Tx open dstl phlngl fx f/t internal fixation ea at CHI Saint Joseph Health - Saint Joseph Berea
305 Estill Street, Berea, KY · CommonSpirit Health · · NPI 1740488386
$1,452.92
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.
$3,014.00
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.
$831.57 with Wellcare vs $4,508.00 with BCBS - Anthem — 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 | $831.57 | ↓ -43% |
| Wellcare | Medicare|All Plans | $843.92 | ↓ -42% |
| BCBS - Anthem | Medicare|All Plans | $843.92 | ↓ -42% |
| Humana | Medicare|All Plans | $843.92 | ↓ -42% |
| United | Medicare|All Plans | $860.80 | ↓ -41% |
| Aetna | Medicare|All Plans | $869.24 | ↓ -40% |
| Passport by Molina | Medicare|All Plans | $886.12 | ↓ -39% |
| Humana | Medicaid|All Plans | $934.34 | ↓ -36% |
| Aetna | Medicaid|Better Health | $934.34 | ↓ -36% |
| Passport by Molina | Medicaid|All Plans | $953.03 | ↓ -34% |
| United | Medicaid|All Plans | $953.03 | ↓ -34% |
| BCBS - Anthem | Medicaid|All Plans | $981.06 | ↓ -32% |
| Humana | Commercial|All Plans | $1,386.44 | ↓ -5% |
| United | Commercial|Non-Options | $1,657.70 | ↑ +14% |
| United | Commercial|Options | $1,657.70 | ↑ +14% |
| CareSource | Commercial|All Plans | $1,687.84 | ↑ +16% |
| Cigna | Commercial|PPO | $2,079.66 | ↑ +43% |
| Cigna | Commercial|All Other Plans | $2,079.66 | ↑ +43% |
| Aetna | Commercial|All Other Plans | $2,320.78 | ↑ +60% |
| Aetna | Commercial|HMO | $2,320.78 | ↑ +60% |
| Aetna | Commercial|PPO | $2,320.78 | ↑ +60% |
| Multiplan | Commercial|All Plans | $2,742.74 | ↑ +89% |
| BCBS - Anthem | Commercial|Pathway | $3,815.00 | ↑ +163% |
| BCBS - Anthem | Commercial|HMO PPO | $4,508.00 | ↑ +210% |
Visitor-reported prices
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Tx open dstl phlngl fx f/t internal fixation ea at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $1,826.02 | $1,111.05 – $4,136.86 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $2,141.55 | $1,067.86 – $4,136.86 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $948.27 | $394.26 – $2,033.85 |
| Adventhealth Manchester | Manchester | $16,876.11 | $3,070.09 – $3,070.09 |