#hypersens-actinomyces ab at Baptist Health Lexington
1740 Nicholasville Rd, Lexington, KY · Baptisthealth · · NPI 1538244918
$151.55
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.
$202.07
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.
$8.65 with ANTHEM PATHWAY HMO vs $170.98 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 |
|---|---|---|---|
| ANTHEM PATHWAY HMO | ANTHEM PATHWAY HMO | $8.65 | ↓ -94% |
| ANTHEM PATHWAY HPN | ANTHEM PATHWAY HPN | $8.65 | ↓ -94% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $8.65 | ↓ -94% |
| ANTHEM TRAD - ALL OTHER PLANS | ANTHEM TRAD - ALL OTHER PLANS | $8.65 | ↓ -94% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $8.65 | ↓ -94% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $8.65 | ↓ -94% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $10.18 | ↓ -93% |
| HUMANA MCAID HMO | HUMANA MCAID HMO | $10.18 | ↓ -93% |
| AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $10.18 | ↓ -93% |
| UHC MCAID | UHC MCAID | $10.18 | ↓ -93% |
| CARESOURCE-ALL PLANS | CARESOURCE-ALL PLANS | $10.18 | ↓ -93% |
| SIGNATURE ADV - ALL PLANS | SIGNATURE ADV - ALL PLANS | $10.18 | ↓ -93% |
| ALLIANCE COAL - ALL PLANS | ALLIANCE COAL - ALL PLANS | $10.18 | ↓ -93% |
| ANTHEM MCR ADV | ANTHEM MCR ADV | $10.23 | ↓ -93% |
| HUMANA MCR ADV - ALL OTHER PLANS | HUMANA MCR ADV - ALL OTHER PLANS | $10.89 | ↓ -93% |
| UHC OLD BUSINESS | UHC OLD BUSINESS | $15.27 | ↓ -90% |
| WELLCARE MCAID | WELLCARE MCAID | $15.39 | ↓ -90% |
| AMBETTER/WCARE IND MRKT | AMBETTER/WCARE IND MRKT | $20.70 | ↓ -86% |
| AMBETTER/WCARE DIRECT IND - ALL PLANS | AMBETTER/WCARE DIRECT IND - ALL PLANS | $20.70 | ↓ -86% |
| CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $24.03 | ↓ -84% |
| ANTHEM BHS1 | ANTHEM BHS1 | $42.11 | ↓ -72% |
| AETNA NEW BUS | AETNA NEW BUS | $70.61 | ↓ -53% |
| CENTER CARE - ALL PLANS | CENTER CARE - ALL PLANS | $76.72 | ↓ -49% |
| ENCORE PREFERRED | ENCORE PREFERRED | $86.34 | ↓ -43% |
| UHC NEW BUSINESS - ALL OTHER PLANS | UHC NEW BUSINESS - ALL OTHER PLANS | $90.96 | ↓ -40% |
| AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $93.18 | ↓ -39% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $119.69 | ↓ -21% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $133.36 | ↓ -12% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $135.07 | ↓ -11% |
| ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $146.87 | ↓ -3% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $170.98 | ↑ +13% |
| AETNA MCR ADV | AETNA MCR ADV | $170.98 | ↑ +13% |
Visitor-reported prices
Comments
#hypersens-actinomyces ab at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $31.74 | $8.65 – $71.89 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $37.22 | $8.65 – $71.89 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $32.78 | $8.65 – $61.88 |
| CHI Saint Joseph Health - Saint Joseph London | London | $12.49 | $8.65 – $31.85 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $11.88 | $8.65 – $25.48 |
| Baptist Health Corbin | Corbin | $151.55 | $8.65 – $341.96 |
| Whitesburg ARH Hospital | Whitesburg | $16.80 | $8.65 – $10.18 |
| Baptist Health Hardin | Elizabethtown | $151.55 | $8.65 – $341.96 |