Surgical pathology level 5 gross & microscopic examination at Hazard ARH Regional Medical Center
100 Medical Center Drive, Hazard, KY · Arh · · NPI 1609869916
$1,059.60
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.
$1,766.00
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.
$81.27 with Anthem vs $1,589.40 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 →
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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 | Medicaid | $81.27 | ↓ -92% |
| Humana | Medicaid | $152.38 | ↓ -86% |
| Passport Molina | Medicaid | $152.38 | ↓ -86% |
| Aetna | Medicare | $292.34 | ↓ -72% |
| Humana | Medicare | $292.34 | ↓ -72% |
| United Healthcare | Medicare | $292.34 | ↓ -72% |
| Anthem | Medicare Advantage | $292.34 | ↓ -72% |
| Optum CCN Region 1 | Veterans Affairs Plan | $292.34 | ↓ -72% |
| Optum CCN Region 2 | Veterans Affairs Plan | $292.34 | ↓ -72% |
| WellCare of Kentucky | Medicare | $292.34 | ↓ -72% |
| Aetna Better Health | Medicaid | $396.29 | ↓ -63% |
| WellCare of Kentucky | Medicaid | $423.84 | ↓ -60% |
| CareSoure Kentucky | Commercial | $1,059.60 | ↑ +0% |
| United Healthcare PPO | Commercial | $1,306.84 | ↑ +23% |
| UMR | Commercial | $1,306.84 | ↑ +23% |
| United Healthcare HMO | Commercial | $1,306.84 | ↑ +23% |
| Anthem HMO | Commercial | $1,466.84 | ↑ +38% |
| Anthem Traditiona/PPO | Commercial | $1,544.01 | ↑ +46% |
| Aetna POS | Commercial | $1,589.40 | ↑ +50% |
| Aetna PPO | Commercial | $1,589.40 | ↑ +50% |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $477.24 | $81.27 – $900.90 |
| Marcum Wallace Hospital | Irvine | $451.80 | not published |
| Lourdes Hospital | Paducah | $577.20 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $172.98 | $81.27 – $429.52 |
| CHI Saint Joseph Health - Saint Joseph London | London | $319.37 | $81.27 – $814.45 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $360.71 | $81.27 – $817.18 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $452.25 | $81.27 – $817.18 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $228.27 | $81.27 – $489.58 |