2d tte w or without fol w/con,co at CHI Saint Joseph Health - Saint Joseph East
150 North Eagle Creek Drive, Lexington, KY · CommonSpirit Health · · NPI 1447457775
$510.53
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.
$1,271.00
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.
$283.26 with Passport by Molina vs $2,584.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| Passport by Molina | Medicaid|All Plans | $283.26 | ↓ -45% |
| Wellcare | Medicaid|All Plans | $295.32 | ↓ -42% |
| Humana | Medicaid|All Plans | $298.33 | ↓ -42% |
| Aetna | Medicaid|Better Health | $301.34 | ↓ -41% |
| United | Medicaid|Community Plan | $307.37 | ↓ -40% |
| BCBS - Anthem | Medicaid|All Plans | $316.41 | ↓ -38% |
| Aetna | Commercial|HMO | $730.17 | ↑ +43% |
| Aetna | Commercial|PPO | $730.17 | ↑ +43% |
| Aetna | Commercial|All Other Plans | $730.17 | ↑ +43% |
| Cigna | Commercial|PPO | $741.76 | ↑ +45% |
| Cigna | Commercial|All Other Plans | $741.76 | ↑ +45% |
| United | Commercial|Non-Options | $753.35 | ↑ +48% |
| Humana | Medicare|All Plans | $776.22 | ↑ +52% |
| Wellcare | Medicare|All Plans | $776.22 | ↑ +52% |
| BCBS - Anthem | Medicare|All Plans | $776.22 | ↑ +52% |
| Aetna | Medicare|All Plans | $799.51 | ↑ +57% |
| United | Medicare|All Plans | $807.27 | ↑ +58% |
| Passport by Molina | Medicare|All Plans | $815.03 | ↑ +60% |
| United | Commercial|Options PPO | $880.84 | ↑ +73% |
| Multiplan | Commercial|All Plans | $1,054.69 | ↑ +107% |
| CareSource | Commercial|All Plans | $1,552.44 | ↑ +204% |
| BCBS - Anthem | Commercial|Pathway | $2,186.00 | ↑ +328% |
| BCBS - Anthem | Commercial|HMO PPO | $2,584.00 | ↑ +406% |
Visitor-reported prices
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2d tte w or without fol w/con,co at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $1,002.00 | $499.64 – $1,935.57 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $978.58 | $560.08 – $1,847.30 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $884.69 | $505.26 – $2,196.74 |