Burr hole skull & remove clot 61154 at Baptist Health Hardin
913 N Dixie Ave, Elizabethtown, KY · Baptisthealth · · NPI 1689282147
$4,374.23
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.
$5,832.31
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.
$524.91 with AETNA BETTER HLTH MCAID vs $11,664.62 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 |
|---|---|---|---|
| AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $524.91 | ↓ -88% |
| UHC MEDICAID | UHC MEDICAID | $524.91 | ↓ -88% |
| MOLINA MEDICAID - ALL PLANS | MOLINA MEDICAID - ALL PLANS | $524.91 | ↓ -88% |
| WELLCARE MEDICAID | WELLCARE MEDICAID | $524.91 | ↓ -88% |
| HUMANA MCAID - ALL OTHER PLANS | HUMANA MCAID - ALL OTHER PLANS | $535.41 | ↓ -88% |
| ANTHEM PATH TRAN HMO | ANTHEM PATH TRAN HMO | $672.47 | ↓ -85% |
| AETNA NEW BUS | AETNA NEW BUS | $1,236.45 | ↓ -72% |
| AETNA COMM -ALL OTHER PLANS | AETNA COMM -ALL OTHER PLANS | $1,647.63 | ↓ -62% |
| CENTER CARE-ALL PLANS | CENTER CARE-ALL PLANS | $1,773.02 | ↓ -59% |
| ANTHEM PATH HMO - ALL OTHER PLANS | ANTHEM PATH HMO - ALL OTHER PLANS | $1,883.84 | ↓ -57% |
| ANTHEM PATH HPN | ANTHEM PATH HPN | $2,042.48 | ↓ -53% |
| ANTHEM BLUE PREF HMO HIC | ANTHEM BLUE PREF HMO HIC | $2,269.35 | ↓ -48% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $2,269.35 | ↓ -48% |
| ANTHEM BLUE TRAD - ALL OTHER PLANS | ANTHEM BLUE TRAD - ALL OTHER PLANS | $2,269.35 | ↓ -48% |
| UHC ALL PAYER -ALL OTHER PLANS | UHC ALL PAYER -ALL OTHER PLANS | $2,420.41 | ↓ -45% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $3,791.00 | ↓ -13% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $4,665.85 | ↑ +7% |
| SIGNATURE ADVANTAGE - ALL PLANS | SIGNATURE ADVANTAGE - ALL PLANS | $5,832.31 | ↑ +33% |
| AETNA MCR ADV | AETNA MCR ADV | $5,832.31 | ↑ +33% |
| PASSPORT MCR/MCD ADV | PASSPORT MCR/MCD ADV | $5,832.31 | ↑ +33% |
| PASSPORT MCR ADV - ALL OTHER PLANS | PASSPORT MCR ADV - ALL OTHER PLANS | $5,832.31 | ↑ +33% |
| ANTHEM MCR ADV | ANTHEM MCR ADV | $5,861.47 | ↑ +34% |
| HUMANA MCR ADV | HUMANA MCR ADV | $6,123.93 | ↑ +40% |
| AMBETTER/WCARE IND MRKT | AMBETTER/WCARE IND MRKT | $11,233.03 | ↑ +157% |
| AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | $11,233.03 | ↑ +157% |
| ALLIANCE COAL - ALL PLANS | ALLIANCE COAL - ALL PLANS | $11,664.62 | ↑ +167% |
Visitor-reported prices
Comments
Burr hole skull & remove clot 61154 at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $1,690.65 | $1,028.68 – $3,830.19 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $1,982.79 | $988.70 – $3,830.19 |
| Baptist Health Corbin | Corbin | $4,374.23 | $5,832.31 – $11,664.62 |
| Baptist Health Lexington | Lexington | $4,374.23 | $1,211.55 – $5,832.31 |
| Baptist Health La Grange | La Grange | $4,374.23 | $5,832.31 – $11,664.62 |
| Baptist Health Paducah | Paducah | $4,374.23 | $1,211.55 – $5,832.31 |
| Baptist Health Louisville | Louisville | $4,374.23 | $1,211.55 – $5,832.31 |