Shoulder X-ray at CHI Saint Joseph Health - Saint Joseph Berea
305 Estill Street, Berea, KY · CommonSpirit Health · · NPI 1740488386
$491.70
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.
$1,020.00
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.
$134.92 with Wellcare vs $444.99 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 | Medicaid|All Plans | $134.92 | ↓ -73% |
| Wellcare | Medicare|All Plans | $136.92 | ↓ -72% |
| BCBS - Anthem | Medicare|All Plans | $136.92 | ↓ -72% |
| Humana | Medicare|All Plans | $136.92 | ↓ -72% |
| United | Medicare|All Plans | $139.66 | ↓ -72% |
| Aetna | Medicare|All Plans | $141.03 | ↓ -71% |
| Passport by Molina | Medicare|All Plans | $143.77 | ↓ -71% |
| Humana | Medicaid|All Plans | $151.59 | ↓ -69% |
| Aetna | Medicaid|Better Health | $151.59 | ↓ -69% |
| Passport by Molina | Medicaid|All Plans | $154.63 | ↓ -69% |
| United | Medicaid|All Plans | $154.63 | ↓ -69% |
| BCBS - Anthem | Medicaid|All Plans | $159.17 | ↓ -68% |
| Humana | Commercial|All Plans | $224.94 | ↓ -54% |
| United | Commercial|Non-Options | $264.06 | ↓ -46% |
| United | Commercial|Options | $264.06 | ↓ -46% |
| CareSource | Commercial|All Plans | $273.84 | ↓ -44% |
| Cigna | Commercial|All Other Plans | $337.41 | ↓ -31% |
| Cigna | Commercial|PPO | $337.41 | ↓ -31% |
| Aetna | Commercial|PPO | $376.53 | ↓ -23% |
| Aetna | Commercial|All Other Plans | $376.53 | ↓ -23% |
| Aetna | Commercial|HMO | $376.53 | ↓ -23% |
| Multiplan | Commercial|All Plans | $444.99 | ↓ -9% |
Visitor-reported prices
Comments
Shoulder X-ray at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $617.52 | $104.65 – $455.00 |
| CHI Saint Joseph Health - Saint Joseph London | London | $599.49 | $56.00 – $563.29 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $409.71 | $56.00 – $613.34 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $678.88 | $56.00 – $674.31 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $658.91 | $56.00 – $593.32 |
| Adventhealth Manchester | Manchester | $543.60 | $81.65 – $81.65 |