Cysto/uretero stricture tx at CHI Saint Joseph Health - Saint Joseph Berea
305 Estill Street, Berea, KY · CommonSpirit Health · · NPI 1740488386
$1,654.42
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.
?
What you pay up front if you don't use insurance.
$3,432.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$946.89 with Wellcare vs $3,975.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | Medicaid|All Plans | $946.89 | ↓ -43% |
| Wellcare | Medicare|All Plans | $960.96 | ↓ -42% |
| BCBS - Anthem | Medicare|All Plans | $960.96 | ↓ -42% |
| Humana | Medicare|All Plans | $960.96 | ↓ -42% |
| United | Medicare|All Plans | $980.18 | ↓ -41% |
| Aetna | Medicare|All Plans | $989.79 | ↓ -40% |
| Passport by Molina | Medicare|All Plans | $1,009.01 | ↓ -39% |
| Humana | Medicaid|All Plans | $1,063.92 | ↓ -36% |
| Aetna | Medicaid|Better Health | $1,063.92 | ↓ -36% |
| Passport by Molina | Medicaid|All Plans | $1,085.20 | ↓ -34% |
| United | Medicaid|All Plans | $1,085.20 | ↓ -34% |
| BCBS - Anthem | Medicaid|All Plans | $1,117.12 | ↓ -32% |
| Humana | Commercial|All Plans | $1,578.72 | ↓ -5% |
| United | Commercial|Non-Options | $1,887.60 | ↑ +14% |
| United | Commercial|Options | $1,887.60 | ↑ +14% |
| CareSource | Commercial|All Plans | $1,921.92 | ↑ +16% |
| Cigna | Commercial|PPO | $2,368.08 | ↑ +43% |
| Cigna | Commercial|All Other Plans | $2,368.08 | ↑ +43% |
| Aetna | Commercial|All Other Plans | $2,642.64 | ↑ +60% |
| Aetna | Commercial|HMO | $2,642.64 | ↑ +60% |
| Aetna | Commercial|PPO | $2,642.64 | ↑ +60% |
| Multiplan | Commercial|All Plans | $3,123.12 | ↑ +89% |
| BCBS - Anthem | Commercial|Pathway | $3,363.00 | ↑ +103% |
| BCBS - Anthem | Commercial|HMO PPO | $3,975.00 | ↑ +140% |
Visitor-reported prices
Comments
Cysto/uretero stricture tx at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $1,198.20 | $729.05 – $2,714.53 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $1,405.25 | $700.71 – $2,714.53 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $897.36 | $373.09 – $1,924.65 |