Inj, sutimlimab-jome, 10 mg at Baptist Health Hardin
913 N Dixie Ave, Elizabethtown, KY · Baptisthealth · · NPI 1689282147
$191.31
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.
$255.08
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.
$21.35 with ANTHEM BLUE ACCESS PPO vs $497.02 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 |
|---|---|---|---|
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $21.35 | ↓ -89% |
| AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $22.37 | ↓ -88% |
| WELLCARE MEDICAID | WELLCARE MEDICAID | $22.37 | ↓ -88% |
| MOLINA MEDICAID - ALL PLANS | MOLINA MEDICAID - ALL PLANS | $22.37 | ↓ -88% |
| UHC MEDICAID | UHC MEDICAID | $22.37 | ↓ -88% |
| HUMANA MCAID - ALL OTHER PLANS | HUMANA MCAID - ALL OTHER PLANS | $22.81 | ↓ -88% |
| ANTHEM BLUE PREF HMO HIC | ANTHEM BLUE PREF HMO HIC | $23.16 | ↓ -88% |
| ANTHEM BLUE TRAD - ALL OTHER PLANS | ANTHEM BLUE TRAD - ALL OTHER PLANS | $23.16 | ↓ -88% |
| ANTHEM PATH HPN | ANTHEM PATH HPN | $23.16 | ↓ -88% |
| ANTHEM PATH HMO - ALL OTHER PLANS | ANTHEM PATH HMO - ALL OTHER PLANS | $23.16 | ↓ -88% |
| ANTHEM PATH TRAN HMO | ANTHEM PATH TRAN HMO | $28.65 | ↓ -85% |
| UHC ALL PAYER -ALL OTHER PLANS | UHC ALL PAYER -ALL OTHER PLANS | $50.43 | ↓ -74% |
| AETNA NEW BUS | AETNA NEW BUS | $52.68 | ↓ -72% |
| AETNA COMM -ALL OTHER PLANS | AETNA COMM -ALL OTHER PLANS | $70.20 | ↓ -63% |
| CENTER CARE-ALL PLANS | CENTER CARE-ALL PLANS | $75.55 | ↓ -61% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $161.53 | ↓ -16% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $198.81 | ↑ +4% |
| AETNA MCR ADV | AETNA MCR ADV | $248.51 | ↑ +30% |
| PASSPORT MCR/MCD ADV | PASSPORT MCR/MCD ADV | $248.51 | ↑ +30% |
| PASSPORT MCR ADV - ALL OTHER PLANS | PASSPORT MCR ADV - ALL OTHER PLANS | $248.51 | ↑ +30% |
| SIGNATURE ADVANTAGE - ALL PLANS | SIGNATURE ADVANTAGE - ALL PLANS | $248.51 | ↑ +30% |
| ANTHEM MCR ADV | ANTHEM MCR ADV | $249.75 | ↑ +31% |
| HUMANA MCR ADV | HUMANA MCR ADV | $260.94 | ↑ +36% |
| AMBETTER/WCARE IND MRKT | AMBETTER/WCARE IND MRKT | $478.63 | ↑ +150% |
| AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | $478.63 | ↑ +150% |
| ALLIANCE COAL - ALL PLANS | ALLIANCE COAL - ALL PLANS | $497.02 | ↑ +160% |
Visitor-reported prices
Comments
Inj, sutimlimab-jome, 10 mg at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Health Corbin | Corbin | $191.31 | $23.16 – $497.02 |
| Baptist Health Lexington | Lexington | $191.31 | $19.64 – $248.51 |
| Baptist Health La Grange | La Grange | $191.31 | $23.16 – $497.02 |
| Baptist Health Paducah | Paducah | $191.31 | $19.64 – $248.51 |
| Baptist Health Louisville | Louisville | $191.31 | $19.64 – $248.51 |
| GREENVIEW REGIONAL HOSPITAL | BOWLING GREEN | not published | $17.77 – $31.40 |