Cystostomy cystotomy w/drainage 51040 at CHI Saint Joseph Health - Saint Joseph East
150 North Eagle Creek Drive, Lexington, KY · CommonSpirit Health · · NPI 1447457775
$1,017.85
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.
$2,534.00
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.
$619.31 with Passport by Molina vs $4,999.00 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 | $619.31 | ↓ -39% |
| Wellcare | Medicaid|All Plans | $645.67 | ↓ -37% |
| Humana | Medicaid|All Plans | $652.26 | ↓ -36% |
| Aetna | Medicaid|Better Health | $658.84 | ↓ -35% |
| United | Medicaid|Community Plan | $672.02 | ↓ -34% |
| BCBS - Anthem | Medicaid|All Plans | $691.79 | ↓ -32% |
| United | Commercial|Non-Options | $1,267.00 | ↑ +24% |
| Aetna | Commercial|HMO | $1,596.42 | ↑ +57% |
| Aetna | Commercial|PPO | $1,596.42 | ↑ +57% |
| Aetna | Commercial|All Other Plans | $1,596.42 | ↑ +57% |
| Cigna | Commercial|All Other Plans | $1,621.76 | ↑ +59% |
| Cigna | Commercial|PPO | $1,621.76 | ↑ +59% |
| United | Commercial|Options PPO | $1,976.52 | ↑ +94% |
| BCBS - Anthem | Medicare|All Plans | $2,012.62 | ↑ +98% |
| Wellcare | Medicare|All Plans | $2,012.62 | ↑ +98% |
| Humana | Medicare|All Plans | $2,012.62 | ↑ +98% |
| Aetna | Medicare|All Plans | $2,073.00 | ↑ +104% |
| United | Medicare|All Plans | $2,093.12 | ↑ +106% |
| Passport by Molina | Medicare|All Plans | $2,113.25 | ↑ +108% |
| Multiplan | Commercial|All Plans | $2,305.94 | ↑ +127% |
| Humana | Commercial|All Plans | $3,078.06 | ↑ +202% |
| CareSource | Commercial|All Plans | $4,025.24 | ↑ +295% |
| BCBS - Anthem | Commercial|Pathway | $4,230.00 | ↑ +316% |
| BCBS - Anthem | Commercial|HMO PPO | $4,999.00 | ↑ +391% |
Visitor-reported prices
Comments
Cystostomy cystotomy w/drainage 51040 at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $1,193.73 | $595.24 – $2,305.94 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $1,130.90 | $647.27 – $2,134.86 |
| CHI Saint Joseph Health - Saint Joseph London | London | $895.66 | $358.43 – $2,284.10 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $739.53 | $307.47 – $1,586.13 |
| Adventhealth Manchester | Manchester | not published | $1,961.39 – $1,961.39 |