Myelography thoracic spine 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

$571.99

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.

Full explanation →

What you pay up front if you don't use insurance.

$1,424.00

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.

$148.78 with Humana vs $1,552.44 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
Humana Commercial|All Plans $148.78 ↓ -74%
Passport by Molina Medicaid|All Plans $348.03 ↓ -39%
Wellcare Medicaid|All Plans $362.84 ↓ -37%
Humana Medicaid|All Plans $366.54 ↓ -36%
Aetna Medicaid|Better Health $370.24 ↓ -35%
United Medicaid|Community Plan $377.65 ↓ -34%
BCBS - Anthem Medicaid|All Plans $388.76 ↓ -32%
BCBS - Anthem Medicare|All Plans $776.22 ↑ +36%
Wellcare Medicare|All Plans $776.22 ↑ +36%
Humana Medicare|All Plans $776.22 ↑ +36%
Aetna Medicare|All Plans $799.51 ↑ +40%
United Medicare|All Plans $807.27 ↑ +41%
Passport by Molina Medicare|All Plans $815.03 ↑ +42%
Aetna Commercial|HMO $897.12 ↑ +57%
Aetna Commercial|All Other Plans $897.12 ↑ +57%
Aetna Commercial|PPO $897.12 ↑ +57%
Cigna Commercial|PPO $911.36 ↑ +59%
Cigna Commercial|All Other Plans $911.36 ↑ +59%
United Commercial|Non-Options $925.60 ↑ +62%
United Commercial|Options PPO $1,082.24 ↑ +89%
Multiplan Commercial|All Plans $1,295.84 ↑ +127%
CareSource Commercial|All Plans $1,552.44 ↑ +171%

Visitor-reported prices

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Myelography thoracic spine at other Kentucky hospitals

Hospital City Cash price Negotiated range
CHI Saint Joseph Health - Saint Joseph Hospital Lexington $670.83 $148.78 – $1,295.84
CHI Saint Joseph Health - Saint Joseph Berea Berea $692.72 $396.47 – $1,307.67
CHI Saint Joseph Health - Flaget Memorial Hospital Bardstown $1,047.55 $148.78 – $2,246.79

All Kentucky hospitals for this procedure →