Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug at Baptist Health Lexington
1740 Nicholasville Rd, Lexington, KY · Baptisthealth · · NPI 1538244918
$342.42
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.
$456.56
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.
$41.09 with WELLCARE MCAID vs $456.56 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 | $41.09 | ↓ -88% |
| AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $41.09 | ↓ -88% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $41.09 | ↓ -88% |
| UHC MCAID | UHC MCAID | $41.09 | ↓ -88% |
| HUMANA MCAID HMO | HUMANA MCAID HMO | $41.09 | ↓ -88% |
| ANTHEM BHS1 | ANTHEM BHS1 | $112.45 | ↓ -67% |
| ANTHEM PATHWAY HMO | ANTHEM PATHWAY HMO | $184.59 | ↓ -46% |
| AETNA NEW BUS | AETNA NEW BUS | $188.56 | ↓ -45% |
| ANTHEM PATHWAY HPN | ANTHEM PATHWAY HPN | $202.58 | ↓ -41% |
| CENTER CARE - ALL PLANS | CENTER CARE - ALL PLANS | $204.86 | ↓ -40% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $218.83 | ↓ -36% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $225.08 | ↓ -34% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $225.08 | ↓ -34% |
| ENCORE PREFERRED | ENCORE PREFERRED | $230.56 | ↓ -33% |
| ANTHEM TRAD - ALL OTHER PLANS | ANTHEM TRAD - ALL OTHER PLANS | $242.71 | ↓ -29% |
| UHC NEW BUSINESS - ALL OTHER PLANS | UHC NEW BUSINESS - ALL OTHER PLANS | $242.89 | ↓ -29% |
| AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $248.83 | ↓ -27% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $319.59 | ↓ -7% |
| UHC OLD BUSINESS | UHC OLD BUSINESS | $338.77 | ↓ -1% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $356.12 | ↑ +4% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $360.68 | ↑ +5% |
| CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $364.06 | ↑ +6% |
| ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $392.19 | ↑ +15% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $456.56 | ↑ +33% |
| AETNA MCR ADV | AETNA MCR ADV | $456.56 | ↑ +33% |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $55.03 | $33.49 – $124.67 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $73.03 | $32.19 – $124.67 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $141.73 | $81.12 – $267.54 |
| Marcum Wallace Hospital | Irvine | $114.60 | not published |
| Lourdes Hospital | Paducah | $276.00 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $35.92 | $20.52 – $89.18 |
| CHI Saint Joseph Health - Saint Joseph London | London | $57.81 | $23.14 – $147.42 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $38.19 | $15.88 – $81.90 |