Tc-99m medronate at Baptist Health Lexington
1740 Nicholasville Rd, Lexington, KY · Baptisthealth · · NPI 1538244918
$403.79
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.
?
What you pay up front if you don't use insurance.
$538.39
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.
?
The hospital's undiscounted list price — almost no one pays this.
$15.33 with ANTHEM BLUE ACCESS PPO vs $267.10 with AETNA MCR ADV — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $15.33 | ↓ -96% |
| ANTHEM PATHWAY HPN | ANTHEM PATHWAY HPN | $15.33 | ↓ -96% |
| ANTHEM PATHWAY HMO | ANTHEM PATHWAY HMO | $15.33 | ↓ -96% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $15.33 | ↓ -96% |
| WELLCARE MCAID | WELLCARE MCAID | $24.04 | ↓ -94% |
| AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $24.04 | ↓ -94% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $24.04 | ↓ -94% |
| UHC MCAID | UHC MCAID | $24.04 | ↓ -94% |
| HUMANA MCAID HMO | HUMANA MCAID HMO | $24.04 | ↓ -94% |
| CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $48.13 | ↓ -88% |
| ANTHEM BHS1 | ANTHEM BHS1 | $65.79 | ↓ -84% |
| AETNA NEW BUS | AETNA NEW BUS | $110.31 | ↓ -73% |
| CENTER CARE - ALL PLANS | CENTER CARE - ALL PLANS | $119.85 | ↓ -70% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $128.02 | ↓ -68% |
| ENCORE PREFERRED | ENCORE PREFERRED | $134.89 | ↓ -67% |
| ANTHEM TRAD - ALL OTHER PLANS | ANTHEM TRAD - ALL OTHER PLANS | $141.99 | ↓ -65% |
| UHC NEW BUSINESS - ALL OTHER PLANS | UHC NEW BUSINESS - ALL OTHER PLANS | $142.10 | ↓ -65% |
| AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $145.57 | ↓ -64% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $186.97 | ↓ -54% |
| UHC OLD BUSINESS | UHC OLD BUSINESS | $198.19 | ↓ -51% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $208.34 | ↓ -48% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $211.01 | ↓ -48% |
| ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $229.44 | ↓ -43% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $267.10 | ↓ -34% |
| AETNA MCR ADV | AETNA MCR ADV | $267.10 | ↓ -34% |
Visitor-reported prices
Comments
Tc-99m medronate at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Lourdes Hospital | Paducah | $67.74 | not published |
| Baptist Health Corbin | Corbin | $403.79 | $15.33 – $534.20 |
| GREENVIEW REGIONAL HOSPITAL | BOWLING GREEN | $357.48 | $106.36 – $106.36 |
| Whitesburg ARH Hospital | Whitesburg | $108.60 | $15.33 – $15.33 |
| Baptist Health Hardin | Elizabethtown | $403.79 | $15.33 – $534.20 |
| Baptist Health La Grange | La Grange | $403.79 | $15.33 – $534.20 |
| Baptist Health Paducah | Paducah | $403.79 | $13.00 – $267.10 |
| Hazard ARH Regional Medical Center | Hazard | $19.20 | $15.33 – $15.33 |