Gi tract capsule endoscopy (pillcam) 91110 at Baptist Health Hardin
913 N Dixie Ave, Elizabethtown, KY · Baptisthealth · · NPI 1689282147
$4,679.62
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.
$6,239.49
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.
$561.55 with AETNA BETTER HLTH MCAID vs $12,478.98 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 | $561.55 | ↓ -88% |
| UHC MEDICAID | UHC MEDICAID | $561.55 | ↓ -88% |
| MOLINA MEDICAID - ALL PLANS | MOLINA MEDICAID - ALL PLANS | $561.55 | ↓ -88% |
| WELLCARE MEDICAID | WELLCARE MEDICAID | $561.55 | ↓ -88% |
| HUMANA MCAID - ALL OTHER PLANS | HUMANA MCAID - ALL OTHER PLANS | $572.79 | ↓ -88% |
| ANTHEM PATH TRAN HMO | ANTHEM PATH TRAN HMO | $719.41 | ↓ -85% |
| AETNA NEW BUS | AETNA NEW BUS | $1,322.77 | ↓ -72% |
| AETNA COMM -ALL OTHER PLANS | AETNA COMM -ALL OTHER PLANS | $1,762.66 | ↓ -62% |
| CENTER CARE-ALL PLANS | CENTER CARE-ALL PLANS | $1,896.81 | ↓ -59% |
| ANTHEM PATH HMO - ALL OTHER PLANS | ANTHEM PATH HMO - ALL OTHER PLANS | $2,015.36 | ↓ -57% |
| ANTHEM PATH HPN | ANTHEM PATH HPN | $2,185.07 | ↓ -53% |
| ANTHEM BLUE PREF HMO HIC | ANTHEM BLUE PREF HMO HIC | $2,427.79 | ↓ -48% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $2,427.79 | ↓ -48% |
| ANTHEM BLUE TRAD - ALL OTHER PLANS | ANTHEM BLUE TRAD - ALL OTHER PLANS | $2,427.79 | ↓ -48% |
| UHC ALL PAYER -ALL OTHER PLANS | UHC ALL PAYER -ALL OTHER PLANS | $2,589.39 | ↓ -45% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $4,055.67 | ↓ -13% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $4,991.59 | ↑ +7% |
| SIGNATURE ADVANTAGE - ALL PLANS | SIGNATURE ADVANTAGE - ALL PLANS | $6,239.49 | ↑ +33% |
| AETNA MCR ADV | AETNA MCR ADV | $6,239.49 | ↑ +33% |
| PASSPORT MCR/MCD ADV | PASSPORT MCR/MCD ADV | $6,239.49 | ↑ +33% |
| PASSPORT MCR ADV - ALL OTHER PLANS | PASSPORT MCR ADV - ALL OTHER PLANS | $6,239.49 | ↑ +33% |
| ANTHEM MCR ADV | ANTHEM MCR ADV | $6,270.69 | ↑ +34% |
| HUMANA MCR ADV | HUMANA MCR ADV | $6,551.46 | ↑ +40% |
| AMBETTER/WCARE IND MRKT | AMBETTER/WCARE IND MRKT | $12,017.26 | ↑ +157% |
| AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | $12,017.26 | ↑ +157% |
| ALLIANCE COAL - ALL PLANS | ALLIANCE COAL - ALL PLANS | $12,478.98 | ↑ +167% |
Visitor-reported prices
Comments
Gi tract capsule endoscopy (pillcam) 91110 at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $1,045.58 | $598.43 – $1,973.79 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $794.90 | $453.98 – $1,973.79 |
| CHI Saint Joseph Health - Saint Joseph London | London | $759.35 | $303.88 – $1,936.48 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $863.20 | $525.22 – $1,955.59 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $1,012.36 | $504.81 – $1,955.59 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $920.27 | $382.62 – $1,973.79 |
| Baptist Health Corbin | Corbin | $4,679.62 | $6,239.49 – $12,478.98 |
| Baptist Health Lexington | Lexington | $4,679.62 | $885.77 – $6,239.49 |