Surgical pathology level 4 gross & microscopic examination at Baptist Health La Grange
1025 New Moody Ln, La Grange, KY · Baptisthealth · · NPI 1306925540
$370.57
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.
$494.09
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.
$36.44 with ANTHEM PATH HMO vs $419.44 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 |
|---|---|---|---|
| ANTHEM PATH HMO | ANTHEM PATH HMO | $36.44 | ↓ -90% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $36.44 | ↓ -90% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $36.44 | ↓ -90% |
| ANTHEM BLUE TRAD - ALL OTHER PLANS | ANTHEM BLUE TRAD - ALL OTHER PLANS | $36.44 | ↓ -90% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $36.44 | ↓ -90% |
| ANTHEM INDIV ON/OFF EXCH | ANTHEM INDIV ON/OFF EXCH | $36.44 | ↓ -90% |
| ANTHEM PATH HPN | ANTHEM PATH HPN | $36.44 | ↓ -90% |
| ANTHEM BHS1 | ANTHEM BHS1 | $51.65 | ↓ -86% |
| WELLCARE MCAID - ALL PLANS | WELLCARE MCAID - ALL PLANS | $61.81 | ↓ -83% |
| UHC MCAID | UHC MCAID | $61.81 | ↓ -83% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $61.81 | ↓ -83% |
| AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $61.81 | ↓ -83% |
| HUMANA MCAID | HUMANA MCAID | $61.81 | ↓ -83% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $73.35 | ↓ -80% |
| AETNA NEW BUS | AETNA NEW BUS | $80.74 | ↓ -78% |
| UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $101.92 | ↓ -72% |
| AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $107.90 | ↓ -71% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $146.80 | ↓ -60% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $167.78 | ↓ -55% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $178.26 | ↓ -52% |
| CENTER CARE-ALL PLANS | CENTER CARE-ALL PLANS | $187.45 | ↓ -49% |
| PASSPORT MCR/MCD ADV | PASSPORT MCR/MCD ADV | $209.72 | ↓ -43% |
| PASSPORT MCR ADV - ALL OTHER PLANS | PASSPORT MCR ADV - ALL OTHER PLANS | $209.72 | ↓ -43% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $209.72 | ↓ -43% |
| SIGNATURE ADV - ALL PLANS | SIGNATURE ADV - ALL PLANS | $209.72 | ↓ -43% |
| AETNA MCR ADV | AETNA MCR ADV | $209.72 | ↓ -43% |
| ANTHEM MCR ADV | ANTHEM MCR ADV | $210.77 | ↓ -43% |
| HUMANA MCR ADV - ALL OTHER PLANS | HUMANA MCR ADV - ALL OTHER PLANS | $220.21 | ↓ -41% |
| CARESOURCE-ALL PLANS | CARESOURCE-ALL PLANS | $377.50 | ↑ +2% |
| AMBETTER/WCARE IND MRKT | AMBETTER/WCARE IND MRKT | $403.92 | ↑ +9% |
| AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | $403.92 | ↑ +9% |
| ALLIANCE COAL - ALL PLANS | ALLIANCE COAL - ALL PLANS | $419.44 | ↑ +13% |
Visitor-reported prices
Comments
Surgical pathology level 4 gross & microscopic examination at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $200.54 | $36.44 – $378.56 |
| Marcum Wallace Hospital | Irvine | $291.00 | not published |
| Lourdes Hospital | Paducah | $444.00 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $74.03 | $36.44 – $183.82 |
| CHI Saint Joseph Health - Saint Joseph London | London | $149.88 | $36.44 – $382.20 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $187.99 | $36.44 – $425.88 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $235.70 | $36.44 – $425.88 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $158.69 | $36.44 – $340.34 |