Immune complex assay at CHI Saint Joseph Health - Saint Joseph Berea
305 Estill Street, Berea, KY · CommonSpirit Health · · NPI 1740488386
$266.10
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.
$552.00
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.
$20.71 with BCBS - Anthem vs $502.32 with Multiplan — 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 |
|---|---|---|---|
| BCBS - Anthem | Commercial|HMO PPO | $20.71 | ↓ -92% |
| BCBS - Anthem | Commercial|Pathway | $20.71 | ↓ -92% |
| Humana | Medicaid|All Plans | $24.37 | ↓ -91% |
| United | Commercial|Non-Options | $24.37 | ↓ -91% |
| United | Commercial|Options | $24.37 | ↓ -91% |
| Aetna | Medicaid|Better Health | $24.62 | ↓ -91% |
| Wellcare | Medicaid|All Plans | $24.86 | ↓ -91% |
| United | Medicaid|All Plans | $24.86 | ↓ -91% |
| Passport by Molina | Medicaid|All Plans | $24.86 | ↓ -91% |
| BCBS - Anthem | Medicaid|All Plans | $25.59 | ↓ -90% |
| Wellcare | Medicare|All Plans | $154.56 | ↓ -42% |
| BCBS - Anthem | Medicare|All Plans | $154.56 | ↓ -42% |
| Humana | Medicare|All Plans | $154.56 | ↓ -42% |
| United | Medicare|All Plans | $157.66 | ↓ -41% |
| Aetna | Medicare|All Plans | $159.20 | ↓ -40% |
| Passport by Molina | Medicare|All Plans | $162.29 | ↓ -39% |
| Humana | Commercial|All Plans | $253.92 | ↓ -5% |
| CareSource | Commercial|All Plans | $309.12 | ↑ +16% |
| Cigna | Commercial|All Other Plans | $380.88 | ↑ +43% |
| Cigna | Commercial|PPO | $380.88 | ↑ +43% |
| Aetna | Commercial|HMO | $425.04 | ↑ +60% |
| Aetna | Commercial|All Other Plans | $425.04 | ↑ +60% |
| Aetna | Commercial|PPO | $425.04 | ↑ +60% |
| Multiplan | Commercial|All Plans | $502.32 | ↑ +89% |
Visitor-reported prices
Comments
Immune complex assay at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $132.67 | $20.71 – $329.42 |
| CHI Saint Joseph Health - Saint Joseph London | London | $27.12 | $20.71 – $69.16 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $190.00 | $20.71 – $430.43 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $238.22 | $20.71 – $430.43 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $107.35 | $20.71 – $230.23 |
| Adventhealth Manchester | Manchester | $204.58 | $24.37 – $24.37 |