Ins lv lead exist pm/icd at Baptist Health Lexington
1740 Nicholasville Rd, Lexington, KY · Baptisthealth · · NPI 1538244918
$63,155.08
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.
$84,206.77
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.
$7,578.61 with AETNA BETTER HLTH MCAID vs $84,206.77 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 | $7,578.61 | ↓ -88% |
| WELLCARE MCAID | WELLCARE MCAID | $7,578.61 | ↓ -88% |
| HUMANA MCAID HMO | HUMANA MCAID HMO | $7,578.61 | ↓ -88% |
| UHC MCAID | UHC MCAID | $7,578.61 | ↓ -88% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $7,578.61 | ↓ -88% |
| SIGNATURE ADV - ALL PLANS | SIGNATURE ADV - ALL PLANS | $10,207.50 | ↓ -84% |
| ANTHEM MCR ADV | ANTHEM MCR ADV | $10,258.54 | ↓ -84% |
| HUMANA MCR ADV - ALL OTHER PLANS | HUMANA MCR ADV - ALL OTHER PLANS | $10,922.03 | ↓ -83% |
| CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $14,838.00 | ↓ -77% |
| CARESOURCE-ALL PLANS | CARESOURCE-ALL PLANS | $20,415.00 | ↓ -68% |
| ALLIANCE COAL - ALL PLANS | ALLIANCE COAL - ALL PLANS | $20,415.00 | ↓ -68% |
| ANTHEM BHS1 | ANTHEM BHS1 | $20,740.13 | ↓ -67% |
| AMBETTER/WCARE IND MRKT | AMBETTER/WCARE IND MRKT | $20,751.85 | ↓ -67% |
| AMBETTER/WCARE DIRECT IND - ALL PLANS | AMBETTER/WCARE DIRECT IND - ALL PLANS | $20,751.85 | ↓ -67% |
| UHC NEW BUSINESS - ALL OTHER PLANS | UHC NEW BUSINESS - ALL OTHER PLANS | $29,809.20 | ↓ -53% |
| ANTHEM PATHWAY HMO | ANTHEM PATHWAY HMO | $34,044.80 | ↓ -46% |
| AETNA NEW BUS | AETNA NEW BUS | $34,777.40 | ↓ -45% |
| ANTHEM PATHWAY HPN | ANTHEM PATHWAY HPN | $37,362.54 | ↓ -41% |
| CENTER CARE - ALL PLANS | CENTER CARE - ALL PLANS | $37,783.58 | ↓ -40% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $40,360.30 | ↓ -36% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $41,513.94 | ↓ -34% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $41,513.94 | ↓ -34% |
| ENCORE PREFERRED | ENCORE PREFERRED | $42,524.42 | ↓ -33% |
| ANTHEM TRAD - ALL OTHER PLANS | ANTHEM TRAD - ALL OTHER PLANS | $44,764.32 | ↓ -29% |
| AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $45,892.69 | ↓ -27% |
| UHC OLD BUSINESS | UHC OLD BUSINESS | $46,313.72 | ↓ -27% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $58,944.74 | ↓ -7% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $65,681.28 | ↑ +4% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $66,523.35 | ↑ +5% |
| ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $72,333.62 | ↑ +15% |
| AETNA MCR ADV | AETNA MCR ADV | $84,206.77 | ↑ +33% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $84,206.77 | ↑ +33% |
Visitor-reported prices
Comments
Ins lv lead exist pm/icd at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $1,260.86 | $767.18 – $2,856.49 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $1,478.73 | $737.36 – $2,856.49 |
| Lourdes Hospital | Paducah | $10,477.80 | not published |
| CHI Saint Joseph Health - Saint Joseph London | London | $4,498.63 | $1,800.28 – $11,472.37 |
| Baptist Health Corbin | Corbin | $63,155.08 | $84,206.77 – $168,413.54 |
| Baptist Health Hardin | Elizabethtown | $63,155.08 | $84,206.77 – $168,413.54 |
| Baptist Health La Grange | La Grange | $63,155.08 | $15,795.00 – $168,413.54 |
| Baptist Health Paducah | Paducah | $63,155.08 | $10,390.10 – $84,206.77 |