Treatment of thigh fracture at Marcum Wallace Hospital
60 Mercy Court, Irvine, KY · Mercy · · NPI 1487643821
$3,136.20
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.
$5,227.00
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.
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 |
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Visitor-reported prices
Comments
Treatment of thigh fracture at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $789.61 | $451.93 – $1,490.58 |
| Lourdes Hospital | Paducah | $2,847.60 | not published |
| CHI Saint Joseph Health - Saint Joseph London | London | $1,093.35 | $437.54 – $2,788.24 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $646.70 | $393.49 – $1,465.10 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $758.45 | $378.19 – $1,465.10 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $699.64 | $290.89 – $1,500.59 |
| Hazard ARH Regional Medical Center | Hazard | $999.60 | $1,300.63 – $1,300.63 |
| Harlan ARH Hospital | KY 40831 | $1,000.80 | $1,469.82 – $1,469.82 |