Microdissection manual 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

$218.93

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.

$516.00

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.

$57.79 with BCBS - Anthem vs $469.56 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
BCBS - Anthem Commercial|HMO PPO $57.79 ↓ -74%
BCBS - Anthem Commercial|Pathway $57.79 ↓ -74%
Humana Medicaid|All Plans $91.03 ↓ -58%
Aetna Medicaid|Better Health $92.88 ↓ -58%
United Medicaid|Community Plan $94.74 ↓ -57%
BCBS - Anthem Medicaid|All Plans $97.53 ↓ -55%
Passport by Molina Medicaid|All Plans $100.32 ↓ -54%
Wellcare Medicaid|All Plans $112.39 ↓ -49%
United Commercial|Options $175.51 ↓ -20%
United Commercial|Non-Options $175.51 ↓ -20%
Humana Commercial|All Plans $275.11 ↑ +26%
Cigna Commercial|All Other Plans $376.68 ↑ +72%
Cigna Commercial|PPO $376.68 ↑ +72%
Aetna Commercial|HMO $397.32 ↑ +81%
Aetna Commercial|PPO $397.32 ↑ +81%
Aetna Commercial|All Other Plans $397.32 ↑ +81%
Multiplan Commercial|All Plans $469.56 ↑ +114%

Visitor-reported prices

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Microdissection manual at other Kentucky hospitals

Hospital City Cash price Negotiated range
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling $123.51 $57.79 – $306.67
CHI Saint Joseph Health - Saint Joseph London London $476.38 $57.79 – $1,214.85
CHI Saint Joseph Health - Saint Joseph East Lexington $86.77 $52.80 – $196.56
CHI Saint Joseph Health - Saint Joseph Hospital Lexington $108.79 $57.79 – $196.56
Adventhealth Manchester Manchester not published $125.85 – $125.85

All Kentucky hospitals for this procedure →