Consultation/report referred material w/preparation of slides at Baptist Health Lexington
1740 Nicholasville Rd, Lexington, KY · Baptisthealth · · NPI 1538244918
$854.15
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.
$1,138.86
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.
$17.24 with WELLCARE MCAID vs $191.56 with AETNA MCR ADV — 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 |
|---|---|---|---|
| WELLCARE MCAID | WELLCARE MCAID | $17.24 | ↓ -98% |
| ANTHEM TRAD - ALL OTHER PLANS | ANTHEM TRAD - ALL OTHER PLANS | $29.15 | ↓ -97% |
| ANTHEM PATHWAY HMO | ANTHEM PATHWAY HMO | $29.15 | ↓ -97% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $29.15 | ↓ -97% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $29.15 | ↓ -97% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $29.15 | ↓ -97% |
| ANTHEM PATHWAY HPN | ANTHEM PATHWAY HPN | $29.15 | ↓ -97% |
| ANTHEM BHS1 | ANTHEM BHS1 | $47.18 | ↓ -94% |
| SIGNATURE ADV - ALL PLANS | SIGNATURE ADV - ALL PLANS | $50.89 | ↓ -94% |
| ANTHEM MCR ADV | ANTHEM MCR ADV | $51.15 | ↓ -94% |
| HUMANA MCR ADV - ALL OTHER PLANS | HUMANA MCR ADV - ALL OTHER PLANS | $54.45 | ↓ -94% |
| CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $68.68 | ↓ -92% |
| AETNA NEW BUS | AETNA NEW BUS | $79.11 | ↓ -91% |
| UHC OLD BUSINESS | UHC OLD BUSINESS | $80.15 | ↓ -91% |
| CENTER CARE - ALL PLANS | CENTER CARE - ALL PLANS | $85.95 | ↓ -90% |
| AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $88.10 | ↓ -90% |
| UHC MCAID | UHC MCAID | $88.10 | ↓ -90% |
| HUMANA MCAID HMO | HUMANA MCAID HMO | $88.10 | ↓ -90% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $88.10 | ↓ -90% |
| ENCORE PREFERRED | ENCORE PREFERRED | $96.74 | ↓ -89% |
| CARESOURCE-ALL PLANS | CARESOURCE-ALL PLANS | $101.78 | ↓ -88% |
| ALLIANCE COAL - ALL PLANS | ALLIANCE COAL - ALL PLANS | $101.78 | ↓ -88% |
| UHC NEW BUSINESS - ALL OTHER PLANS | UHC NEW BUSINESS - ALL OTHER PLANS | $101.91 | ↓ -88% |
| AMBETTER/WCARE DIRECT IND - ALL PLANS | AMBETTER/WCARE DIRECT IND - ALL PLANS | $103.46 | ↓ -88% |
| AMBETTER/WCARE IND MRKT | AMBETTER/WCARE IND MRKT | $103.46 | ↓ -88% |
| AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $104.40 | ↓ -88% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $134.09 | ↓ -84% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $149.42 | ↓ -83% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $151.33 | ↓ -82% |
| ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $164.55 | ↓ -81% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $191.56 | ↓ -78% |
| AETNA MCR ADV | AETNA MCR ADV | $191.56 | ↓ -78% |
Visitor-reported prices
Comments
Consultation/report referred material w/preparation of slides at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $65.48 | $29.15 – $148.33 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $76.79 | $29.15 – $148.33 |
| Lourdes Hospital | Paducah | $873.00 | not published |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $156.14 | $29.15 – $334.88 |
| Baptist Health Corbin | Corbin | $854.15 | $29.15 – $383.12 |
| Baptist Health Hardin | Elizabethtown | $854.15 | $29.15 – $383.12 |
| Baptist Health La Grange | La Grange | $854.15 | $29.15 – $383.12 |
| Baptist Health Paducah | Paducah | $854.15 | $29.15 – $191.56 |