MRI tmj at CHI Saint Joseph Health - Flaget Memorial Hospital
4305 NEW SHEPHERDSVILLE RD, Bardstown, KY · CommonSpirit Health · · NPI 1871588772
$1,361.95
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.
$3,210.00
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.
$231.47 with Wellcare vs $2,921.10 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 |
|---|---|---|---|
| Wellcare | Medicare|All Plans | $231.47 | ↓ -83% |
| BCBS - Anthem | Medicare|All Plans | $231.47 | ↓ -83% |
| Humana | Medicare|All Plans | $231.47 | ↓ -83% |
| United | Medicare|All Plans | $236.10 | ↓ -83% |
| Aetna | Medicare|All Plans | $238.41 | ↓ -82% |
| Passport by Molina | Medicare|All Plans | $243.04 | ↓ -82% |
| CareSource | Commercial|All Plans | $462.94 | ↓ -66% |
| Humana | Medicaid|All Plans | $566.25 | ↓ -58% |
| Aetna | Medicaid|Better Health | $577.80 | ↓ -58% |
| United | Medicaid|Community Plan | $589.36 | ↓ -57% |
| BCBS - Anthem | Medicaid|All Plans | $606.69 | ↓ -55% |
| Passport by Molina | Medicaid|All Plans | $624.03 | ↓ -54% |
| Wellcare | Medicaid|All Plans | $699.14 | ↓ -49% |
| Humana | Commercial|All Plans | $711.41 | ↓ -48% |
| BCBS - Anthem | Commercial|Pathway | $1,375.00 | ↑ +1% |
| BCBS - Anthem | Commercial|HMO PPO | $1,624.00 | ↑ +19% |
| Cigna | Commercial|All Other Plans | $2,343.30 | ↑ +72% |
| Cigna | Commercial|PPO | $2,343.30 | ↑ +72% |
| Aetna | Commercial|PPO | $2,471.70 | ↑ +81% |
| Aetna | Commercial|HMO | $2,471.70 | ↑ +81% |
| Aetna | Commercial|All Other Plans | $2,471.70 | ↑ +81% |
| United | Commercial|Options | $2,567.00 | ↑ +88% |
| United | Commercial|Non-Options | $2,567.00 | ↑ +88% |
| Multiplan | Commercial|All Plans | $2,921.10 | ↑ +114% |
Visitor-reported prices
Comments
MRI tmj at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $711.52 | $407.23 – $1,343.16 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $1,021.75 | $583.53 – $2,537.08 |
| CHI Saint Joseph Health - Saint Joseph London | London | $623.75 | $249.62 – $1,590.68 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $561.14 | $341.43 – $1,271.27 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $703.56 | $328.16 – $1,271.27 |
| Adventhealth Manchester | Manchester | not published | $223.88 – $223.88 |