Ot evaluation high complexity patient/family at Baptist Health La Grange
1025 New Moody Ln, La Grange, KY · Baptisthealth · · NPI 1306925540
$387.92
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.
$517.23
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.
$46.55 with AETNA BETTER HLTH MCAID vs $1,034.46 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 | $46.55 | ↓ -88% |
| WELLCARE MCAID - ALL PLANS | WELLCARE MCAID - ALL PLANS | $46.55 | ↓ -88% |
| UHC MCAID | UHC MCAID | $46.55 | ↓ -88% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $46.55 | ↓ -88% |
| HUMANA MCAID | HUMANA MCAID | $46.55 | ↓ -88% |
| AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $66.76 | ↓ -83% |
| ANTHEM PATH HMO | ANTHEM PATH HMO | $82.85 | ↓ -79% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $82.85 | ↓ -79% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $82.85 | ↓ -79% |
| ANTHEM INDIV ON/OFF EXCH | ANTHEM INDIV ON/OFF EXCH | $82.85 | ↓ -79% |
| ANTHEM PATH HPN | ANTHEM PATH HPN | $82.85 | ↓ -79% |
| ANTHEM BHS1 | ANTHEM BHS1 | $127.39 | ↓ -67% |
| AETNA NEW BUS | AETNA NEW BUS | $199.13 | ↓ -49% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $203.06 | ↓ -48% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $221.00 | ↓ -43% |
| ANTHEM BLUE TRAD - ALL OTHER PLANS | ANTHEM BLUE TRAD - ALL OTHER PLANS | $260.32 | ↓ -33% |
| UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $276.72 | ↓ -29% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $362.06 | ↓ -7% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $413.78 | ↑ +7% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $439.65 | ↑ +13% |
| CENTER CARE-ALL PLANS | CENTER CARE-ALL PLANS | $462.30 | ↑ +19% |
| PASSPORT MCR/MCD ADV | PASSPORT MCR/MCD ADV | $517.23 | ↑ +33% |
| PASSPORT MCR ADV - ALL OTHER PLANS | PASSPORT MCR ADV - ALL OTHER PLANS | $517.23 | ↑ +33% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $517.23 | ↑ +33% |
| SIGNATURE ADV - ALL PLANS | SIGNATURE ADV - ALL PLANS | $517.23 | ↑ +33% |
| AETNA MCR ADV | AETNA MCR ADV | $517.23 | ↑ +33% |
| ANTHEM MCR ADV | ANTHEM MCR ADV | $519.82 | ↑ +34% |
| HUMANA MCR ADV - ALL OTHER PLANS | HUMANA MCR ADV - ALL OTHER PLANS | $543.09 | ↑ +40% |
| CARESOURCE-ALL PLANS | CARESOURCE-ALL PLANS | $931.01 | ↑ +140% |
| AMBETTER/WCARE IND MRKT | AMBETTER/WCARE IND MRKT | $996.19 | ↑ +157% |
| AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | $996.19 | ↑ +157% |
| ALLIANCE COAL - ALL PLANS | ALLIANCE COAL - ALL PLANS | $1,034.46 | ↑ +167% |
Visitor-reported prices
Comments
Ot evaluation high complexity patient/family at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $150.41 | $86.09 – $283.92 |
| Marcum Wallace Hospital | Irvine | $387.00 | not published |
| Lourdes Hospital | Paducah | $387.00 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $159.06 | $82.85 – $394.94 |
| CHI Saint Joseph Health - Saint Joseph London | London | $126.32 | $50.56 – $322.14 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $466.75 | $284.00 – $1,057.42 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $547.40 | $272.96 – $1,057.42 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $183.29 | $76.21 – $393.12 |