Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< at CHI Saint Joseph Health - Saint Joseph East
150 North Eagle Creek Drive, Lexington, KY · CommonSpirit Health · · NPI 1447457775
$189.60
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.
$472.00
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.
$112.18 with Passport by Molina vs $2,584.00 with BCBS - Anthem — 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 | $112.18 | ↓ -41% |
| Wellcare | Medicaid|All Plans | $116.96 | ↓ -38% |
| Humana | Medicaid|All Plans | $118.15 | ↓ -38% |
| Aetna | Medicaid|Better Health | $119.34 | ↓ -37% |
| United | Medicaid|Community Plan | $121.73 | ↓ -36% |
| BCBS - Anthem | Medicaid|All Plans | $125.31 | ↓ -34% |
| Humana | Medicare|All Plans | $195.22 | ↑ +3% |
| BCBS - Anthem | Medicare|All Plans | $195.22 | ↑ +3% |
| Wellcare | Medicare|All Plans | $195.22 | ↑ +3% |
| Aetna | Medicare|All Plans | $201.08 | ↑ +6% |
| United | Medicare|All Plans | $203.03 | ↑ +7% |
| Passport by Molina | Medicare|All Plans | $204.98 | ↑ +8% |
| United | Commercial|Non-Options | $229.50 | ↑ +21% |
| Aetna | Commercial|HMO | $289.17 | ↑ +53% |
| Aetna | Commercial|All Other Plans | $289.17 | ↑ +53% |
| Aetna | Commercial|PPO | $289.17 | ↑ +53% |
| Cigna | Commercial|All Other Plans | $293.76 | ↑ +55% |
| Cigna | Commercial|PPO | $293.76 | ↑ +55% |
| United | Commercial|Options PPO | $358.02 | ↑ +89% |
| CareSource | Commercial|All Plans | $390.44 | ↑ +106% |
| Multiplan | Commercial|All Plans | $417.69 | ↑ +120% |
| Humana | Commercial|All Plans | $1,538.38 | ↑ +711% |
| BCBS - Anthem | Commercial|Pathway | $2,186.00 | ↑ +1053% |
| BCBS - Anthem | Commercial|HMO PPO | $2,584.00 | ↑ +1263% |
Visitor-reported prices
Comments
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $219.58 | $102.42 – $396.76 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $81.47 | $46.63 – $153.79 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $196.80 | $112.40 – $488.67 |
| CHI Saint Joseph Health - Saint Joseph London | London | $113.84 | $43.84 – $279.37 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $225.30 | $85.21 – $439.53 |
| Adventhealth Manchester | Manchester | $943.91 | $188.25 – $188.25 |