Ins pm gen w/exist mlt leads at Baptist Health Lexington
1740 Nicholasville Rd, Lexington, KY · Baptisthealth · · NPI 1538244918
$52,245.19
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.
$69,660.25
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.
$6,269.42 with MOLINA MCAID - ALL PLANS vs $69,660.25 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 |
|---|---|---|---|
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $6,269.42 | ↓ -88% |
| WELLCARE MCAID | WELLCARE MCAID | $6,269.42 | ↓ -88% |
| HUMANA MCAID HMO | HUMANA MCAID HMO | $6,269.42 | ↓ -88% |
| AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $6,269.42 | ↓ -88% |
| UHC MCAID | UHC MCAID | $6,269.42 | ↓ -88% |
| CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $14,838.00 | ↓ -72% |
| ANTHEM BHS1 | ANTHEM BHS1 | $17,157.32 | ↓ -67% |
| SIGNATURE ADV - ALL PLANS | SIGNATURE ADV - ALL PLANS | $18,811.10 | ↓ -64% |
| ANTHEM MCR ADV | ANTHEM MCR ADV | $18,905.16 | ↓ -64% |
| HUMANA MCR ADV - ALL OTHER PLANS | HUMANA MCR ADV - ALL OTHER PLANS | $20,127.88 | ↓ -61% |
| UHC NEW BUSINESS - ALL OTHER PLANS | UHC NEW BUSINESS - ALL OTHER PLANS | $24,659.73 | ↓ -53% |
| ANTHEM PATHWAY HMO | ANTHEM PATHWAY HMO | $28,163.64 | ↓ -46% |
| AETNA NEW BUS | AETNA NEW BUS | $28,769.68 | ↓ -45% |
| ANTHEM PATHWAY HPN | ANTHEM PATHWAY HPN | $30,908.25 | ↓ -41% |
| CENTER CARE - ALL PLANS | CENTER CARE - ALL PLANS | $31,256.55 | ↓ -40% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $33,388.16 | ↓ -36% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $34,342.50 | ↓ -34% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $34,342.50 | ↓ -34% |
| ENCORE PREFERRED | ENCORE PREFERRED | $35,178.43 | ↓ -33% |
| ANTHEM TRAD - ALL OTHER PLANS | ANTHEM TRAD - ALL OTHER PLANS | $37,031.39 | ↓ -29% |
| ALLIANCE COAL - ALL PLANS | ALLIANCE COAL - ALL PLANS | $37,622.20 | ↓ -28% |
| CARESOURCE-ALL PLANS | CARESOURCE-ALL PLANS | $37,622.20 | ↓ -28% |
| AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $37,964.84 | ↓ -27% |
| AMBETTER/WCARE DIRECT IND - ALL PLANS | AMBETTER/WCARE DIRECT IND - ALL PLANS | $38,242.97 | ↓ -27% |
| AMBETTER/WCARE IND MRKT | AMBETTER/WCARE IND MRKT | $38,242.97 | ↓ -27% |
| UHC OLD BUSINESS | UHC OLD BUSINESS | $38,313.14 | ↓ -27% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $48,762.18 | ↓ -7% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $54,335.00 | ↑ +4% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $55,031.60 | ↑ +5% |
| ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $59,838.15 | ↑ +15% |
| AETNA MCR ADV | AETNA MCR ADV | $69,660.25 | ↑ +33% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $69,660.25 | ↑ +33% |
Visitor-reported prices
Comments
Ins pm gen w/exist mlt leads at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $1,366.10 | $831.21 – $3,094.91 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $1,602.16 | $798.90 – $3,094.91 |
| Lourdes Hospital | Paducah | $28,530.60 | not published |
| CHI Saint Joseph Health - Saint Joseph London | London | $8,013.10 | $3,206.72 – $20,434.96 |
| Baptist Health Corbin | Corbin | $52,245.19 | $69,660.25 – $139,320.50 |
| Baptist Health Hardin | Elizabethtown | $52,245.19 | $69,660.25 – $139,320.50 |
| Baptist Health La Grange | La Grange | $52,245.19 | $15,795.00 – $139,320.50 |
| Baptist Health Paducah | Paducah | $52,245.19 | $19,147.60 – $69,660.25 |