Change cystostomy tube; complex 51710 at Baptist Health Lexington
1740 Nicholasville Rd, Lexington, KY · Baptisthealth · · NPI 1538244918
$3,099.77
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.
$4,133.03
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.
$371.97 with AETNA BETTER HLTH MCAID vs $4,877.00 with CIGNA COMM - 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 | $371.97 | ↓ -88% |
| WELLCARE MCAID | WELLCARE MCAID | $371.97 | ↓ -88% |
| HUMANA MCAID HMO | HUMANA MCAID HMO | $371.97 | ↓ -88% |
| UHC MCAID | UHC MCAID | $371.97 | ↓ -88% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $371.97 | ↓ -88% |
| SIGNATURE ADV - ALL PLANS | SIGNATURE ADV - ALL PLANS | $680.98 | ↓ -78% |
| ANTHEM MCR ADV | ANTHEM MCR ADV | $684.39 | ↓ -78% |
| HUMANA MCR ADV - ALL OTHER PLANS | HUMANA MCR ADV - ALL OTHER PLANS | $728.65 | ↓ -76% |
| ANTHEM BHS1 | ANTHEM BHS1 | $1,017.97 | ↓ -67% |
| CARESOURCE-ALL PLANS | CARESOURCE-ALL PLANS | $1,361.97 | ↓ -56% |
| ALLIANCE COAL - ALL PLANS | ALLIANCE COAL - ALL PLANS | $1,361.97 | ↓ -56% |
| AMBETTER/WCARE DIRECT IND - ALL PLANS | AMBETTER/WCARE DIRECT IND - ALL PLANS | $1,384.44 | ↓ -55% |
| AMBETTER/WCARE IND MRKT | AMBETTER/WCARE IND MRKT | $1,384.44 | ↓ -55% |
| UHC NEW BUSINESS - ALL OTHER PLANS | UHC NEW BUSINESS - ALL OTHER PLANS | $1,463.09 | ↓ -53% |
| AETNA NEW BUS | AETNA NEW BUS | $1,706.94 | ↓ -45% |
| CENTER CARE - ALL PLANS | CENTER CARE - ALL PLANS | $1,854.49 | ↓ -40% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $1,975.00 | ↓ -36% |
| ANTHEM PATHWAY HMO | ANTHEM PATHWAY HMO | $2,045.00 | ↓ -34% |
| ENCORE PREFERRED | ENCORE PREFERRED | $2,087.18 | ↓ -33% |
| ANTHEM TRAD - ALL OTHER PLANS | ANTHEM TRAD - ALL OTHER PLANS | $2,197.12 | ↓ -29% |
| ANTHEM PATHWAY HPN | ANTHEM PATHWAY HPN | $2,245.00 | ↓ -28% |
| AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $2,252.50 | ↓ -27% |
| UHC OLD BUSINESS | UHC OLD BUSINESS | $2,273.17 | ↓ -27% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $2,494.00 | ↓ -20% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $2,494.00 | ↓ -20% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $2,893.12 | ↓ -7% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $3,223.76 | ↑ +4% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $3,265.09 | ↑ +5% |
| ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $3,550.27 | ↑ +15% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $4,133.03 | ↑ +33% |
| AETNA MCR ADV | AETNA MCR ADV | $4,133.03 | ↑ +33% |
| CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $4,877.00 | ↑ +57% |
Visitor-reported prices
Comments
Change cystostomy tube; complex 51710 at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $658.75 | $400.82 – $1,492.40 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $825.94 | $385.24 – $1,492.40 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $790.57 | $452.48 – $1,492.40 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $601.03 | $343.26 – $1,492.40 |
| CHI Saint Joseph Health - Saint Joseph London | London | $585.21 | $234.20 – $1,492.40 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $695.83 | $289.30 – $1,492.40 |
| Adventhealth Manchester | Manchester | $3,864.39 | not published |
| Baptist Health Corbin | Corbin | $3,099.77 | $4,133.03 – $8,266.06 |