Shoulder MRI (without contrast) at Baptist Health La Grange
1025 New Moody Ln, La Grange, KY · Baptisthealth · · NPI 1306925540
$6,450.03
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.
$8,600.04
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.
$387.00 with AETNA BETTER HLTH MCAID vs $8,600.06 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 | $387.00 | ↓ -94% |
| WELLCARE MCAID - ALL PLANS | WELLCARE MCAID - ALL PLANS | $387.00 | ↓ -94% |
| UHC MCAID | UHC MCAID | $387.00 | ↓ -94% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $387.00 | ↓ -94% |
| HUMANA MCAID | HUMANA MCAID | $387.00 | ↓ -94% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $543.00 | ↓ -92% |
| ANTHEM PATH HPN | ANTHEM PATH HPN | $691.00 | ↓ -89% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $691.00 | ↓ -89% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $691.00 | ↓ -89% |
| ANTHEM PATH HMO | ANTHEM PATH HMO | $691.00 | ↓ -89% |
| ANTHEM INDIV ON/OFF EXCH | ANTHEM INDIV ON/OFF EXCH | $691.00 | ↓ -89% |
| ANTHEM BHS1 | ANTHEM BHS1 | $1,059.10 | ↓ -84% |
| UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $1,233.00 | ↓ -81% |
| ANTHEM BLUE TRAD - ALL OTHER PLANS | ANTHEM BLUE TRAD - ALL OTHER PLANS | $1,580.00 | ↓ -76% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $1,871.00 | ↓ -71% |
| AETNA NEW BUS | AETNA NEW BUS | $2,224.00 | ↓ -66% |
| AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $2,919.00 | ↓ -55% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $3,010.02 | ↓ -53% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $3,440.02 | ↓ -47% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $3,655.03 | ↓ -43% |
| CENTER CARE-ALL PLANS | CENTER CARE-ALL PLANS | $3,843.37 | ↓ -40% |
| PASSPORT MCR/MCD ADV | PASSPORT MCR/MCD ADV | $4,300.03 | ↓ -33% |
| PASSPORT MCR ADV - ALL OTHER PLANS | PASSPORT MCR ADV - ALL OTHER PLANS | $4,300.03 | ↓ -33% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $4,300.03 | ↓ -33% |
| SIGNATURE ADV - ALL PLANS | SIGNATURE ADV - ALL PLANS | $4,300.03 | ↓ -33% |
| AETNA MCR ADV | AETNA MCR ADV | $4,300.03 | ↓ -33% |
| ANTHEM MCR ADV | ANTHEM MCR ADV | $4,321.53 | ↓ -33% |
| HUMANA MCR ADV - ALL OTHER PLANS | HUMANA MCR ADV - ALL OTHER PLANS | $4,515.03 | ↓ -30% |
| CARESOURCE-ALL PLANS | CARESOURCE-ALL PLANS | $7,740.05 | ↑ +20% |
| AMBETTER/WCARE IND MRKT | AMBETTER/WCARE IND MRKT | $8,281.86 | ↑ +28% |
| AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | $8,281.86 | ↑ +28% |
| ALLIANCE COAL - ALL PLANS | ALLIANCE COAL - ALL PLANS | $8,600.06 | ↑ +33% |
Visitor-reported prices
Comments
Shoulder MRI (without contrast) at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $2,115.26 | $582.15 – $1,920.10 |
| Marcum Wallace Hospital | Irvine | $2,179.80 | not published |
| Lourdes Hospital | Paducah | $2,273.40 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $990.23 | $565.53 – $2,458.82 |
| CHI Saint Joseph Health - Saint Joseph London | London | $1,128.68 | $451.68 – $2,878.33 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $1,271.31 | $484.11 – $2,072.07 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $1,593.96 | $484.11 – $2,175.81 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $1,262.24 | $484.11 – $2,707.25 |