Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at Baptist Health Corbin
1 Trillium Way, Corbin, KY · Baptisthealth · · NPI 1902865389
$184.78
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.
$246.37
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.
$19.71 with HUMANA MCAID - ALL OTHER PLANS vs $492.74 with ALLIANCE COAL - ALL PLANS — 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 |
|---|---|---|---|
| HUMANA MCAID - ALL OTHER PLANS | HUMANA MCAID - ALL OTHER PLANS | $19.71 | ↓ -89% |
| WELLCARE MCAID - ALL PLANS | WELLCARE MCAID - ALL PLANS | $19.71 | ↓ -89% |
| UHC MCAID | UHC MCAID | $19.71 | ↓ -89% |
| AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $19.71 | ↓ -89% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $19.71 | ↓ -89% |
| ANTHEM BHS1 | ANTHEM BHS1 | $60.68 | ↓ -67% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $60.72 | ↓ -67% |
| ANTHEM BLUE TRAD - ALL OTHER PLANS | ANTHEM BLUE TRAD - ALL OTHER PLANS | $60.72 | ↓ -67% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $60.72 | ↓ -67% |
| ANTHEM PATH HMO/HPN | ANTHEM PATH HMO/HPN | $60.72 | ↓ -67% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $117.00 | ↓ -37% |
| UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $149.05 | ↓ -19% |
| AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $196.92 | ↑ +7% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $197.10 | ↑ +7% |
| CENTER CARE- ALL PLANS | CENTER CARE- ALL PLANS | $198.67 | ↑ +8% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $209.41 | ↑ +13% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $234.05 | ↑ +27% |
| AETNA MCR | AETNA MCR | $246.37 | ↑ +33% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $246.37 | ↑ +33% |
| PASSPORT MCR ADV - ALL OTHER PLANS | PASSPORT MCR ADV - ALL OTHER PLANS | $246.37 | ↑ +33% |
| PASSPORT MCR/MCD | PASSPORT MCR/MCD | $246.37 | ↑ +33% |
| SIGNATURE ADV - ALL PLANS | SIGNATURE ADV - ALL PLANS | $246.37 | ↑ +33% |
| ANTHEM MCR ADV | ANTHEM MCR ADV | $247.60 | ↑ +34% |
| HUMANA MCR ADV | HUMANA MCR ADV | $258.69 | ↑ +40% |
| CARESOURCE-ALL PLANS | CARESOURCE-ALL PLANS | $443.47 | ↑ +140% |
| AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | $474.51 | ↑ +157% |
| AMBETTER/WCARE IND MRKT | AMBETTER/WCARE IND MRKT | $474.51 | ↑ +157% |
| ALLIANCE COAL - ALL PLANS | ALLIANCE COAL - ALL PLANS | $492.74 | ↑ +167% |
Visitor-reported prices
Comments
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $68.94 | $34.77 – $114.66 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $52.41 | $19.47 – $84.63 |
| CHI Saint Joseph Health - Saint Joseph London | London | $49.96 | $13.14 – $83.72 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $63.47 | $29.09 – $108.29 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $79.58 | $27.96 – $108.29 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $63.65 | $20.11 – $103.74 |
| Baptist Health Lexington | Lexington | $184.78 | $46.33 – $325.00 |
| Whitesburg ARH Hospital | Whitesburg | $163.20 | $46.33 – $89.96 |