Chemo adm cns w/lmbr punct at Hazard ARH Regional Medical Center

100 Medical Center Drive, Hazard, KY · Arh · · NPI 1609869916

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 16, 2026

$523.80

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$873.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$65.21 with Optum CCN Region 2 vs $785.70 with Aetna POS — 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 →

Payer
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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
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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
Optum CCN Region 2 Veterans Affairs Plan $65.21 ↓ -88%
WellCare of Kentucky Medicare $65.21 ↓ -88%
United Healthcare Medicare $65.21 ↓ -88%
Aetna Medicare $65.21 ↓ -88%
Optum CCN Region 1 Veterans Affairs Plan $65.21 ↓ -88%
Aetna Better Health Medicaid $78.46 ↓ -85%
WellCare of Kentucky Medicaid $88.60 ↓ -83%
CareSoure Kentucky Commercial $107.60 ↓ -79%
Passport Molina Medicaid $195.90 ↓ -63%
Anthem Medicaid $195.90 ↓ -63%
Humana Medicaid $195.90 ↓ -63%
Humana Medicare $269.56 ↓ -49%
Anthem Medicare Advantage $269.56 ↓ -49%
United Healthcare PPO Commercial $646.02 ↑ +23%
United Healthcare HMO Commercial $646.02 ↑ +23%
UMR Commercial $646.02 ↑ +23%
Anthem HMO Commercial $725.11 ↑ +38%
Anthem Traditiona/PPO Commercial $763.26 ↑ +46%
Aetna PPO Commercial $785.70 ↑ +50%
Aetna POS Commercial $785.70 ↑ +50%

Visitor-reported prices

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Chemo adm cns w/lmbr punct at other Kentucky hospitals

Hospital City Cash price Negotiated range
Lourdes Hospital Paducah $529.20 not published
CHI Saint Joseph Health - Saint Joseph London London $308.31 $123.38 – $786.24
CHI Saint Joseph Health - Saint Joseph East Lexington $194.42 $118.29 – $440.44
CHI Saint Joseph Health - Saint Joseph Hospital Lexington $228.01 $113.70 – $440.44
Whitesburg ARH Hospital Whitesburg $432.00 $176.12 – $176.12
Paintsville ARH Hospital Paintsville $433.20 $208.81 – $208.81
Adventhealth Manchester Manchester not published $309.92 – $309.92

All Kentucky hospitals for this procedure →