Electrophysiology evaluation at Baptist Health Lexington
1740 Nicholasville Rd, Lexington, KY · Baptisthealth · · NPI 1538244918
$14,169.81
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.
$18,893.08
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.
$1,700.38 with WELLCARE MCAID vs $18,893.08 with AETNA MCR ADV — 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 |
|---|---|---|---|
| WELLCARE MCAID | WELLCARE MCAID | $1,700.38 | ↓ -88% |
| AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $1,700.38 | ↓ -88% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $1,700.38 | ↓ -88% |
| UHC MCAID | UHC MCAID | $1,700.38 | ↓ -88% |
| HUMANA MCAID HMO | HUMANA MCAID HMO | $1,700.38 | ↓ -88% |
| ANTHEM BHS1 | ANTHEM BHS1 | $4,653.37 | ↓ -67% |
| ANTHEM PATHWAY HMO | ANTHEM PATHWAY HMO | $7,638.47 | ↓ -46% |
| AETNA NEW BUS | AETNA NEW BUS | $7,802.84 | ↓ -45% |
| ANTHEM PATHWAY HPN | ANTHEM PATHWAY HPN | $8,382.86 | ↓ -41% |
| CENTER CARE - ALL PLANS | CENTER CARE - ALL PLANS | $8,477.33 | ↓ -40% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $9,055.45 | ↓ -36% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $9,314.29 | ↓ -34% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $9,314.29 | ↓ -34% |
| ENCORE PREFERRED | ENCORE PREFERRED | $9,541.01 | ↓ -33% |
| ANTHEM TRAD - ALL OTHER PLANS | ANTHEM TRAD - ALL OTHER PLANS | $10,043.56 | ↓ -29% |
| UHC NEW BUSINESS - ALL OTHER PLANS | UHC NEW BUSINESS - ALL OTHER PLANS | $10,051.12 | ↓ -29% |
| AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $10,296.73 | ↓ -27% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $13,225.16 | ↓ -7% |
| UHC OLD BUSINESS | UHC OLD BUSINESS | $14,018.67 | ↓ -1% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $14,736.60 | ↑ +4% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $14,925.53 | ↑ +5% |
| CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $15,065.34 | ↑ +6% |
| ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $16,229.16 | ↑ +15% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $18,893.08 | ↑ +33% |
| AETNA MCR ADV | AETNA MCR ADV | $18,893.08 | ↑ +33% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $2,712.03 | $1,352.32 – $5,238.87 |
| Lourdes Hospital | Paducah | $9,139.80 | not published |
| CHI Saint Joseph Health - Saint Joseph London | London | $1,939.40 | $776.12 – $4,945.85 |
| Baptist Health Corbin | Corbin | $14,169.81 | $18,893.08 – $37,786.16 |
| Baptist Health Hardin | Elizabethtown | $14,169.81 | $18,893.08 – $37,786.16 |
| Baptist Health La Grange | La Grange | $14,169.81 | $18,893.08 – $37,786.16 |
| Baptist Health Paducah | Paducah | $14,169.81 | $18,893.08 – $18,893.08 |
| Hazard ARH Regional Medical Center | Hazard | $7,159.20 | not published |