ER Visit (level 2) at CHI Saint Joseph Health - Saint Joseph East
150 North Eagle Creek Drive, Lexington, KY · CommonSpirit Health · · NPI 1447457775
$360.31
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.
$897.00
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.
$155.59 with Wellcare vs $816.27 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 |
|---|---|---|---|
| Wellcare | Medicare|All Plans | $155.59 | ↓ -57% |
| Humana | Medicare|All Plans | $155.59 | ↓ -57% |
| BCBS - Anthem | Medicare|All Plans | $155.59 | ↓ -57% |
| Aetna | Medicare|All Plans | $160.26 | ↓ -56% |
| United | Medicare|All Plans | $161.81 | ↓ -55% |
| Passport by Molina | Medicare|All Plans | $163.37 | ↓ -55% |
| Passport by Molina | Medicaid|All Plans | $219.23 | ↓ -39% |
| Wellcare | Medicaid|All Plans | $228.56 | ↓ -37% |
| Humana | Medicaid|All Plans | $230.89 | ↓ -36% |
| Aetna | Medicaid|Better Health | $233.22 | ↓ -35% |
| United | Medicaid|Community Plan | $237.89 | ↓ -34% |
| BCBS - Anthem | Medicaid|All Plans | $244.89 | ↓ -32% |
| CareSource | Commercial|All Plans | $311.18 | ↓ -14% |
| Humana | Commercial|All Plans | $475.41 | ↑ +32% |
| BCBS - Anthem | Commercial|Pathway | $520.26 | ↑ +44% |
| United | Commercial|Non-Options | $538.00 | ↑ +49% |
| Aetna | Commercial|HMO | $565.11 | ↑ +57% |
| Aetna | Commercial|PPO | $565.11 | ↑ +57% |
| Aetna | Commercial|All Other Plans | $565.11 | ↑ +57% |
| Cigna | Commercial|All Other Plans | $574.08 | ↑ +59% |
| Cigna | Commercial|PPO | $574.08 | ↑ +59% |
| BCBS - Anthem | Commercial|HMO PPO | $592.02 | ↑ +64% |
| United | Commercial|Options PPO | $681.72 | ↑ +89% |
| Multiplan | Commercial|All Plans | $816.27 | ↑ +127% |
Visitor-reported prices
Comments
ER Visit (level 2) at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $422.57 | $172.89 – $669.76 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $291.65 | $166.92 – $550.55 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $223.19 | $127.47 – $554.19 |
| CHI Saint Joseph Health - Saint Joseph London | London | $292.61 | $117.10 – $746.20 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $398.83 | $165.82 – $855.40 |
| Adventhealth Manchester | Manchester | $636.37 | $144.07 – $144.07 |