Epidural/lumbar/sacral/ea add level64484 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

$773.04

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.

$1,822.00

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.

$321.41 with Humana vs $1,658.02 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 $321.41 ↓ -58%
Aetna Medicaid|Better Health $327.96 ↓ -58%
United Medicaid|Community Plan $334.52 ↓ -57%
BCBS - Anthem Medicaid|All Plans $344.36 ↓ -55%
Passport by Molina Medicaid|All Plans $354.20 ↓ -54%
Wellcare Medicaid|All Plans $396.84 ↓ -49%
United Commercial|Options $1,111.42 ↑ +44%
United Commercial|Non-Options $1,111.42 ↑ +44%
Cigna Commercial|All Other Plans $1,330.06 ↑ +72%
Cigna Commercial|PPO $1,330.06 ↑ +72%
Humana Commercial|All Plans $1,366.50 ↑ +77%
Aetna Commercial|PPO $1,402.94 ↑ +81%
Aetna Commercial|HMO $1,402.94 ↑ +81%
Aetna Commercial|All Other Plans $1,402.94 ↑ +81%
Multiplan Commercial|All Plans $1,658.02 ↑ +114%

Visitor-reported prices

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Epidural/lumbar/sacral/ea add level64484 at other Kentucky hospitals

Hospital City Cash price Negotiated range
CHI Saint Joseph Health - Saint Joseph Berea Berea $637.76 $365.02 – $1,203.93
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling $484.86 $276.91 – $1,203.93
CHI Saint Joseph Health - Saint Joseph London London $463.18 $185.36 – $1,181.18
CHI Saint Joseph Health - Saint Joseph East Lexington $529.01 $321.88 – $1,198.47
CHI Saint Joseph Health - Saint Joseph Hospital Lexington $663.27 $309.37 – $1,198.47
Adventhealth Manchester Manchester $1,088.15 not published

All Kentucky hospitals for this procedure →