Inj, adalimumab, 1 mg at Baptist Health Hardin
913 N Dixie Ave, Elizabethtown, KY · Baptisthealth · · NPI 1689282147
$49,791.96
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.
$66,389.28
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.
$4,203.62 with AETNA BETTER HLTH MCAID vs $93,413.78 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 | $4,203.62 | ↓ -92% |
| UHC MEDICAID | UHC MEDICAID | $4,203.62 | ↓ -92% |
| MOLINA MEDICAID - ALL PLANS | MOLINA MEDICAID - ALL PLANS | $4,203.62 | ↓ -92% |
| WELLCARE MEDICAID | WELLCARE MEDICAID | $4,203.62 | ↓ -92% |
| HUMANA MCAID - ALL OTHER PLANS | HUMANA MCAID - ALL OTHER PLANS | $4,287.69 | ↓ -91% |
| ANTHEM PATH TRAN HMO | ANTHEM PATH TRAN HMO | $5,385.30 | ↓ -89% |
| AETNA NEW BUS | AETNA NEW BUS | $9,901.86 | ↓ -80% |
| AETNA COMM -ALL OTHER PLANS | AETNA COMM -ALL OTHER PLANS | $13,194.70 | ↓ -74% |
| CENTER CARE-ALL PLANS | CENTER CARE-ALL PLANS | $14,198.89 | ↓ -71% |
| ANTHEM PATH HMO - ALL OTHER PLANS | ANTHEM PATH HMO - ALL OTHER PLANS | $15,086.33 | ↓ -70% |
| ANTHEM PATH HPN | ANTHEM PATH HPN | $16,356.75 | ↓ -67% |
| ANTHEM BLUE PREF HMO HIC | ANTHEM BLUE PREF HMO HIC | $18,173.65 | ↓ -64% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $18,173.65 | ↓ -64% |
| ANTHEM BLUE TRAD - ALL OTHER PLANS | ANTHEM BLUE TRAD - ALL OTHER PLANS | $18,173.65 | ↓ -64% |
| UHC ALL PAYER -ALL OTHER PLANS | UHC ALL PAYER -ALL OTHER PLANS | $20,644.45 | ↓ -59% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $30,359.48 | ↓ -39% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $37,365.51 | ↓ -25% |
| SIGNATURE ADVANTAGE - ALL PLANS | SIGNATURE ADVANTAGE - ALL PLANS | $46,706.89 | ↓ -6% |
| AETNA MCR ADV | AETNA MCR ADV | $46,706.89 | ↓ -6% |
| PASSPORT MCR/MCD ADV | PASSPORT MCR/MCD ADV | $46,706.89 | ↓ -6% |
| PASSPORT MCR ADV - ALL OTHER PLANS | PASSPORT MCR ADV - ALL OTHER PLANS | $46,706.89 | ↓ -6% |
| ANTHEM MCR ADV | ANTHEM MCR ADV | $46,940.42 | ↓ -6% |
| HUMANA MCR ADV | HUMANA MCR ADV | $49,042.23 | ↓ -2% |
| AMBETTER/WCARE IND MRKT | AMBETTER/WCARE IND MRKT | $89,957.47 | ↑ +81% |
| AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | $89,957.47 | ↑ +81% |
| ALLIANCE COAL - ALL PLANS | ALLIANCE COAL - ALL PLANS | $93,413.78 | ↑ +88% |
Visitor-reported prices
Comments
Inj, adalimumab, 1 mg at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Health Corbin | Corbin | $49,791.96 | $46,706.89 – $93,413.78 |
| Baptist Health Lexington | Lexington | $49,791.96 | $46,706.89 – $46,706.89 |
| Baptist Health La Grange | La Grange | $49,791.96 | $46,706.89 – $93,413.78 |
| Baptist Health Paducah | Paducah | $49,791.96 | $46,706.89 – $46,706.89 |
| Baptist Health Louisville | Louisville | $49,791.96 | $46,706.89 – $46,706.89 |
| Harlan ARH Hospital | KY 40831 | $24,021.00 | $91.73 – $91.73 |
| GREENVIEW REGIONAL HOSPITAL | BOWLING GREEN | not published | $269.25 – $269.25 |