Gen, neuro, clo loop, rechg at Baptist Health La Grange
1025 New Moody Ln, La Grange, KY · Baptisthealth · · NPI 1306925540
$226,535.63
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.
$302,047.50
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.
$18,738.68 with UHC MCAID vs $416,415.00 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 |
|---|---|---|---|
| UHC MCAID | UHC MCAID | $18,738.68 | ↓ -92% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $18,738.68 | ↓ -92% |
| AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $18,738.68 | ↓ -92% |
| WELLCARE MCAID - ALL PLANS | WELLCARE MCAID - ALL PLANS | $18,738.68 | ↓ -92% |
| HUMANA MCAID | HUMANA MCAID | $18,738.68 | ↓ -92% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $41,641.50 | ↓ -82% |
| ANTHEM BHS1 | ANTHEM BHS1 | $51,281.51 | ↓ -77% |
| AETNA NEW BUS | AETNA NEW BUS | $80,159.89 | ↓ -65% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $81,742.26 | ↓ -64% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $84,886.20 | ↓ -63% |
| ANTHEM PATH HMO | ANTHEM PATH HMO | $84,886.20 | ↓ -63% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $84,886.20 | ↓ -63% |
| ANTHEM INDIV ON/OFF EXCH | ANTHEM INDIV ON/OFF EXCH | $84,886.20 | ↓ -63% |
| ANTHEM PATH HPN | ANTHEM PATH HPN | $84,886.20 | ↓ -63% |
| UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $101,188.85 | ↓ -55% |
| ANTHEM BLUE TRAD - ALL OTHER PLANS | ANTHEM BLUE TRAD - ALL OTHER PLANS | $104,790.83 | ↓ -54% |
| AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $107,122.76 | ↓ -53% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $145,745.25 | ↓ -36% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $166,566.00 | ↓ -26% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $176,976.38 | ↓ -22% |
| CENTER CARE-ALL PLANS | CENTER CARE-ALL PLANS | $186,095.86 | ↓ -18% |
| PASSPORT MCR/MCD ADV | PASSPORT MCR/MCD ADV | $208,207.50 | ↓ -8% |
| PASSPORT MCR ADV - ALL OTHER PLANS | PASSPORT MCR ADV - ALL OTHER PLANS | $208,207.50 | ↓ -8% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $208,207.50 | ↓ -8% |
| SIGNATURE ADV - ALL PLANS | SIGNATURE ADV - ALL PLANS | $208,207.50 | ↓ -8% |
| AETNA MCR ADV | AETNA MCR ADV | $208,207.50 | ↓ -8% |
| ANTHEM MCR ADV | ANTHEM MCR ADV | $209,248.54 | ↓ -8% |
| HUMANA MCR ADV - ALL OTHER PLANS | HUMANA MCR ADV - ALL OTHER PLANS | $218,617.88 | ↓ -3% |
| CARESOURCE-ALL PLANS | CARESOURCE-ALL PLANS | $374,773.50 | ↑ +65% |
| AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | $401,007.65 | ↑ +77% |
| AMBETTER/WCARE IND MRKT | AMBETTER/WCARE IND MRKT | $401,007.65 | ↑ +77% |
| ALLIANCE COAL - ALL PLANS | ALLIANCE COAL - ALL PLANS | $416,415.00 | ↑ +84% |
Visitor-reported prices
Comments
Gen, neuro, clo loop, rechg at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $9,641.09 | $5,518.00 – $18,200.00 |
| Marcum Wallace Hospital | Irvine | $57,732.84 | not published |
| Lourdes Hospital | Paducah | $69,748.80 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $7,329.61 | $4,186.00 – $18,200.00 |
| CHI Saint Joseph Health - Saint Joseph London | London | $7,136.71 | $2,856.00 – $18,200.00 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $8,033.50 | $4,888.00 – $18,200.00 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $10,072.37 | $4,698.00 – $18,200.00 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $8,485.62 | $3,528.00 – $18,200.00 |