IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour at CHI Saint Joseph Health - Saint Joseph East
150 North Eagle Creek Drive, Lexington, KY · CommonSpirit Health · · NPI 1447457775
$241.01
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.
$600.00
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.
$146.64 with Passport by Molina vs $546.00 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 | $146.64 | ↓ -39% |
| Wellcare | Medicaid|All Plans | $152.88 | ↓ -37% |
| Humana | Medicaid|All Plans | $154.44 | ↓ -36% |
| Aetna | Medicaid|Better Health | $156.00 | ↓ -35% |
| United | Medicaid|Community Plan | $159.12 | ↓ -34% |
| BCBS - Anthem | Medicaid|All Plans | $163.80 | ↓ -32% |
| BCBS - Anthem | Medicare|All Plans | $207.00 | ↓ -14% |
| Humana | Medicare|All Plans | $207.00 | ↓ -14% |
| Wellcare | Medicare|All Plans | $207.00 | ↓ -14% |
| Aetna | Medicare|All Plans | $213.21 | ↓ -12% |
| United | Medicare|All Plans | $215.28 | ↓ -11% |
| Passport by Molina | Medicare|All Plans | $217.35 | ↓ -10% |
| Aetna | Commercial|HMO | $378.00 | ↑ +57% |
| Aetna | Commercial|All Other Plans | $378.00 | ↑ +57% |
| Aetna | Commercial|PPO | $378.00 | ↑ +57% |
| Cigna | Commercial|PPO | $384.00 | ↑ +59% |
| Cigna | Commercial|All Other Plans | $384.00 | ↑ +59% |
| United | Commercial|Non-Options | $390.00 | ↑ +62% |
| CareSource | Commercial|All Plans | $414.00 | ↑ +72% |
| United | Commercial|Options PPO | $456.00 | ↑ +89% |
| Multiplan | Commercial|All Plans | $546.00 | ↑ +127% |
Visitor-reported prices
Comments
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $282.65 | $140.94 – $546.00 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $235.73 | $134.92 – $444.99 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $210.36 | $113.03 – $491.40 |
| CHI Saint Joseph Health - Saint Joseph London | London | $204.83 | $81.97 – $522.34 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $450.17 | $187.17 – $965.51 |
| Adventhealth Manchester | Manchester | $594.31 | $199.58 – $199.58 |