Observation direct referral from physician office for admission 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

$257.97

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.

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What you pay up front if you don't use insurance.

$608.00

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.

$107.26 with Humana vs $1,174.18 with CareSource — 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 $107.26 ↓ -58%
Aetna Medicaid|Better Health $109.44 ↓ -58%
United Medicaid|Community Plan $111.63 ↓ -57%
BCBS - Anthem Medicaid|All Plans $114.92 ↓ -55%
Passport by Molina Medicaid|All Plans $118.20 ↓ -54%
Wellcare Medicaid|All Plans $132.43 ↓ -49%
United Commercial|Options $364.80 ↑ +41%
United Commercial|Non-Options $364.80 ↑ +41%
Cigna Commercial|PPO $443.84 ↑ +72%
Cigna Commercial|All Other Plans $443.84 ↑ +72%
Humana Commercial|All Plans $456.00 ↑ +77%
Aetna Commercial|HMO $468.16 ↑ +81%
Aetna Commercial|PPO $468.16 ↑ +81%
Aetna Commercial|All Other Plans $468.16 ↑ +81%
Multiplan Commercial|All Plans $553.28 ↑ +114%
BCBS - Anthem Medicare|All Plans $587.09 ↑ +128%
Humana Medicare|All Plans $587.09 ↑ +128%
Wellcare Medicare|All Plans $587.09 ↑ +128%
United Medicare|All Plans $598.83 ↑ +132%
Aetna Medicare|All Plans $604.70 ↑ +134%
Passport by Molina Medicare|All Plans $616.44 ↑ +139%
BCBS - Anthem Commercial|Pathway $971.24 ↑ +276%
BCBS - Anthem Commercial|HMO PPO $1,106.05 ↑ +329%
CareSource Commercial|All Plans $1,174.18 ↑ +355%

Visitor-reported prices

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Observation direct referral from physician office for admission at other Kentucky hospitals

Hospital City Cash price Negotiated range
CHI Saint Joseph Health - Saint Joseph Berea Berea $290.20 $166.10 – $547.82
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling $216.23 $123.49 – $536.90
CHI Saint Joseph Health - Saint Joseph London London $208.75 $83.54 – $532.35
CHI Saint Joseph Health - Saint Joseph East Lexington $241.81 $147.13 – $547.82
CHI Saint Joseph Health - Saint Joseph Hospital Lexington $283.60 $141.41 – $547.82
Adventhealth Manchester Manchester $184.72 $558.78 – $558.78

All Kentucky hospitals for this procedure →