System pacing micra av at CHI Saint Joseph Health - Saint Joseph Berea
305 Estill Street, Berea, KY · CommonSpirit Health · · NPI 1740488386
$5,890.71
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.
$12,220.00
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.
$2,596.22 with Wellcare vs $8,563.10 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 | $2,596.22 | ↓ -56% |
| Wellcare | Medicare|All Plans | $2,634.80 | ↓ -55% |
| BCBS - Anthem | Medicare|All Plans | $2,634.80 | ↓ -55% |
| Humana | Medicare|All Plans | $2,634.80 | ↓ -55% |
| United | Medicare|All Plans | $2,687.50 | ↓ -54% |
| Aetna | Medicare|All Plans | $2,713.85 | ↓ -54% |
| Passport by Molina | Medicare|All Plans | $2,766.54 | ↓ -53% |
| Humana | Medicaid|All Plans | $2,917.10 | ↓ -50% |
| Aetna | Medicaid|Better Health | $2,917.10 | ↓ -50% |
| Passport by Molina | Medicaid|All Plans | $2,975.45 | ↓ -49% |
| United | Medicaid|All Plans | $2,975.45 | ↓ -49% |
| BCBS - Anthem | Medicaid|All Plans | $3,062.96 | ↓ -48% |
| Humana | Commercial|All Plans | $4,328.60 | ↓ -27% |
| United | Commercial|Non-Options | $5,081.40 | ↓ -14% |
| United | Commercial|Options | $5,081.40 | ↓ -14% |
| CareSource | Commercial|All Plans | $5,269.60 | ↓ -11% |
| BCBS - Anthem | Commercial|Pathway | $5,928.30 | ↑ +1% |
| Cigna | Commercial|PPO | $6,492.90 | ↑ +10% |
| Cigna | Commercial|All Other Plans | $6,492.90 | ↑ +10% |
| BCBS - Anthem | Commercial|HMO PPO | $6,775.20 | ↑ +15% |
| Aetna | Commercial|All Other Plans | $7,245.70 | ↑ +23% |
| Aetna | Commercial|PPO | $7,245.70 | ↑ +23% |
| Aetna | Commercial|HMO | $7,245.70 | ↑ +23% |
| Multiplan | Commercial|All Plans | $8,563.10 | ↑ +45% |
Visitor-reported prices
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System pacing micra av at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $4,478.39 | $1,969.52 – $8,563.10 |
| CHI Saint Joseph Health - Saint Joseph London | London | $4,360.53 | $1,343.75 – $8,563.10 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $4,908.47 | $2,299.81 – $8,563.10 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $6,154.22 | $2,210.41 – $8,563.10 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $5,184.72 | $1,659.93 – $8,563.10 |