Injection radioactive tracer sentinel node (both sides) at Baptist Health Lexington
1740 Nicholasville Rd, Lexington, KY · Baptisthealth · · NPI 1538244918
$2,011.63
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.
$2,682.17
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.
$120.70 with AETNA BETTER HLTH MCAID vs $1,341.08 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 |
|---|---|---|---|
| AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $120.70 | ↓ -94% |
| WELLCARE MCAID | WELLCARE MCAID | $120.70 | ↓ -94% |
| HUMANA MCAID HMO | HUMANA MCAID HMO | $120.70 | ↓ -94% |
| UHC MCAID | UHC MCAID | $120.70 | ↓ -94% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $120.70 | ↓ -94% |
| ANTHEM BHS1 | ANTHEM BHS1 | $330.31 | ↓ -84% |
| SIGNATURE ADV - ALL PLANS | SIGNATURE ADV - ALL PLANS | $390.42 | ↓ -81% |
| ANTHEM MCR ADV | ANTHEM MCR ADV | $392.37 | ↓ -80% |
| HUMANA MCR ADV - ALL OTHER PLANS | HUMANA MCR ADV - ALL OTHER PLANS | $417.75 | ↓ -79% |
| ANTHEM PATHWAY HMO | ANTHEM PATHWAY HMO | $542.20 | ↓ -73% |
| AETNA NEW BUS | AETNA NEW BUS | $553.87 | ↓ -72% |
| ANTHEM PATHWAY HPN | ANTHEM PATHWAY HPN | $595.04 | ↓ -70% |
| CENTER CARE - ALL PLANS | CENTER CARE - ALL PLANS | $601.74 | ↓ -70% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $642.78 | ↓ -68% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $661.15 | ↓ -67% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $661.15 | ↓ -67% |
| ENCORE PREFERRED | ENCORE PREFERRED | $677.25 | ↓ -66% |
| ANTHEM TRAD - ALL OTHER PLANS | ANTHEM TRAD - ALL OTHER PLANS | $712.92 | ↓ -65% |
| UHC NEW BUSINESS - ALL OTHER PLANS | UHC NEW BUSINESS - ALL OTHER PLANS | $713.45 | ↓ -65% |
| AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $730.89 | ↓ -64% |
| ALLIANCE COAL - ALL PLANS | ALLIANCE COAL - ALL PLANS | $780.84 | ↓ -61% |
| CARESOURCE-ALL PLANS | CARESOURCE-ALL PLANS | $780.84 | ↓ -61% |
| AMBETTER/WCARE IND MRKT | AMBETTER/WCARE IND MRKT | $793.72 | ↓ -61% |
| AMBETTER/WCARE DIRECT IND - ALL PLANS | AMBETTER/WCARE DIRECT IND - ALL PLANS | $793.72 | ↓ -61% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $938.76 | ↓ -53% |
| UHC OLD BUSINESS | UHC OLD BUSINESS | $995.08 | ↓ -51% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $1,046.04 | ↓ -48% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $1,059.45 | ↓ -47% |
| CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $1,069.38 | ↓ -47% |
| ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $1,151.99 | ↓ -43% |
| AETNA MCR ADV | AETNA MCR ADV | $1,341.08 | ↓ -33% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $1,341.08 | ↓ -33% |
Visitor-reported prices
Comments
Injection radioactive tracer sentinel node (both sides) at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $562.35 | $342.16 – $1,274.00 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $600.16 | $299.27 – $1,159.34 |
| Lourdes Hospital | Paducah | $702.60 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $409.00 | $233.58 – $1,015.56 |
| CHI Saint Joseph Health - Saint Joseph London | London | $170.57 | $68.26 – $434.98 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $3,303.46 | $1,373.46 – $7,085.26 |
| Adventhealth Manchester | Manchester | $329.69 | $375.10 – $375.10 |
| Baptist Health Corbin | Corbin | $2,011.63 | $1,341.08 – $2,682.16 |