Biopsy abdominal mass at CHI Saint Joseph Health - Flaget Memorial Hospital
4305 NEW SHEPHERDSVILLE RD, Bardstown, KY · CommonSpirit Health · · NPI 1871588772
$2,259.30
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.
$5,325.00
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.
$939.33 with Humana vs $4,845.75 with Multiplan — 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 |
|---|---|---|---|
| Humana | Medicaid|All Plans | $939.33 | ↓ -58% |
| Aetna | Medicaid|Better Health | $958.50 | ↓ -58% |
| United | Medicaid|Community Plan | $977.67 | ↓ -57% |
| BCBS - Anthem | Medicaid|All Plans | $1,006.43 | ↓ -55% |
| Passport by Molina | Medicaid|All Plans | $1,035.18 | ↓ -54% |
| Wellcare | Medicaid|All Plans | $1,159.79 | ↓ -49% |
| BCBS - Anthem | Medicare|All Plans | $1,551.51 | ↓ -31% |
| Humana | Medicare|All Plans | $1,551.51 | ↓ -31% |
| Wellcare | Medicare|All Plans | $1,551.51 | ↓ -31% |
| United | Medicare|All Plans | $1,582.54 | ↓ -30% |
| Aetna | Medicare|All Plans | $1,598.06 | ↓ -29% |
| Passport by Molina | Medicare|All Plans | $1,629.09 | ↓ -28% |
| CareSource | Commercial|All Plans | $3,103.02 | ↑ +37% |
| United | Commercial|Non-Options | $3,248.25 | ↑ +44% |
| United | Commercial|Options | $3,248.25 | ↑ +44% |
| Cigna | Commercial|PPO | $3,887.25 | ↑ +72% |
| Cigna | Commercial|All Other Plans | $3,887.25 | ↑ +72% |
| Humana | Commercial|All Plans | $3,993.75 | ↑ +77% |
| Aetna | Commercial|HMO | $4,100.25 | ↑ +81% |
| Aetna | Commercial|PPO | $4,100.25 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $4,100.25 | ↑ +81% |
| Multiplan | Commercial|All Plans | $4,845.75 | ↑ +114% |
Visitor-reported prices
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Biopsy abdominal mass at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph London | London | $942.41 | $377.14 – $2,403.31 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $891.32 | $542.33 – $2,019.29 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $1,045.34 | $521.25 – $2,019.29 |
| Adventhealth Manchester | Manchester | $1,870.93 | $1,549.68 – $1,549.68 |