Phenobarbital therapeutic drug level at CHI Saint Joseph Health - Saint Joseph Berea
305 Estill Street, Berea, KY · CommonSpirit Health · · NPI 1740488386
$108.47
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.
$225.00
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.
$9.73 with BCBS - Anthem vs $194.74 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 |
|---|---|---|---|
| BCBS - Anthem | Commercial|HMO PPO | $9.73 | ↓ -91% |
| BCBS - Anthem | Commercial|Pathway | $9.73 | ↓ -91% |
| Humana | Medicaid|All Plans | $15.30 | ↓ -86% |
| United | Commercial|Non-Options | $15.30 | ↓ -86% |
| United | Commercial|Options | $15.30 | ↓ -86% |
| Aetna | Medicaid|Better Health | $15.46 | ↓ -86% |
| Wellcare | Medicaid|All Plans | $15.61 | ↓ -86% |
| United | Medicaid|All Plans | $15.61 | ↓ -86% |
| Passport by Molina | Medicaid|All Plans | $15.61 | ↓ -86% |
| BCBS - Anthem | Medicaid|All Plans | $16.07 | ↓ -85% |
| Wellcare | Medicare|All Plans | $59.92 | ↓ -45% |
| BCBS - Anthem | Medicare|All Plans | $59.92 | ↓ -45% |
| Humana | Medicare|All Plans | $59.92 | ↓ -45% |
| United | Medicare|All Plans | $61.12 | ↓ -44% |
| Aetna | Medicare|All Plans | $61.72 | ↓ -43% |
| Passport by Molina | Medicare|All Plans | $62.92 | ↓ -42% |
| Humana | Commercial|All Plans | $98.44 | ↓ -9% |
| CareSource | Commercial|All Plans | $119.84 | ↑ +10% |
| Cigna | Commercial|All Other Plans | $147.66 | ↑ +36% |
| Cigna | Commercial|PPO | $147.66 | ↑ +36% |
| Aetna | Commercial|HMO | $164.78 | ↑ +52% |
| Aetna | Commercial|All Other Plans | $164.78 | ↑ +52% |
| Aetna | Commercial|PPO | $164.78 | ↑ +52% |
| Multiplan | Commercial|All Plans | $194.74 | ↑ +80% |
Visitor-reported prices
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Phenobarbital therapeutic drug level at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $82.46 | $9.73 – $204.75 |
| CHI Saint Joseph Health - Saint Joseph London | London | $43.54 | $9.73 – $111.02 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $89.58 | $9.73 – $202.93 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $105.06 | $9.73 – $202.93 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $95.47 | $9.73 – $49.14 |
| Adventhealth Manchester | Manchester | $145.82 | $15.30 – $15.30 |