Ghs simple repair 7.6 - 12.5 cm - 12004 at Hazard ARH Regional Medical Center
100 Medical Center Drive, Hazard, KY · Arh · · NPI 1609869916
$327.00
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.
?
What you pay up front if you don't use insurance.
$545.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$50.94 with Humana vs $490.50 with Aetna POS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Humana | Medicaid | $50.94 | ↓ -84% |
| Aetna Better Health | Medicaid | $50.94 | ↓ -84% |
| WellCare of Kentucky | Medicaid | $54.48 | ↓ -83% |
| Aetna | Medicare | $69.96 | ↓ -79% |
| Optum CCN Region 2 | Veterans Affairs Plan | $69.96 | ↓ -79% |
| WellCare of Kentucky | Medicare | $69.96 | ↓ -79% |
| United Healthcare | Medicare | $69.96 | ↓ -79% |
| Optum CCN Region 1 | Veterans Affairs Plan | $69.96 | ↓ -79% |
| CareSoure Kentucky | Commercial | $115.43 | ↓ -65% |
| Anthem | Medicaid | $122.30 | ↓ -63% |
| Passport Molina | Medicaid | $122.30 | ↓ -63% |
| Humana | Medicare | $161.48 | ↓ -51% |
| Anthem | Medicare Advantage | $161.48 | ↓ -51% |
| UMR | Commercial | $167.98 | ↓ -49% |
| United Healthcare PPO | Commercial | $403.30 | ↑ +23% |
| United Healthcare HMO | Commercial | $403.30 | ↑ +23% |
| Anthem HMO | Commercial | $452.68 | ↑ +38% |
| Anthem Traditiona/PPO | Commercial | $476.49 | ↑ +46% |
| Aetna PPO | Commercial | $490.50 | ↑ +50% |
| Aetna POS | Commercial | $490.50 | ↑ +50% |
Visitor-reported prices
Comments
Ghs simple repair 7.6 - 12.5 cm - 12004 at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $339.85 | $194.51 – $641.55 |
| Marcum Wallace Hospital | Irvine | $610.20 | not published |
| Lourdes Hospital | Paducah | $1,015.20 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $387.37 | $221.24 – $961.87 |
| CHI Saint Joseph Health - Saint Joseph London | London | $347.21 | $138.95 – $885.43 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $358.30 | $218.01 – $811.72 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $449.23 | $209.54 – $811.72 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $419.62 | $174.46 – $899.99 |