Diphtheria-tetanus toxoids 0.5 ml (peds) at CHI Saint Joseph Health - Saint Joseph East
150 North Eagle Creek Drive, Lexington, KY · CommonSpirit Health · · NPI 1447457775
$110.48
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.
$275.04
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.
$67.22 with Passport by Molina vs $250.29 with Multiplan — 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 | $67.22 | ↓ -39% |
| Wellcare | Medicaid|All Plans | $70.09 | ↓ -37% |
| Humana | Medicaid|All Plans | $70.80 | ↓ -36% |
| Aetna | Medicaid|Better Health | $71.52 | ↓ -35% |
| United | Medicaid|Community Plan | $72.95 | ↓ -34% |
| BCBS - Anthem | Medicaid|All Plans | $75.09 | ↓ -32% |
| BCBS - Anthem | Commercial|HMO PPO | $84.26 | ↓ -24% |
| BCBS - Anthem | Commercial|Pathway | $84.26 | ↓ -24% |
| Aetna | Commercial|All Other Plans | $115.52 | ↑ +5% |
| Aetna | Commercial|PPO | $115.52 | ↑ +5% |
| Aetna | Commercial|HMO | $115.52 | ↑ +5% |
| Cigna | Commercial|PPO | $151.28 | ↑ +37% |
| Cigna | Commercial|All Other Plans | $151.28 | ↑ +37% |
| Multiplan | Commercial|All Plans | $250.29 | ↑ +127% |
Visitor-reported prices
Comments
Diphtheria-tetanus toxoids 0.5 ml (peds) at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $138.52 | $64.61 – $250.29 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $132.59 | $75.89 – $250.29 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $100.80 | $57.57 – $250.29 |
| CHI Saint Joseph Health - Saint Joseph London | London | $98.15 | $39.28 – $250.29 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $116.70 | $48.52 – $250.29 |