Lactic acid at Barbourville ARH Hospital

80 Hospital Dr, Barbourville, KY · Arh · · NPI 1992176655

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 16, 2026

$135.00

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$225.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$11.57 with United Healthcare HMO vs $198.00 with Aetna PPO — 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 →

Payer
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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
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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
United Healthcare HMO Commercial $11.57 ↓ -91%
Passport Molina Medicaid $11.57 ↓ -91%
Anthem Medicaid $11.57 ↓ -91%
UMR Commercial $11.57 ↓ -91%
Humana Medicaid $11.57 ↓ -91%
WellCare of Kentucky Medicaid $11.57 ↓ -91%
Aetna Better Health Medicaid $11.57 ↓ -91%
United Healthcare PPO Commercial $11.57 ↓ -91%
Humana Medicare $38.63 ↓ -71%
Anthem Medicare Advantage $38.63 ↓ -71%
Optum CCN Region 1 Veterans Affairs Plan $38.63 ↓ -71%
Optum CCN Region 2 Veterans Affairs Plan $38.63 ↓ -71%
WellCare of Kentucky Medicare $38.63 ↓ -71%
Aetna Medicare $54.00 ↓ -60%
United Healthcare Medicare $65.25 ↓ -52%
CareSoure Kentucky Commercial $146.25 ↑ +8%
Anthem HMO Commercial $186.89 ↑ +38%
Anthem Traditional/PPO Commercial $196.72 ↑ +46%
Aetna POS Commercial $198.00 ↑ +47%
Aetna PPO Commercial $198.00 ↑ +47%

Visitor-reported prices

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Lactic acid at other Kentucky hospitals

Hospital City Cash price Negotiated range
CHI Saint Joseph Health - Saint Joseph Berea Berea $58.82 $9.08 – $111.02
Marcum Wallace Hospital Irvine $67.20 not published
Lourdes Hospital Paducah $91.80 not published
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling $80.26 $9.08 – $199.29
CHI Saint Joseph Health - Saint Joseph London London $51.75 $9.08 – $131.95
CHI Saint Joseph Health - Saint Joseph East Lexington $64.27 $9.08 – $145.60
CHI Saint Joseph Health - Saint Joseph Hospital Lexington $80.58 $9.08 – $145.60
CHI Saint Joseph Health - Flaget Memorial Hospital Bardstown $61.53 $9.08 – $131.95

All Kentucky hospitals for this procedure →