Perflutren lipid microspheres 1.1 mg/ml intravenous suspension at Baptist Health Lexington
1740 Nicholasville Rd, Lexington, KY · Baptisthealth · · NPI 1538244918
$1,457.36
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.
$1,943.14
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.
$34.98 with WELLCARE MCAID vs $388.63 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 | $34.98 | ↓ -98% |
| AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $34.98 | ↓ -98% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $34.98 | ↓ -98% |
| UHC MCAID | UHC MCAID | $34.98 | ↓ -98% |
| HUMANA MCAID HMO | HUMANA MCAID HMO | $34.98 | ↓ -98% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $47.11 | ↓ -97% |
| ANTHEM PATHWAY HMO | ANTHEM PATHWAY HMO | $47.11 | ↓ -97% |
| ANTHEM PATHWAY HPN | ANTHEM PATHWAY HPN | $47.11 | ↓ -97% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $47.11 | ↓ -97% |
| ANTHEM BHS1 | ANTHEM BHS1 | $95.72 | ↓ -93% |
| CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $145.05 | ↓ -90% |
| AETNA NEW BUS | AETNA NEW BUS | $160.50 | ↓ -89% |
| CENTER CARE - ALL PLANS | CENTER CARE - ALL PLANS | $174.38 | ↓ -88% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $186.27 | ↓ -87% |
| ENCORE PREFERRED | ENCORE PREFERRED | $196.26 | ↓ -87% |
| ANTHEM TRAD - ALL OTHER PLANS | ANTHEM TRAD - ALL OTHER PLANS | $206.60 | ↓ -86% |
| UHC NEW BUSINESS - ALL OTHER PLANS | UHC NEW BUSINESS - ALL OTHER PLANS | $206.75 | ↓ -86% |
| AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $211.80 | ↓ -85% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $272.04 | ↓ -81% |
| UHC OLD BUSINESS | UHC OLD BUSINESS | $288.36 | ↓ -80% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $303.13 | ↓ -79% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $307.02 | ↓ -79% |
| ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $333.83 | ↓ -77% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $388.63 | ↓ -73% |
| AETNA MCR ADV | AETNA MCR ADV | $388.63 | ↓ -73% |
Visitor-reported prices
Comments
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $143.63 | $34.95 – $130.13 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $180.08 | $33.60 – $130.13 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $172.37 | $39.46 – $130.13 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $131.05 | $29.93 – $130.13 |
| CHI Saint Joseph Health - Saint Joseph London | London | $127.60 | $20.43 – $130.13 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $151.72 | $25.23 – $130.13 |
| Adventhealth Manchester | Manchester | $517.93 | not published |
| Baptist Health Corbin | Corbin | $1,457.36 | $47.11 – $777.26 |