Brain MRI (without contrast) at CHI Saint Joseph Health - Saint Joseph East
150 North Eagle Creek Drive, Lexington, KY · CommonSpirit Health · · NPI 1447457775
$1,771.39
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.
$4,410.00
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.
$237.49 with Wellcare vs $2,330.51 with Multiplan — 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 | Medicare|All Plans | $237.49 | ↓ -87% |
| BCBS - Anthem | Medicare|All Plans | $237.49 | ↓ -87% |
| Humana | Medicare|All Plans | $237.49 | ↓ -87% |
| Aetna | Medicare|All Plans | $244.61 | ↓ -86% |
| United | Medicare|All Plans | $246.99 | ↓ -86% |
| Passport by Molina | Medicare|All Plans | $249.36 | ↓ -86% |
| Humana | Commercial|All Plans | $449.50 | ↓ -75% |
| CareSource | Commercial|All Plans | $474.98 | ↓ -73% |
| BCBS - Anthem | Commercial|Pathway | $567.00 | ↓ -68% |
| BCBS - Anthem | Commercial|HMO PPO | $590.00 | ↓ -67% |
| Passport by Molina | Medicaid|All Plans | $625.91 | ↓ -65% |
| Wellcare | Medicaid|All Plans | $652.55 | ↓ -63% |
| Humana | Medicaid|All Plans | $659.21 | ↓ -63% |
| Aetna | Medicaid|Better Health | $665.86 | ↓ -62% |
| United | Medicaid|Community Plan | $679.18 | ↓ -62% |
| BCBS - Anthem | Medicaid|All Plans | $699.16 | ↓ -61% |
| United | Commercial|Non-Options | $1,530.00 | ↓ -14% |
| Aetna | Commercial|HMO | $1,613.43 | ↓ -9% |
| Aetna | Commercial|PPO | $1,613.43 | ↓ -9% |
| Aetna | Commercial|All Other Plans | $1,613.43 | ↓ -9% |
| Cigna | Commercial|All Other Plans | $1,639.04 | ↓ -7% |
| Cigna | Commercial|PPO | $1,639.04 | ↓ -7% |
| United | Commercial|Options PPO | $2,125.63 | ↑ +20% |
| Multiplan | Commercial|All Plans | $2,330.51 | ↑ +32% |
Visitor-reported prices
Comments
Brain MRI (without contrast) at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $1,876.33 | $449.50 – $2,135.77 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $2,553.45 | $533.32 – $1,759.03 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $1,613.25 | $594.42 – $2,584.40 |
| CHI Saint Joseph Health - Saint Joseph London | London | $1,354.91 | $449.50 – $3,455.27 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $1,686.95 | $449.50 – $3,340.61 |
| Adventhealth Manchester | Manchester | $5,342.03 | $223.88 – $223.88 |