Biopsy abdominal mass at Baptist Health Lexington
1740 Nicholasville Rd, Lexington, KY · Baptisthealth · · NPI 1538244918
$6,058.70
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.
?
What you pay up front if you don't use insurance.
$8,078.26
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.
?
The hospital's undiscounted list price — almost no one pays this.
$727.04 with AETNA BETTER HLTH MCAID vs $8,078.26 with ANTHEM MCR SELECT — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $727.04 | ↓ -88% |
| WELLCARE MCAID | WELLCARE MCAID | $727.04 | ↓ -88% |
| HUMANA MCAID HMO | HUMANA MCAID HMO | $727.04 | ↓ -88% |
| UHC MCAID | UHC MCAID | $727.04 | ↓ -88% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $727.04 | ↓ -88% |
| SIGNATURE ADV - ALL PLANS | SIGNATURE ADV - ALL PLANS | $1,612.96 | ↓ -73% |
| ANTHEM MCR ADV | ANTHEM MCR ADV | $1,621.02 | ↓ -73% |
| HUMANA MCR ADV - ALL OTHER PLANS | HUMANA MCR ADV - ALL OTHER PLANS | $1,725.87 | ↓ -72% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $1,975.00 | ↓ -67% |
| ANTHEM BHS1 | ANTHEM BHS1 | $1,989.68 | ↓ -67% |
| ANTHEM PATHWAY HMO | ANTHEM PATHWAY HMO | $2,045.00 | ↓ -66% |
| ANTHEM PATHWAY HPN | ANTHEM PATHWAY HPN | $2,245.00 | ↓ -63% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $2,494.00 | ↓ -59% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $2,494.00 | ↓ -59% |
| UHC NEW BUSINESS - ALL OTHER PLANS | UHC NEW BUSINESS - ALL OTHER PLANS | $2,859.70 | ↓ -53% |
| CARESOURCE-ALL PLANS | CARESOURCE-ALL PLANS | $3,225.92 | ↓ -47% |
| ALLIANCE COAL - ALL PLANS | ALLIANCE COAL - ALL PLANS | $3,225.92 | ↓ -47% |
| AMBETTER/WCARE DIRECT IND - ALL PLANS | AMBETTER/WCARE DIRECT IND - ALL PLANS | $3,279.15 | ↓ -46% |
| AMBETTER/WCARE IND MRKT | AMBETTER/WCARE IND MRKT | $3,279.15 | ↓ -46% |
| AETNA NEW BUS | AETNA NEW BUS | $3,336.32 | ↓ -45% |
| CENTER CARE - ALL PLANS | CENTER CARE - ALL PLANS | $3,624.72 | ↓ -40% |
| ENCORE PREFERRED | ENCORE PREFERRED | $4,079.52 | ↓ -33% |
| ANTHEM TRAD - ALL OTHER PLANS | ANTHEM TRAD - ALL OTHER PLANS | $4,294.40 | ↓ -29% |
| AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $4,402.65 | ↓ -27% |
| UHC OLD BUSINESS | UHC OLD BUSINESS | $4,443.04 | ↓ -27% |
| CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $4,877.00 | ↓ -20% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $5,654.78 | ↓ -7% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $6,301.04 | ↑ +4% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $6,381.83 | ↑ +5% |
| ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $6,939.23 | ↑ +15% |
| AETNA MCR ADV | AETNA MCR ADV | $8,078.26 | ↑ +33% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $8,078.26 | ↑ +33% |
Visitor-reported prices
Comments
Biopsy abdominal mass at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $891.32 | $542.33 – $2,019.29 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $1,045.34 | $521.25 – $2,019.29 |
| Lourdes Hospital | Paducah | $2,442.00 | not published |
| CHI Saint Joseph Health - Saint Joseph London | London | $942.41 | $377.14 – $2,403.31 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $2,259.30 | $939.33 – $4,845.75 |
| Adventhealth Manchester | Manchester | $1,870.93 | $1,549.68 – $1,549.68 |
| Baptist Health Corbin | Corbin | $6,058.70 | $8,078.26 – $16,156.52 |
| Whitesburg ARH Hospital | Whitesburg | $2,041.80 | $860.32 – $860.32 |