Vaccine tdap >=7 years im at Baptist Health Lexington
1740 Nicholasville Rd, Lexington, KY · Baptisthealth · · NPI 1538244918
$492.05
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.
$656.07
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.
$40.69 with WELLCARE MCAID vs $452.10 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 | $40.69 | ↓ -92% |
| AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $40.69 | ↓ -92% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $40.69 | ↓ -92% |
| UHC MCAID | UHC MCAID | $40.69 | ↓ -92% |
| HUMANA MCAID HMO | HUMANA MCAID HMO | $40.69 | ↓ -92% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $44.23 | ↓ -91% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $58.64 | ↓ -88% |
| ANTHEM PATHWAY HMO | ANTHEM PATHWAY HMO | $58.64 | ↓ -88% |
| ANTHEM PATHWAY HPN | ANTHEM PATHWAY HPN | $58.64 | ↓ -88% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $58.64 | ↓ -88% |
| ANTHEM BHS1 | ANTHEM BHS1 | $111.35 | ↓ -77% |
| AETNA NEW BUS | AETNA NEW BUS | $186.72 | ↓ -62% |
| CENTER CARE - ALL PLANS | CENTER CARE - ALL PLANS | $202.86 | ↓ -59% |
| CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $203.86 | ↓ -59% |
| ENCORE PREFERRED | ENCORE PREFERRED | $228.31 | ↓ -54% |
| ANTHEM TRAD - ALL OTHER PLANS | ANTHEM TRAD - ALL OTHER PLANS | $240.34 | ↓ -51% |
| UHC NEW BUSINESS - ALL OTHER PLANS | UHC NEW BUSINESS - ALL OTHER PLANS | $240.52 | ↓ -51% |
| AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $246.39 | ↓ -50% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $316.47 | ↓ -36% |
| UHC OLD BUSINESS | UHC OLD BUSINESS | $335.46 | ↓ -32% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $352.64 | ↓ -28% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $357.16 | ↓ -27% |
| ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $388.35 | ↓ -21% |
| AETNA MCR ADV | AETNA MCR ADV | $452.10 | ↓ -8% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $452.10 | ↓ -8% |
Visitor-reported prices
Comments
Vaccine tdap >=7 years im at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $83.68 | $44.22 – $164.64 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $104.92 | $42.50 – $164.64 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $100.43 | $49.92 – $164.64 |
| Marcum Wallace Hospital | Irvine | $103.56 | not published |
| Lourdes Hospital | Paducah | $65.82 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $76.35 | $37.87 – $164.64 |
| CHI Saint Joseph Health - Saint Joseph London | London | $74.34 | $25.84 – $164.64 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $88.39 | $31.92 – $164.64 |