Fmri brain by phys/psych at Baptist Health La Grange
1025 New Moody Ln, La Grange, KY · Baptisthealth · · NPI 1306925540
$3,910.93
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.
$5,214.57
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.
$469.31 with AETNA BETTER HLTH MCAID vs $10,429.14 with ALLIANCE COAL - ALL PLANS — 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 |
|---|---|---|---|
| AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $469.31 | ↓ -88% |
| WELLCARE MCAID - ALL PLANS | WELLCARE MCAID - ALL PLANS | $469.31 | ↓ -88% |
| UHC MCAID | UHC MCAID | $469.31 | ↓ -88% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $469.31 | ↓ -88% |
| HUMANA MCAID | HUMANA MCAID | $469.31 | ↓ -88% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $543.00 | ↓ -86% |
| ANTHEM PATH HPN | ANTHEM PATH HPN | $691.00 | ↓ -82% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $691.00 | ↓ -82% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $691.00 | ↓ -82% |
| ANTHEM PATH HMO | ANTHEM PATH HMO | $691.00 | ↓ -82% |
| ANTHEM INDIV ON/OFF EXCH | ANTHEM INDIV ON/OFF EXCH | $691.00 | ↓ -82% |
| UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $1,233.00 | ↓ -68% |
| ANTHEM BHS1 | ANTHEM BHS1 | $1,284.35 | ↓ -67% |
| ANTHEM BLUE TRAD - ALL OTHER PLANS | ANTHEM BLUE TRAD - ALL OTHER PLANS | $1,580.00 | ↓ -60% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $1,871.00 | ↓ -52% |
| AETNA NEW BUS | AETNA NEW BUS | $2,224.00 | ↓ -43% |
| AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $2,919.00 | ↓ -25% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $3,650.20 | ↓ -7% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $4,171.66 | ↑ +7% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $4,432.38 | ↑ +13% |
| CENTER CARE-ALL PLANS | CENTER CARE-ALL PLANS | $4,660.78 | ↑ +19% |
| PASSPORT MCR/MCD ADV | PASSPORT MCR/MCD ADV | $5,214.57 | ↑ +33% |
| PASSPORT MCR ADV - ALL OTHER PLANS | PASSPORT MCR ADV - ALL OTHER PLANS | $5,214.57 | ↑ +33% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $5,214.57 | ↑ +33% |
| SIGNATURE ADV - ALL PLANS | SIGNATURE ADV - ALL PLANS | $5,214.57 | ↑ +33% |
| AETNA MCR ADV | AETNA MCR ADV | $5,214.57 | ↑ +33% |
| ANTHEM MCR ADV | ANTHEM MCR ADV | $5,240.64 | ↑ +34% |
| HUMANA MCR ADV - ALL OTHER PLANS | HUMANA MCR ADV - ALL OTHER PLANS | $5,475.30 | ↑ +40% |
| CARESOURCE-ALL PLANS | CARESOURCE-ALL PLANS | $9,386.23 | ↑ +140% |
| AMBETTER/WCARE IND MRKT | AMBETTER/WCARE IND MRKT | $10,043.26 | ↑ +157% |
| AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | $10,043.26 | ↑ +157% |
| ALLIANCE COAL - ALL PLANS | ALLIANCE COAL - ALL PLANS | $10,429.14 | ↑ +167% |
Visitor-reported prices
Comments
Fmri brain by phys/psych at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Health Corbin | Corbin | $3,910.93 | $561.00 – $10,429.14 |
| Baptist Health Lexington | Lexington | $3,910.93 | $233.02 – $5,214.57 |
| Baptist Health Hardin | Elizabethtown | $3,910.93 | $752.00 – $10,429.14 |
| Baptist Health Paducah | Paducah | $3,910.93 | $237.19 – $5,214.57 |
| Baptist Health Louisville | Louisville | $3,910.93 | $229.41 – $5,214.57 |
| Adventhealth Manchester | Manchester | not published | $223.88 – $223.88 |
| GREENVIEW REGIONAL HOSPITAL | BOWLING GREEN | not published | $517.79 – $517.79 |