Icd crtd cobalt hf MRI is1 df1 at Baptist Health Lexington
1740 Nicholasville Rd, Lexington, KY · Baptisthealth · · NPI 1538244918
$156,375.56
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.
$208,500.75
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.
$11,612.70 with WELLCARE MCAID vs $129,030.00 with ANTHEM MCR SELECT — 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 | $11,612.70 | ↓ -93% |
| AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $11,612.70 | ↓ -93% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $11,612.70 | ↓ -93% |
| UHC MCAID | UHC MCAID | $11,612.70 | ↓ -93% |
| HUMANA MCAID HMO | HUMANA MCAID HMO | $11,612.70 | ↓ -93% |
| CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $25,806.00 | ↓ -83% |
| ANTHEM BHS1 | ANTHEM BHS1 | $31,780.09 | ↓ -80% |
| UHC NEW BUSINESS - ALL OTHER PLANS | UHC NEW BUSINESS - ALL OTHER PLANS | $41,160.57 | ↓ -74% |
| ANTHEM PATHWAY HMO | ANTHEM PATHWAY HMO | $52,166.83 | ↓ -67% |
| AETNA NEW BUS | AETNA NEW BUS | $53,289.39 | ↓ -66% |
| ANTHEM PATHWAY HPN | ANTHEM PATHWAY HPN | $57,250.61 | ↓ -63% |
| UHC OLD BUSINESS | UHC OLD BUSINESS | $57,676.41 | ↓ -63% |
| CENTER CARE - ALL PLANS | CENTER CARE - ALL PLANS | $57,895.76 | ↓ -63% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $61,844.08 | ↓ -60% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $63,611.79 | ↓ -59% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $63,611.79 | ↓ -59% |
| ENCORE PREFERRED | ENCORE PREFERRED | $65,160.15 | ↓ -58% |
| ANTHEM TRAD - ALL OTHER PLANS | ANTHEM TRAD - ALL OTHER PLANS | $68,592.35 | ↓ -56% |
| AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $70,321.35 | ↓ -55% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $90,321.00 | ↓ -42% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $100,643.40 | ↓ -36% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $101,933.70 | ↓ -35% |
| ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $110,836.77 | ↓ -29% |
| AETNA MCR ADV | AETNA MCR ADV | $129,030.00 | ↓ -17% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $129,030.00 | ↓ -17% |
Visitor-reported prices
Comments
Icd crtd cobalt hf MRI is1 df1 at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $6,659.77 | $3,864.46 – $14,388.92 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $8,349.99 | $3,714.24 – $14,388.92 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $7,992.46 | $4,362.54 – $14,388.92 |
| Marcum Wallace Hospital | Irvine | $74,790.27 | not published |
| Lourdes Hospital | Paducah | $90,356.40 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $6,076.25 | $3,309.46 – $14,388.92 |
| CHI Saint Joseph Health - Saint Joseph London | London | $5,916.33 | $2,257.96 – $14,388.92 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $7,034.58 | $2,789.24 – $14,388.92 |