Clsd tx metatarsal fracture w/manip 28475 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

$216.11

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.

$538.00

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.

$131.49 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 $131.49 ↓ -39%
Wellcare Medicaid|All Plans $137.09 ↓ -37%
Humana Medicaid|All Plans $138.49 ↓ -36%
Aetna Medicaid|Better Health $139.88 ↓ -35%
United Medicaid|Community Plan $142.68 ↓ -34%
BCBS - Anthem Medicaid|All Plans $146.88 ↓ -32%
Humana Medicare|All Plans $235.68 ↑ +9%
BCBS - Anthem Medicare|All Plans $235.68 ↑ +9%
Wellcare Medicare|All Plans $235.68 ↑ +9%
Aetna Medicare|All Plans $242.75 ↑ +12%
United Medicare|All Plans $245.11 ↑ +13%
Passport by Molina Medicare|All Plans $247.46 ↑ +15%
United Commercial|Non-Options $269.00 ↑ +24%
BCBS - Anthem Commercial|Pathway $312.04 ↑ +44%
Aetna Commercial|PPO $338.94 ↑ +57%
Aetna Commercial|All Other Plans $338.94 ↑ +57%
Aetna Commercial|HMO $338.94 ↑ +57%
Cigna Commercial|PPO $344.32 ↑ +59%
Cigna Commercial|All Other Plans $344.32 ↑ +59%
BCBS - Anthem Commercial|HMO PPO $355.08 ↑ +64%
United Commercial|Options PPO $419.64 ↑ +94%
CareSource Commercial|All Plans $471.36 ↑ +118%
Multiplan Commercial|All Plans $489.58 ↑ +127%
Humana Commercial|All Plans $1,538.38 ↑ +612%

Visitor-reported prices

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Clsd tx metatarsal fracture w/manip 28475 at other Kentucky hospitals

Hospital City Cash price Negotiated range
CHI Saint Joseph Health - Saint Joseph Hospital Lexington $270.95 $126.38 – $489.58
CHI Saint Joseph Health - Saint Joseph Berea Berea $235.25 $134.64 – $444.08
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling $288.06 $164.51 – $715.26
CHI Saint Joseph Health - Saint Joseph London London $413.93 $165.65 – $1,055.60
CHI Saint Joseph Health - Flaget Memorial Hospital Bardstown $572.36 $237.97 – $1,227.59
Adventhealth Manchester Manchester not published $231.45 – $231.45

All Kentucky hospitals for this procedure →