CT uppr extremity w/o&w/dye at CHI Saint Joseph Health - Saint Joseph East
150 North Eagle Creek Drive, Lexington, KY · CommonSpirit Health · · NPI 1447457775
$938.32
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.
$2,336.00
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.
$174.90 with Humana vs $2,125.76 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 |
|---|---|---|---|
| Humana | Medicare|All Plans | $174.90 | ↓ -81% |
| Wellcare | Medicare|All Plans | $174.90 | ↓ -81% |
| BCBS - Anthem | Medicare|All Plans | $174.90 | ↓ -81% |
| Aetna | Medicare|All Plans | $180.15 | ↓ -81% |
| United | Medicare|All Plans | $181.90 | ↓ -81% |
| Passport by Molina | Medicare|All Plans | $183.65 | ↓ -80% |
| BCBS - Anthem | Commercial|Pathway | $340.00 | ↓ -64% |
| CareSource | Commercial|All Plans | $349.80 | ↓ -63% |
| BCBS - Anthem | Commercial|HMO PPO | $354.00 | ↓ -62% |
| Passport by Molina | Medicaid|All Plans | $570.92 | ↓ -39% |
| Wellcare | Medicaid|All Plans | $595.22 | ↓ -37% |
| Humana | Medicaid|All Plans | $601.29 | ↓ -36% |
| Aetna | Medicaid|Better Health | $607.36 | ↓ -35% |
| United | Medicaid|Community Plan | $619.51 | ↓ -34% |
| Humana | Commercial|All Plans | $619.75 | ↓ -34% |
| BCBS - Anthem | Medicaid|All Plans | $637.73 | ↓ -32% |
| United | Commercial|Non-Options | $1,099.00 | ↑ +17% |
| Aetna | Commercial|HMO | $1,471.68 | ↑ +57% |
| Aetna | Commercial|All Other Plans | $1,471.68 | ↑ +57% |
| Aetna | Commercial|PPO | $1,471.68 | ↑ +57% |
| Cigna | Commercial|PPO | $1,495.04 | ↑ +59% |
| Cigna | Commercial|All Other Plans | $1,495.04 | ↑ +59% |
| United | Commercial|Options PPO | $1,938.88 | ↑ +107% |
| Multiplan | Commercial|All Plans | $2,125.76 | ↑ +127% |
Visitor-reported prices
Comments
CT uppr extremity w/o&w/dye at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $1,100.45 | $340.00 – $1,615.25 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $610.29 | $349.29 – $1,152.06 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $931.23 | $531.84 – $2,312.31 |
| CHI Saint Joseph Health - Saint Joseph London | London | $936.34 | $374.71 – $2,387.84 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $841.35 | $349.81 – $1,804.53 |
| Adventhealth Manchester | Manchester | not published | $164.58 – $164.58 |