MRI without fol w/cont, breast at CHI Saint Joseph Health - Saint Joseph East
150 North Eagle Creek Drive, Lexington, KY · CommonSpirit Health · · NPI 1447457775
$733.86
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.
$1,827.00
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.
$13.45 with Passport by Molina vs $1,530.00 with United — 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 |
|---|---|---|---|
| Passport by Molina | Medicaid|All Plans | $13.45 | ↓ -98% |
| Wellcare | Medicaid|All Plans | $14.02 | ↓ -98% |
| Humana | Medicaid|All Plans | $14.16 | ↓ -98% |
| Aetna | Medicaid|Better Health | $14.30 | ↓ -98% |
| United | Medicaid|Community Plan | $14.59 | ↓ -98% |
| BCBS - Anthem | Medicaid|All Plans | $15.02 | ↓ -98% |
| Aetna | Commercial|All Other Plans | $34.65 | ↓ -95% |
| Aetna | Commercial|PPO | $34.65 | ↓ -95% |
| Aetna | Commercial|HMO | $34.65 | ↓ -95% |
| Cigna | Commercial|All Other Plans | $35.20 | ↓ -95% |
| Cigna | Commercial|PPO | $35.20 | ↓ -95% |
| United | Commercial|Options PPO | $45.65 | ↓ -94% |
| Multiplan | Commercial|All Plans | $50.05 | ↓ -93% |
| BCBS - Anthem | Commercial|Pathway | $55.00 | ↓ -93% |
| BCBS - Anthem | Commercial|HMO PPO | $55.00 | ↓ -93% |
| BCBS - Anthem | Medicare|All Plans | $350.87 | ↓ -52% |
| Wellcare | Medicare|All Plans | $350.87 | ↓ -52% |
| Humana | Medicare|All Plans | $350.87 | ↓ -52% |
| Aetna | Medicare|All Plans | $361.40 | ↓ -51% |
| United | Medicare|All Plans | $364.90 | ↓ -50% |
| Passport by Molina | Medicare|All Plans | $368.41 | ↓ -50% |
| CareSource | Commercial|All Plans | $701.74 | ↓ -4% |
| Humana | Commercial|All Plans | $744.77 | ↑ +1% |
| United | Commercial|Non-Options | $1,530.00 | ↑ +108% |
Visitor-reported prices
Comments
MRI without fol w/cont, breast at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $903.54 | $8.70 – $33.67 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $732.73 | $419.37 – $1,383.20 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $557.06 | $318.14 – $1,383.20 |
| CHI Saint Joseph Health - Saint Joseph London | London | $532.05 | $212.92 – $1,356.81 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $866.39 | $255.43 – $1,317.68 |
| Adventhealth Manchester | Manchester | not published | $327.35 – $327.35 |