Sbsq nursing facility care/day e/m stable 10 min at Hazard ARH Regional Medical Center
100 Medical Center Drive, Hazard, KY · Arh · · NPI 1609869916
$53.40
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.
$89.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$34.42 with WellCare of Kentucky vs $59.04 with CareSoure Kentucky — 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 |
|---|---|---|---|
| WellCare of Kentucky | Medicaid | $34.42 | ↓ -36% |
| Aetna | Medicare | $35.78 | ↓ -33% |
| Optum CCN Region 1 | Veterans Affairs Plan | $35.78 | ↓ -33% |
| Optum CCN Region 2 | Veterans Affairs Plan | $35.78 | ↓ -33% |
| WellCare of Kentucky | Medicare | $35.78 | ↓ -33% |
| United Healthcare | Medicare | $35.78 | ↓ -33% |
| Aetna Better Health | Medicaid | $43.40 | ↓ -19% |
| CareSoure Kentucky | Commercial | $59.04 | ↑ +11% |
Visitor-reported prices
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Sbsq nursing facility care/day e/m stable 10 min at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Whitesburg ARH Hospital | Whitesburg | $53.40 | $34.42 – $43.40 |
| Tug Valley ARH Regional Medical Center | Williamson | $53.40 | $29.34 – $59.04 |
| Middlesboro ARH Hospital | Middlesboro | $53.40 | $35.78 – $59.04 |