Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at Baptist Health La Grange
1025 New Moody Ln, La Grange, KY · Baptisthealth · · NPI 1306925540
$1,109.05
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.
$1,478.73
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.
$132.27 with AETNA BETTER HLTH MCAID vs $2,939.26 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 | $132.27 | ↓ -88% |
| WELLCARE MCAID - ALL PLANS | WELLCARE MCAID - ALL PLANS | $132.27 | ↓ -88% |
| UHC MCAID | UHC MCAID | $132.27 | ↓ -88% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $132.27 | ↓ -88% |
| HUMANA MCAID | HUMANA MCAID | $132.27 | ↓ -88% |
| ANTHEM PATH HMO | ANTHEM PATH HMO | $150.15 | ↓ -86% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $150.15 | ↓ -86% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $150.15 | ↓ -86% |
| ANTHEM INDIV ON/OFF EXCH | ANTHEM INDIV ON/OFF EXCH | $150.15 | ↓ -86% |
| ANTHEM PATH HPN | ANTHEM PATH HPN | $150.15 | ↓ -86% |
| ANTHEM BHS1 | ANTHEM BHS1 | $361.97 | ↓ -67% |
| UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $400.41 | ↓ -64% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $456.33 | ↓ -59% |
| AETNA NEW BUS | AETNA NEW BUS | $565.81 | ↓ -49% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $576.98 | ↓ -48% |
| ANTHEM BLUE TRAD - ALL OTHER PLANS | ANTHEM BLUE TRAD - ALL OTHER PLANS | $739.66 | ↓ -33% |
| AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $756.12 | ↓ -32% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $1,028.74 | ↓ -7% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $1,175.70 | ↑ +6% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $1,249.19 | ↑ +13% |
| CENTER CARE-ALL PLANS | CENTER CARE-ALL PLANS | $1,313.56 | ↑ +18% |
| PASSPORT MCR/MCD ADV | PASSPORT MCR/MCD ADV | $1,469.63 | ↑ +33% |
| PASSPORT MCR ADV - ALL OTHER PLANS | PASSPORT MCR ADV - ALL OTHER PLANS | $1,469.63 | ↑ +33% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $1,469.63 | ↑ +33% |
| SIGNATURE ADV - ALL PLANS | SIGNATURE ADV - ALL PLANS | $1,469.63 | ↑ +33% |
| AETNA MCR ADV | AETNA MCR ADV | $1,469.63 | ↑ +33% |
| ANTHEM MCR ADV | ANTHEM MCR ADV | $1,476.98 | ↑ +33% |
| HUMANA MCR ADV - ALL OTHER PLANS | HUMANA MCR ADV - ALL OTHER PLANS | $1,543.11 | ↑ +39% |
| CARESOURCE-ALL PLANS | CARESOURCE-ALL PLANS | $2,645.33 | ↑ +139% |
| AMBETTER/WCARE IND MRKT | AMBETTER/WCARE IND MRKT | $2,830.51 | ↑ +155% |
| AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | $2,830.51 | ↑ +155% |
| ALLIANCE COAL - ALL PLANS | ALLIANCE COAL - ALL PLANS | $2,939.26 | ↑ +165% |
Visitor-reported prices
Comments
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $205.79 | $26.65 – $87.89 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $156.45 | $19.00 – $87.89 |
| CHI Saint Joseph Health - Saint Joseph London | London | $152.33 | $13.80 – $87.89 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $171.48 | $19.82 – $87.89 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $214.99 | $15.46 – $87.89 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $181.13 | $17.04 – $87.89 |
| Adventhealth Manchester | Manchester | $713.29 | not published |
| Baptist Health Corbin | Corbin | $1,109.05 | $150.15 – $2,939.26 |