Biopsy skin incisional single lesion at CHI Saint Joseph Health - Saint Joseph East
150 North Eagle Creek Drive, Lexington, KY · CommonSpirit Health · · NPI 1447457775
$415.34
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.
$1,034.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$252.71 with Passport by Molina vs $2,584.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| Passport by Molina | Medicaid|All Plans | $252.71 | ↓ -39% |
| Wellcare | Medicaid|All Plans | $263.47 | ↓ -37% |
| Humana | Medicaid|All Plans | $266.16 | ↓ -36% |
| Aetna | Medicaid|Better Health | $268.84 | ↓ -35% |
| United | Medicaid|Community Plan | $274.22 | ↓ -34% |
| BCBS - Anthem | Medicaid|All Plans | $282.29 | ↓ -32% |
| United | Commercial|Non-Options | $517.00 | ↑ +24% |
| BCBS - Anthem | Medicare|All Plans | $601.41 | ↑ +45% |
| Wellcare | Medicare|All Plans | $601.41 | ↑ +45% |
| Humana | Medicare|All Plans | $601.41 | ↑ +45% |
| Aetna | Medicare|All Plans | $619.45 | ↑ +49% |
| United | Medicare|All Plans | $625.47 | ↑ +51% |
| Passport by Molina | Medicare|All Plans | $631.48 | ↑ +52% |
| Aetna | Commercial|HMO | $651.42 | ↑ +57% |
| Aetna | Commercial|All Other Plans | $651.42 | ↑ +57% |
| Aetna | Commercial|PPO | $651.42 | ↑ +57% |
| Cigna | Commercial|All Other Plans | $661.76 | ↑ +59% |
| Cigna | Commercial|PPO | $661.76 | ↑ +59% |
| United | Commercial|Options PPO | $806.52 | ↑ +94% |
| Multiplan | Commercial|All Plans | $940.94 | ↑ +127% |
| CareSource | Commercial|All Plans | $1,202.82 | ↑ +190% |
| Humana | Commercial|All Plans | $1,538.38 | ↑ +270% |
| BCBS - Anthem | Commercial|Pathway | $2,186.00 | ↑ +426% |
| BCBS - Anthem | Commercial|HMO PPO | $2,584.00 | ↑ +522% |
Visitor-reported prices
Comments
Biopsy skin incisional single lesion at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $487.10 | $242.89 – $940.94 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $503.27 | $288.04 – $950.04 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $382.61 | $218.51 – $950.04 |
| CHI Saint Joseph Health - Saint Joseph London | London | $365.40 | $146.23 – $931.84 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $442.95 | $184.17 – $950.04 |
| Adventhealth Manchester | Manchester | $1,141.80 | $693.47 – $693.47 |