Surgical pathology level 5 gross & microscopic examination at Baptist Health Lexington
1740 Nicholasville Rd, Lexington, KY · Baptisthealth · · NPI 1538244918
$581.50
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.
$775.33
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.
$69.78 with WELLCARE MCAID vs $775.33 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 | $69.78 | ↓ -88% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $81.27 | ↓ -86% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $81.27 | ↓ -86% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $81.27 | ↓ -86% |
| ANTHEM TRAD - ALL OTHER PLANS | ANTHEM TRAD - ALL OTHER PLANS | $81.27 | ↓ -86% |
| ANTHEM PATHWAY HPN | ANTHEM PATHWAY HPN | $81.27 | ↓ -86% |
| ANTHEM PATHWAY HMO | ANTHEM PATHWAY HMO | $81.27 | ↓ -86% |
| UHC MCAID | UHC MCAID | $152.38 | ↓ -74% |
| AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $152.38 | ↓ -74% |
| HUMANA MCAID HMO | HUMANA MCAID HMO | $152.38 | ↓ -74% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $152.38 | ↓ -74% |
| ANTHEM BHS1 | ANTHEM BHS1 | $190.96 | ↓ -67% |
| AETNA NEW BUS | AETNA NEW BUS | $320.21 | ↓ -45% |
| CENTER CARE - ALL PLANS | CENTER CARE - ALL PLANS | $347.89 | ↓ -40% |
| SIGNATURE ADV - ALL PLANS | SIGNATURE ADV - ALL PLANS | $350.06 | ↓ -40% |
| ANTHEM MCR ADV | ANTHEM MCR ADV | $351.81 | ↓ -39% |
| HUMANA MCR ADV - ALL OTHER PLANS | HUMANA MCR ADV - ALL OTHER PLANS | $374.56 | ↓ -36% |
| ENCORE PREFERRED | ENCORE PREFERRED | $391.54 | ↓ -33% |
| UHC NEW BUSINESS - ALL OTHER PLANS | UHC NEW BUSINESS - ALL OTHER PLANS | $412.48 | ↓ -29% |
| AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $422.55 | ↓ -27% |
| CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $475.49 | ↓ -18% |
| UHC OLD BUSINESS | UHC OLD BUSINESS | $539.58 | ↓ -7% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $542.73 | ↓ -7% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $604.76 | ↑ +4% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $612.51 | ↑ +5% |
| ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $666.01 | ↑ +15% |
| CARESOURCE-ALL PLANS | CARESOURCE-ALL PLANS | $700.12 | ↑ +20% |
| ALLIANCE COAL - ALL PLANS | ALLIANCE COAL - ALL PLANS | $700.12 | ↑ +20% |
| AMBETTER/WCARE IND MRKT | AMBETTER/WCARE IND MRKT | $711.67 | ↑ +22% |
| AMBETTER/WCARE DIRECT IND - ALL PLANS | AMBETTER/WCARE DIRECT IND - ALL PLANS | $711.67 | ↑ +22% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $775.33 | ↑ +33% |
| AETNA MCR ADV | AETNA MCR ADV | $775.33 | ↑ +33% |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $360.71 | $81.27 – $817.18 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $452.25 | $81.27 – $817.18 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $477.24 | $81.27 – $900.90 |
| Marcum Wallace Hospital | Irvine | $451.80 | not published |
| Lourdes Hospital | Paducah | $577.20 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $172.98 | $81.27 – $429.52 |
| CHI Saint Joseph Health - Saint Joseph London | London | $319.37 | $81.27 – $814.45 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $228.27 | $81.27 – $489.58 |