Injection therapeutic/prophylactic/diagnostic subcutaneous/im at CHI Saint Joseph Health - Saint Joseph East
150 North Eagle Creek Drive, Lexington, KY · CommonSpirit Health · · NPI 1447457775
$74.31
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.
$185.00
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.
$44.73 with Passport by Molina vs $166.53 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 | $44.73 | ↓ -40% |
| Wellcare | Medicaid|All Plans | $46.63 | ↓ -37% |
| Humana | Medicaid|All Plans | $47.11 | ↓ -37% |
| Aetna | Medicaid|Better Health | $47.58 | ↓ -36% |
| United | Medicaid|Community Plan | $48.54 | ↓ -35% |
| BCBS - Anthem | Medicaid|All Plans | $49.96 | ↓ -33% |
| BCBS - Anthem | Medicare|All Plans | $69.92 | ↓ -6% |
| Humana | Medicare|All Plans | $69.92 | ↓ -6% |
| Wellcare | Medicare|All Plans | $69.92 | ↓ -6% |
| Aetna | Medicare|All Plans | $72.02 | ↓ -3% |
| United | Medicare|All Plans | $72.72 | ↓ -2% |
| Passport by Molina | Medicare|All Plans | $73.42 | ↓ -1% |
| Aetna | Commercial|HMO | $115.29 | ↑ +55% |
| Aetna | Commercial|All Other Plans | $115.29 | ↑ +55% |
| Aetna | Commercial|PPO | $115.29 | ↑ +55% |
| Cigna | Commercial|PPO | $117.12 | ↑ +58% |
| Cigna | Commercial|All Other Plans | $117.12 | ↑ +58% |
| United | Commercial|Non-Options | $120.25 | ↑ +62% |
| CareSource | Commercial|All Plans | $139.84 | ↑ +88% |
| United | Commercial|Options PPO | $140.60 | ↑ +89% |
| Multiplan | Commercial|All Plans | $166.53 | ↑ +124% |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic subcutaneous/im at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $92.17 | $42.99 – $166.53 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $146.55 | $50.77 – $167.44 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $77.33 | $36.42 – $158.34 |
| CHI Saint Joseph Health - Saint Joseph London | London | $67.45 | $20.00 – $127.40 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $84.86 | $32.64 – $168.35 |
| Adventhealth Manchester | Manchester | $143.08 | $67.56 – $67.56 |