X-ray exam thorac spine4/>vw 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

$464.40

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.

$774.00

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.

$11.05 with Optum CCN Region 2 vs $696.60 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 $11.05 ↓ -98%
Optum CCN Region 1 Veterans Affairs Plan $11.05 ↓ -98%
United Healthcare Medicare $11.05 ↓ -98%
Aetna Medicare $11.05 ↓ -98%
WellCare of Kentucky Medicare $11.05 ↓ -98%
CareSoure Kentucky Commercial $18.23 ↓ -96%
Aetna Better Health Medicaid $28.07 ↓ -94%
WellCare of Kentucky Medicaid $34.17 ↓ -93%
Humana Medicare $86.42 ↓ -81%
Anthem Medicare Advantage $86.42 ↓ -81%
Humana Medicaid $173.69 ↓ -63%
Passport Molina Medicaid $173.69 ↓ -63%
Anthem Medicaid $173.69 ↓ -63%
United Healthcare PPO Commercial $572.76 ↑ +23%
UMR Commercial $572.76 ↑ +23%
United Healthcare HMO Commercial $572.76 ↑ +23%
Anthem HMO Commercial $642.88 ↑ +38%
Anthem Traditiona/PPO Commercial $676.71 ↑ +46%
Aetna POS Commercial $696.60 ↑ +50%
Aetna PPO Commercial $696.60 ↑ +50%

Visitor-reported prices

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X-ray exam thorac spine4/>vw at other Kentucky hospitals

Hospital City Cash price Negotiated range
CHI Saint Joseph Health - Saint Joseph Berea Berea $190.90 $109.26 – $360.36
Lourdes Hospital Paducah $789.60 not published
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling $370.15 $211.40 – $919.10
CHI Saint Joseph Health - Saint Joseph London London $284.05 $80.45 – $724.36
CHI Saint Joseph Health - Saint Joseph East Lexington $423.77 $80.45 – $960.05
CHI Saint Joseph Health - Saint Joseph Hospital Lexington $497.00 $80.45 – $960.05
CHI Saint Joseph Health - Flaget Memorial Hospital Bardstown $409.01 $80.45 – $877.24
Adventhealth Manchester Manchester $2,004.86 $98.09 – $98.09

All Kentucky hospitals for this procedure →