Prq card revasc mi 1 vsl drug-eluting at Baptist Health Lexington
1740 Nicholasville Rd, Lexington, KY · Baptisthealth · · NPI 1538244918
$89,496.45
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.
$119,328.60
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.
$10,739.57 with WELLCARE MCAID vs $119,328.60 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 |
|---|---|---|---|
| WELLCARE MCAID | WELLCARE MCAID | $10,739.57 | ↓ -88% |
| AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $10,739.57 | ↓ -88% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $10,739.57 | ↓ -88% |
| UHC MCAID | UHC MCAID | $10,739.57 | ↓ -88% |
| HUMANA MCAID HMO | HUMANA MCAID HMO | $10,739.57 | ↓ -88% |
| CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $14,838.00 | ↓ -83% |
| ANTHEM BHS1 | ANTHEM BHS1 | $29,390.63 | ↓ -67% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $29,904.00 | ↓ -67% |
| ANTHEM PATHWAY HMO | ANTHEM PATHWAY HMO | $30,948.00 | ↓ -65% |
| ANTHEM PATHWAY HPN | ANTHEM PATHWAY HPN | $33,967.00 | ↓ -62% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $37,741.00 | ↓ -58% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $37,741.00 | ↓ -58% |
| UHC NEW BUSINESS - ALL OTHER PLANS | UHC NEW BUSINESS - ALL OTHER PLANS | $42,242.32 | ↓ -53% |
| AETNA NEW BUS | AETNA NEW BUS | $49,282.71 | ↓ -45% |
| CENTER CARE - ALL PLANS | CENTER CARE - ALL PLANS | $53,542.74 | ↓ -40% |
| ENCORE PREFERRED | ENCORE PREFERRED | $60,260.94 | ↓ -33% |
| ANTHEM TRAD - ALL OTHER PLANS | ANTHEM TRAD - ALL OTHER PLANS | $63,435.08 | ↓ -29% |
| AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $65,034.09 | ↓ -27% |
| UHC OLD BUSINESS | UHC OLD BUSINESS | $65,630.73 | ↓ -27% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $83,530.02 | ↓ -7% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $93,076.31 | ↑ +4% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $94,269.59 | ↑ +5% |
| ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $102,503.27 | ↑ +15% |
| AETNA MCR ADV | AETNA MCR ADV | $119,328.60 | ↑ +33% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $119,328.60 | ↑ +33% |
Visitor-reported prices
Comments
Prq card revasc mi 1 vsl drug-eluting at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $6,293.85 | $3,829.51 – $14,258.79 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $7,381.40 | $3,680.65 – $14,258.79 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $6,554.01 | $3,751.14 – $12,372.36 |
| Lourdes Hospital | Paducah | $12,670.20 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $4,982.67 | $2,845.65 – $12,372.36 |
| CHI Saint Joseph Health - Saint Joseph London | London | $8,266.45 | $3,308.11 – $21,081.06 |
| Baptist Health Corbin | Corbin | $89,496.45 | $119,328.60 – $238,657.20 |
| Baptist Health Hardin | Elizabethtown | $89,496.45 | $119,328.60 – $238,657.20 |