Ndl round specialty proguide at Baptist Health Lexington
1740 Nicholasville Rd, Lexington, KY · Baptisthealth · · NPI 1538244918
$324.40
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.
$432.53
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.
$32.91 with WELLCARE MCAID vs $365.63 with AETNA MCR ADV — 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 |
|---|---|---|---|
| WELLCARE MCAID | WELLCARE MCAID | $32.91 | ↓ -90% |
| AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $32.91 | ↓ -90% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $32.91 | ↓ -90% |
| UHC MCAID | UHC MCAID | $32.91 | ↓ -90% |
| HUMANA MCAID HMO | HUMANA MCAID HMO | $32.91 | ↓ -90% |
| ANTHEM BHS1 | ANTHEM BHS1 | $90.05 | ↓ -72% |
| ANTHEM PATHWAY HMO | ANTHEM PATHWAY HMO | $147.82 | ↓ -54% |
| AETNA NEW BUS | AETNA NEW BUS | $151.01 | ↓ -53% |
| ANTHEM PATHWAY HPN | ANTHEM PATHWAY HPN | $162.23 | ↓ -50% |
| CENTER CARE - ALL PLANS | CENTER CARE - ALL PLANS | $164.06 | ↓ -49% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $175.25 | ↓ -46% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $180.26 | ↓ -44% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $180.26 | ↓ -44% |
| ENCORE PREFERRED | ENCORE PREFERRED | $184.64 | ↓ -43% |
| ANTHEM TRAD - ALL OTHER PLANS | ANTHEM TRAD - ALL OTHER PLANS | $194.37 | ↓ -40% |
| UHC NEW BUSINESS - ALL OTHER PLANS | UHC NEW BUSINESS - ALL OTHER PLANS | $194.52 | ↓ -40% |
| AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $199.27 | ↓ -39% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $255.94 | ↓ -21% |
| UHC OLD BUSINESS | UHC OLD BUSINESS | $271.30 | ↓ -16% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $285.19 | ↓ -12% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $288.85 | ↓ -11% |
| CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $291.55 | ↓ -10% |
| ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $314.08 | ↓ -3% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $365.63 | ↑ +13% |
| AETNA MCR ADV | AETNA MCR ADV | $365.63 | ↑ +13% |
Visitor-reported prices
Comments
Ndl round specialty proguide at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Marcum Wallace Hospital | Irvine | $910.60 | not published |
| Lourdes Hospital | Paducah | $617.94 | not published |
| Baptist Health Corbin | Corbin | $324.40 | $365.63 – $731.26 |
| Baptist Health Hardin | Elizabethtown | $324.40 | $365.63 – $731.26 |
| Baptist Health La Grange | La Grange | $324.40 | $365.63 – $731.26 |
| Baptist Health Paducah | Paducah | $324.40 | $365.63 – $365.63 |
| Baptist Health Louisville | Louisville | $324.40 | $365.63 – $365.63 |