UHC ALL PAYER-ALL PLANS | $248.77 | ↓ -68% |
| ANTHEM BHS1 | ANTHEM BHS1 | $255.27 | ↓ -67% |
| AETNA NEW BUSINESS | AETNA NEW BUSINESS | $298.48 | ↓ -62% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $338.83 | ↓ -56% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $339.52 | ↓ -56% |
| AETNA UPS CUSTOM | AETNA UPS CUSTOM | $353.41 | ↓ -55% |
| AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $387.41 | ↓ -50% |
| SIHO EXCLUSIVE NTWRK | SIHO EXCLUSIVE NTWRK | $518.20 | ↓ -33% |
| MULTIPLAN/PHCS-ALL PLANS | MULTIPLAN/PHCS-ALL PLANS | $570.02 | ↓ -27% |
| SIHO DUAL NTWRK | SIHO DUAL NTWRK | $570.02 | ↓ -27% |
| SIHO PPO - ALL OTHER PLANS | SIHO PPO - ALL OTHER PLANS | $829.12 | ↑ +7% |
| CENTER CARE-ALL PLANS | CENTER CARE-ALL PLANS | $871.92 | ↑ +12% |
| AETNA MCR ADV | AETNA MCR ADV | $1,036.40 | ↑ +33% |
| PASSPORT MCR ADV - ALL OTHER PLANS | PASSPORT MCR ADV - ALL OTHER PLANS | $1,036.40 | ↑ +33% |
| PASSPORT MCR/MCD ADV | PASSPORT MCR/MCD ADV | $1,036.40 | ↑ +33% |
| ANTHEM MCR ADV | ANTHEM MCR ADV | $1,041.58 | ↑ +34% |
| HUMANA MCR ADV | HUMANA MCR ADV | $1,088.22 | ↑ +40% |
| AMBETTER EXH-ALL PLANS | AMBETTER EXH-ALL PLANS | $1,554.60 | ↑ +100% |
Visitor-reported prices
Comments
Apl(pml-rara) quant - sendout 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 | $245.40 | $62.55 – $472.67 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo | $383.40 | $62.55 – $472.67 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel | $319.20 | $62.55 – $472.67 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis | $319.20 | $62.55 – $472.67 |
| Ascension St. Vincent Seton (St. Vincent Seton Specialty Hospital, Inc.) | Indianapolis | $319.20 | $62.55 – $472.67 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson | $411.60 | $62.55 – $472.67 |
| Parkview DeKalb Hospital | Auburn | $521.00 | $207.31 – $424.47 |
| Parkview Wabash Hospital | Wabash | $529.00 | $402.23 – $459.29 |