Cocaine 4 % nasal solution at CHI Saint Joseph Health - Flaget Memorial Hospital

4305 NEW SHEPHERDSVILLE RD, Bardstown, KY · CommonSpirit Health · · NPI 1871588772

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$102.47

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.

$241.50

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.

$33.41 with Humana vs $172.33 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 →

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
Humana Medicaid|All Plans $33.41 ↓ -67%
Aetna Medicaid|Better Health $34.09 ↓ -67%
United Medicaid|Community Plan $34.77 ↓ -66%
BCBS - Anthem Medicaid|All Plans $35.80 ↓ -65%
Passport by Molina Medicaid|All Plans $36.82 ↓ -64%
Wellcare Medicaid|All Plans $41.25 ↓ -60%
BCBS - Anthem Commercial|Pathway $111.73 ↑ +9%
BCBS - Anthem Commercial|HMO PPO $126.88 ↑ +24%
Cigna Commercial|PPO $138.25 ↑ +35%
Cigna Commercial|All Other Plans $138.25 ↑ +35%
Humana Commercial|All Plans $142.03 ↑ +39%
Aetna Commercial|All Other Plans $145.82 ↑ +42%
Aetna Commercial|PPO $145.82 ↑ +42%
Aetna Commercial|HMO $145.82 ↑ +42%
Multiplan Commercial|All Plans $172.33 ↑ +68%

Visitor-reported prices

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Cocaine 4 % nasal solution at other Kentucky hospitals

Hospital City Cash price Negotiated range
CHI Saint Joseph Health - Saint Joseph Berea Berea $116.42 $52.25 – $172.33
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling $88.51 $39.64 – $172.33
CHI Saint Joseph Health - Saint Joseph London London $86.18 $27.05 – $172.33
CHI Saint Joseph Health - Saint Joseph East Lexington $97.01 $46.29 – $172.33
CHI Saint Joseph Health - Saint Joseph Hospital Lexington $121.63 $44.49 – $172.33
Adventhealth Manchester Manchester $558.95 not published

All Kentucky hospitals for this procedure →