Clsd tx/fx/phalanx/phalang/manip 28515 at CHI Saint Joseph Health - Saint Joseph East

150 North Eagle Creek Drive, Lexington, KY · CommonSpirit Health · · NPI 1447457775

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$351.07

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$874.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$213.61 with Passport by Molina vs $1,538.38 with Humana — 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 →

Payer
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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
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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 $213.61 ↓ -39%
Wellcare Medicaid|All Plans $222.70 ↓ -37%
Humana Medicaid|All Plans $224.97 ↓ -36%
Aetna Medicaid|Better Health $227.24 ↓ -35%
United Medicaid|Community Plan $231.79 ↓ -34%
Humana Medicare|All Plans $235.68 ↓ -33%
BCBS - Anthem Medicare|All Plans $235.68 ↓ -33%
Wellcare Medicare|All Plans $235.68 ↓ -33%
BCBS - Anthem Medicaid|All Plans $238.61 ↓ -32%
Aetna Medicare|All Plans $242.75 ↓ -31%
United Medicare|All Plans $245.11 ↓ -30%
Passport by Molina Medicare|All Plans $247.46 ↓ -30%
United Commercial|Non-Options $437.00 ↑ +24%
CareSource Commercial|All Plans $471.36 ↑ +34%
BCBS - Anthem Commercial|Pathway $506.92 ↑ +44%
Aetna Commercial|HMO $550.62 ↑ +57%
Aetna Commercial|PPO $550.62 ↑ +57%
Aetna Commercial|All Other Plans $550.62 ↑ +57%
Cigna Commercial|All Other Plans $559.36 ↑ +59%
Cigna Commercial|PPO $559.36 ↑ +59%
BCBS - Anthem Commercial|HMO PPO $576.84 ↑ +64%
United Commercial|Options PPO $681.72 ↑ +94%
Multiplan Commercial|All Plans $795.34 ↑ +127%
Humana Commercial|All Plans $1,538.38 ↑ +338%

Visitor-reported prices

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Clsd tx/fx/phalanx/phalang/manip 28515 at other Kentucky hospitals

Hospital City Cash price Negotiated range
CHI Saint Joseph Health - Saint Joseph Hospital Lexington $411.73 $205.31 – $795.34
CHI Saint Joseph Health - Saint Joseph Berea Berea $339.37 $194.24 – $640.64
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling $178.11 $101.72 – $442.26
CHI Saint Joseph Health - Saint Joseph London London $207.33 $82.97 – $528.71
CHI Saint Joseph Health - Flaget Memorial Hospital Bardstown $365.31 $151.89 – $783.51
Adventhealth Manchester Manchester not published $231.45 – $231.45

All Kentucky hospitals for this procedure →