Chest CT scan (with and without contrast) 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

$3,141.00

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.

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

$5,235.00

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.

$55.93 with Optum CCN Region 2 vs $4,711.50 with Aetna PPO — 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 $55.93 ↓ -98%
Optum CCN Region 1 Veterans Affairs Plan $55.93 ↓ -98%
United Healthcare Medicare $55.93 ↓ -98%
WellCare of Kentucky Medicare $55.93 ↓ -98%
Aetna Medicare $55.93 ↓ -98%
CareSoure Kentucky Commercial $92.28 ↓ -97%
Humana Medicare $144.67 ↓ -95%
Anthem Medicare Advantage $144.67 ↓ -95%
Aetna Better Health Medicaid $197.81 ↓ -94%
WellCare of Kentucky Medicaid $297.79 ↓ -91%
Anthem Traditiona/PPO Commercial $542.00 ↓ -83%
Anthem HMO Commercial $542.00 ↓ -83%
Anthem Medicaid $1,174.73 ↓ -63%
Humana Medicaid $1,174.73 ↓ -63%
Passport Molina Medicaid $1,174.73 ↓ -63%
United Healthcare HMO Commercial $3,873.90 ↑ +23%
UMR Commercial $3,873.90 ↑ +23%
United Healthcare PPO Commercial $3,873.90 ↑ +23%
Aetna POS Commercial $4,711.50 ↑ +50%
Aetna PPO Commercial $4,711.50 ↑ +50%

Visitor-reported prices

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Chest CT scan (with and without contrast) at other Kentucky hospitals

Hospital City Cash price Negotiated range
CHI Saint Joseph Health - Saint Joseph Berea Berea $870.59 $498.28 – $1,643.46
Marcum Wallace Hospital Irvine $1,774.80 not published
Lourdes Hospital Paducah $2,167.20 not published
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling $845.11 $482.65 – $2,098.46
CHI Saint Joseph Health - Saint Joseph London London $1,109.76 $444.11 – $2,830.10
CHI Saint Joseph Health - Saint Joseph East Lexington $1,058.82 $340.00 – $2,398.76
CHI Saint Joseph Health - Saint Joseph Hospital Lexington $1,241.78 $340.00 – $2,398.76
CHI Saint Joseph Health - Flaget Memorial Hospital Bardstown $1,143.87 $475.58 – $2,453.36

All Kentucky hospitals for this procedure →