Eeg monitor/record/awake/drowsy 95816 at CHI Saint Joseph Health - Saint Joseph East
150 North Eagle Creek Drive, Lexington, KY · CommonSpirit Health · · NPI 1447457775
$814.20
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.
$2,027.00
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.
$305.94 with Wellcare vs $1,844.57 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 |
|---|---|---|---|
| Wellcare | Medicare|All Plans | $305.94 | ↓ -62% |
| BCBS - Anthem | Medicare|All Plans | $305.94 | ↓ -62% |
| Humana | Medicare|All Plans | $305.94 | ↓ -62% |
| Aetna | Medicare|All Plans | $315.12 | ↓ -61% |
| United | Medicare|All Plans | $318.18 | ↓ -61% |
| Passport by Molina | Medicare|All Plans | $321.24 | ↓ -61% |
| Passport by Molina | Medicaid|All Plans | $495.40 | ↓ -39% |
| Wellcare | Medicaid|All Plans | $516.48 | ↓ -37% |
| Humana | Medicaid|All Plans | $521.75 | ↓ -36% |
| Aetna | Medicaid|Better Health | $527.02 | ↓ -35% |
| United | Medicaid|Community Plan | $537.57 | ↓ -34% |
| BCBS - Anthem | Medicaid|All Plans | $553.38 | ↓ -32% |
| CareSource | Commercial|All Plans | $611.88 | ↓ -25% |
| Aetna | Commercial|All Other Plans | $1,277.01 | ↑ +57% |
| Aetna | Commercial|PPO | $1,277.01 | ↑ +57% |
| Aetna | Commercial|HMO | $1,277.01 | ↑ +57% |
| Cigna | Commercial|PPO | $1,297.28 | ↑ +59% |
| Cigna | Commercial|All Other Plans | $1,297.28 | ↑ +59% |
| United | Commercial|Non-Options | $1,317.55 | ↑ +62% |
| United | Commercial|Options PPO | $1,540.52 | ↑ +89% |
| Multiplan | Commercial|All Plans | $1,844.57 | ↑ +127% |
Visitor-reported prices
Comments
Eeg monitor/record/awake/drowsy 95816 at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $867.74 | $432.69 – $1,676.22 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $547.62 | $313.43 – $1,033.76 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $422.56 | $241.33 – $1,049.23 |
| CHI Saint Joseph Health - Saint Joseph London | London | $223.03 | $89.25 – $568.75 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $286.39 | $119.07 – $614.25 |
| Adventhealth Manchester | Manchester | $2,567.09 | $202.60 – $202.60 |