Ghs closed tx bimalleolar fracture w/manip at CHI Saint Joseph Health - Saint Joseph East

150 North Eagle Creek Drive, Lexington, KY · CommonSpirit Health · · NPI 1447457775

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$321.34

Cash price

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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.

$800.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$195.52 with Passport by Molina vs $3,144.74 with CareSource — 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 →

Payer
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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
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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 $195.52 ↓ -39%
Wellcare Medicaid|All Plans $203.84 ↓ -37%
Humana Medicaid|All Plans $205.92 ↓ -36%
Aetna Medicaid|Better Health $208.00 ↓ -35%
United Medicaid|Community Plan $212.16 ↓ -34%
BCBS - Anthem Medicaid|All Plans $218.40 ↓ -32%
United Commercial|Non-Options $400.00 ↑ +24%
Aetna Commercial|HMO $504.00 ↑ +57%
Aetna Commercial|PPO $504.00 ↑ +57%
Aetna Commercial|All Other Plans $504.00 ↑ +57%
Cigna Commercial|All Other Plans $512.00 ↑ +59%
Cigna Commercial|PPO $512.00 ↑ +59%
United Commercial|Options PPO $624.00 ↑ +94%
Multiplan Commercial|All Plans $728.00 ↑ +127%
Humana Commercial|All Plans $1,538.38 ↑ +379%
BCBS - Anthem Medicare|All Plans $1,572.37 ↑ +389%
Wellcare Medicare|All Plans $1,572.37 ↑ +389%
Humana Medicare|All Plans $1,572.37 ↑ +389%
Aetna Medicare|All Plans $1,619.54 ↑ +404%
United Medicare|All Plans $1,635.26 ↑ +409%
Passport by Molina Medicare|All Plans $1,650.99 ↑ +414%
BCBS - Anthem Commercial|Pathway $2,186.00 ↑ +580%
BCBS - Anthem Commercial|HMO PPO $2,584.00 ↑ +704%
CareSource Commercial|All Plans $3,144.74 ↑ +879%

Visitor-reported prices

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Ghs closed tx bimalleolar fracture w/manip at other Kentucky hospitals

Hospital City Cash price Negotiated range
CHI Saint Joseph Health - Saint Joseph Hospital Lexington $376.87 $187.92 – $728.00
CHI Saint Joseph Health - Saint Joseph Berea Berea $532.19 $304.60 – $1,004.64
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling $288.06 $164.51 – $715.26
CHI Saint Joseph Health - Saint Joseph London London $1,093.35 $437.54 – $2,788.24
CHI Saint Joseph Health - Flaget Memorial Hospital Bardstown $674.19 $280.30 – $1,445.99
Adventhealth Manchester Manchester $1,346.17 $1,508.77 – $1,508.77

All Kentucky hospitals for this procedure →