Nm radiopharmaceutical therapy oral administration at Baptist Health Lexington
1740 Nicholasville Rd, Lexington, KY · Baptisthealth · · NPI 1538244918
$6,123.37
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.
$8,164.49
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.
$182.01 with CIGNA COMM - ALL PLANS vs $8,164.49 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 |
|---|---|---|---|
| CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $182.01 | ↓ -97% |
| SIGNATURE ADV - ALL PLANS | SIGNATURE ADV - ALL PLANS | $227.88 | ↓ -96% |
| ANTHEM MCR ADV | ANTHEM MCR ADV | $229.02 | ↓ -96% |
| HUMANA MCR ADV - ALL OTHER PLANS | HUMANA MCR ADV - ALL OTHER PLANS | $243.83 | ↓ -96% |
| ALLIANCE COAL - ALL PLANS | ALLIANCE COAL - ALL PLANS | $455.75 | ↓ -93% |
| CARESOURCE-ALL PLANS | CARESOURCE-ALL PLANS | $455.75 | ↓ -93% |
| AMBETTER/WCARE DIRECT IND - ALL PLANS | AMBETTER/WCARE DIRECT IND - ALL PLANS | $463.27 | ↓ -92% |
| AMBETTER/WCARE IND MRKT | AMBETTER/WCARE IND MRKT | $463.27 | ↓ -92% |
| WELLCARE MCAID | WELLCARE MCAID | $734.80 | ↓ -88% |
| AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $734.80 | ↓ -88% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $734.80 | ↓ -88% |
| UHC MCAID | UHC MCAID | $734.80 | ↓ -88% |
| HUMANA MCAID HMO | HUMANA MCAID HMO | $734.80 | ↓ -88% |
| ANTHEM BHS1 | ANTHEM BHS1 | $2,010.91 | ↓ -67% |
| ANTHEM PATHWAY HMO | ANTHEM PATHWAY HMO | $3,300.90 | ↓ -46% |
| AETNA NEW BUS | AETNA NEW BUS | $3,371.93 | ↓ -45% |
| ANTHEM PATHWAY HPN | ANTHEM PATHWAY HPN | $3,622.58 | ↓ -41% |
| CENTER CARE - ALL PLANS | CENTER CARE - ALL PLANS | $3,663.41 | ↓ -40% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $3,913.24 | ↓ -36% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $4,025.09 | ↓ -34% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $4,025.09 | ↓ -34% |
| ENCORE PREFERRED | ENCORE PREFERRED | $4,123.07 | ↓ -33% |
| ANTHEM TRAD - ALL OTHER PLANS | ANTHEM TRAD - ALL OTHER PLANS | $4,340.24 | ↓ -29% |
| UHC NEW BUSINESS - ALL OTHER PLANS | UHC NEW BUSINESS - ALL OTHER PLANS | $4,343.51 | ↓ -29% |
| AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $4,449.65 | ↓ -27% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $5,715.14 | ↓ -7% |
| UHC OLD BUSINESS | UHC OLD BUSINESS | $6,058.05 | ↓ -1% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $6,368.30 | ↑ +4% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $6,449.95 | ↑ +5% |
| ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $7,013.30 | ↑ +15% |
| AETNA MCR ADV | AETNA MCR ADV | $8,164.49 | ↑ +33% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $8,164.49 | ↑ +33% |
Visitor-reported prices
Comments
Nm radiopharmaceutical therapy oral administration at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $514.95 | $142.54 – $1,166.62 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $603.93 | $142.54 – $1,166.62 |
| Lourdes Hospital | Paducah | $5,022.60 | not published |
| CHI Saint Joseph Health - Saint Joseph London | London | $191.63 | $76.69 – $488.67 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $852.81 | $142.54 – $1,829.10 |
| Adventhealth Manchester | Manchester | $3,281.43 | $218.94 – $218.94 |
| Baptist Health Corbin | Corbin | $6,123.37 | $8,164.49 – $16,328.98 |
| GREENVIEW REGIONAL HOSPITAL | BOWLING GREEN | $1,925.71 | $46.10 – $561.65 |