M/phmtrc alys ishquant/semiq at Baptist Health Lexington
1740 Nicholasville Rd, Lexington, KY · Baptisthealth · · NPI 1538244918
$1,237.18
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.
$1,649.57
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.
$50.34 with WELLCARE MCAID vs $744.91 with CIGNA COMM - ALL PLANS — 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 | $50.34 | ↓ -96% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $77.90 | ↓ -94% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $77.90 | ↓ -94% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $77.90 | ↓ -94% |
| ANTHEM TRAD - ALL OTHER PLANS | ANTHEM TRAD - ALL OTHER PLANS | $77.90 | ↓ -94% |
| ANTHEM PATHWAY HPN | ANTHEM PATHWAY HPN | $77.90 | ↓ -94% |
| ANTHEM PATHWAY HMO | ANTHEM PATHWAY HMO | $77.90 | ↓ -94% |
| ANTHEM BHS1 | ANTHEM BHS1 | $137.77 | ↓ -89% |
| HUMANA MCAID HMO | HUMANA MCAID HMO | $159.99 | ↓ -87% |
| UHC MCAID | UHC MCAID | $159.99 | ↓ -87% |
| AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $159.99 | ↓ -87% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $159.99 | ↓ -87% |
| SIGNATURE ADV - ALL PLANS | SIGNATURE ADV - ALL PLANS | $166.38 | ↓ -87% |
| ANTHEM MCR ADV | ANTHEM MCR ADV | $167.22 | ↓ -86% |
| HUMANA MCR ADV - ALL OTHER PLANS | HUMANA MCR ADV - ALL OTHER PLANS | $178.03 | ↓ -86% |
| AETNA NEW BUS | AETNA NEW BUS | $231.02 | ↓ -81% |
| CENTER CARE - ALL PLANS | CENTER CARE - ALL PLANS | $250.98 | ↓ -80% |
| UHC OLD BUSINESS | UHC OLD BUSINESS | $257.04 | ↓ -79% |
| ENCORE PREFERRED | ENCORE PREFERRED | $282.48 | ↓ -77% |
| UHC NEW BUSINESS - ALL OTHER PLANS | UHC NEW BUSINESS - ALL OTHER PLANS | $297.58 | ↓ -76% |
| AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $304.85 | ↓ -75% |
| ALLIANCE COAL - ALL PLANS | ALLIANCE COAL - ALL PLANS | $332.77 | ↓ -73% |
| CARESOURCE-ALL PLANS | CARESOURCE-ALL PLANS | $332.77 | ↓ -73% |
| AMBETTER/WCARE DIRECT IND - ALL PLANS | AMBETTER/WCARE DIRECT IND - ALL PLANS | $338.26 | ↓ -73% |
| AMBETTER/WCARE IND MRKT | AMBETTER/WCARE IND MRKT | $338.26 | ↓ -73% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $391.55 | ↓ -68% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $436.30 | ↓ -65% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $441.89 | ↓ -64% |
| ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $480.49 | ↓ -61% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $559.36 | ↓ -55% |
| AETNA MCR ADV | AETNA MCR ADV | $559.36 | ↓ -55% |
| CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $744.91 | ↓ -40% |
Visitor-reported prices
Comments
M/phmtrc alys ishquant/semiq at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $608.94 | $77.90 – $1,379.56 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $714.17 | $77.90 – $1,379.56 |
| Marcum Wallace Hospital | Irvine | $435.60 | not published |
| Lourdes Hospital | Paducah | $509.40 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $245.18 | $77.90 – $608.79 |
| CHI Saint Joseph Health - Saint Joseph London | London | $121.69 | $77.90 – $310.31 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $694.98 | $77.90 – $1,490.58 |
| Baptist Health Corbin | Corbin | $1,237.18 | $77.90 – $1,118.72 |