X-ray exam of femur 1 at Baptist Health Lexington
1740 Nicholasville Rd, Lexington, KY · Baptisthealth · · NPI 1538244918
$614.99
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.
$819.98
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.
$36.90 with AETNA BETTER HLTH MCAID vs $410.00 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 |
|---|---|---|---|
| AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $36.90 | ↓ -94% |
| WELLCARE MCAID | WELLCARE MCAID | $36.90 | ↓ -94% |
| HUMANA MCAID HMO | HUMANA MCAID HMO | $36.90 | ↓ -94% |
| UHC MCAID | UHC MCAID | $36.90 | ↓ -94% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $36.90 | ↓ -94% |
| CIGNA COMM - ALL PLANS | CIGNA COMM - ALL PLANS | $76.34 | ↓ -88% |
| SIGNATURE ADV - ALL PLANS | SIGNATURE ADV - ALL PLANS | $84.99 | ↓ -86% |
| ANTHEM MCR ADV | ANTHEM MCR ADV | $85.41 | ↓ -86% |
| UHC NEW BUSINESS - ALL OTHER PLANS | UHC NEW BUSINESS - ALL OTHER PLANS | $88.05 | ↓ -86% |
| UHC OLD BUSINESS | UHC OLD BUSINESS | $88.05 | ↓ -86% |
| HUMANA MCR ADV - ALL OTHER PLANS | HUMANA MCR ADV - ALL OTHER PLANS | $90.94 | ↓ -85% |
| ANTHEM BHS1 | ANTHEM BHS1 | $100.98 | ↓ -84% |
| ANTHEM PATHWAY HMO | ANTHEM PATHWAY HMO | $165.76 | ↓ -73% |
| AETNA NEW BUS | AETNA NEW BUS | $169.33 | ↓ -72% |
| ALLIANCE COAL - ALL PLANS | ALLIANCE COAL - ALL PLANS | $169.98 | ↓ -72% |
| CARESOURCE-ALL PLANS | CARESOURCE-ALL PLANS | $169.98 | ↓ -72% |
| AMBETTER/WCARE IND MRKT | AMBETTER/WCARE IND MRKT | $172.78 | ↓ -72% |
| AMBETTER/WCARE DIRECT IND - ALL PLANS | AMBETTER/WCARE DIRECT IND - ALL PLANS | $172.78 | ↓ -72% |
| ANTHEM PATHWAY HPN | ANTHEM PATHWAY HPN | $181.92 | ↓ -70% |
| CENTER CARE - ALL PLANS | CENTER CARE - ALL PLANS | $183.97 | ↓ -70% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $196.51 | ↓ -68% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $202.13 | ↓ -67% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $202.13 | ↓ -67% |
| ANTHEM TRAD - ALL OTHER PLANS | ANTHEM TRAD - ALL OTHER PLANS | $217.96 | ↓ -65% |
| AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $223.45 | ↓ -64% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $287.00 | ↓ -53% |
| ENCORE PREFERRED | ENCORE PREFERRED | $300.00 | ↓ -51% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $319.80 | ↓ -48% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $323.90 | ↓ -47% |
| ENCORE PPO - ALL OTHER PLANS | ENCORE PPO - ALL OTHER PLANS | $352.19 | ↓ -43% |
| AETNA MCR ADV | AETNA MCR ADV | $410.00 | ↓ -33% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $410.00 | ↓ -33% |
Visitor-reported prices
Comments
X-ray exam of femur 1 at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Lourdes Hospital | Paducah | $301.80 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $88.33 | $50.45 – $219.31 |
| Adventhealth Manchester | Manchester | $559.05 | $81.65 – $81.65 |
| Baptist Health Corbin | Corbin | $614.99 | $410.00 – $820.00 |
| Whitesburg ARH Hospital | Whitesburg | $237.00 | $46.75 – $46.75 |
| Baptist Health Hardin | Elizabethtown | $614.99 | $88.05 – $820.00 |
| Baptist Health La Grange | La Grange | $614.99 | $68.56 – $820.00 |
| Baptist Health Paducah | Paducah | $614.99 | $86.51 – $410.00 |