Pr incision & drainage abscess complicated/multiple at CHI Saint Joseph Health - Saint Joseph East
150 North Eagle Creek Drive, Lexington, KY · CommonSpirit Health · · NPI 1447457775
$395.25
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.
$984.00
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.
$240.49 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 | $240.49 | ↓ -39% |
| Wellcare | Medicaid|All Plans | $250.73 | ↓ -37% |
| Humana | Medicaid|All Plans | $253.29 | ↓ -36% |
| Aetna | Medicaid|Better Health | $255.84 | ↓ -35% |
| United | Medicaid|Community Plan | $260.96 | ↓ -34% |
| BCBS - Anthem | Medicaid|All Plans | $268.64 | ↓ -32% |
| Humana | Medicare|All Plans | $392.53 | ↓ -1% |
| BCBS - Anthem | Medicare|All Plans | $392.53 | ↓ -1% |
| Wellcare | Medicare|All Plans | $392.53 | ↓ -1% |
| Aetna | Medicare|All Plans | $404.31 | ↑ +2% |
| United | Medicare|All Plans | $408.23 | ↑ +3% |
| Passport by Molina | Medicare|All Plans | $412.16 | ↑ +4% |
| United | Commercial|Non-Options | $492.00 | ↑ +24% |
| Aetna | Commercial|HMO | $619.92 | ↑ +57% |
| Aetna | Commercial|All Other Plans | $619.92 | ↑ +57% |
| Aetna | Commercial|PPO | $619.92 | ↑ +57% |
| Cigna | Commercial|All Other Plans | $629.76 | ↑ +59% |
| Cigna | Commercial|PPO | $629.76 | ↑ +59% |
| United | Commercial|Options PPO | $767.52 | ↑ +94% |
| CareSource | Commercial|All Plans | $785.06 | ↑ +99% |
| Multiplan | Commercial|All Plans | $895.44 | ↑ +127% |
| Humana | Commercial|All Plans | $1,538.38 | ↑ +289% |
| BCBS - Anthem | Commercial|Pathway | $2,186.00 | ↑ +453% |
| BCBS - Anthem | Commercial|HMO PPO | $2,584.00 | ↑ +554% |
Visitor-reported prices
Comments
Pr incision & drainage abscess complicated/multiple at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $495.57 | $210.95 – $817.18 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $290.20 | $166.10 – $547.82 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $274.13 | $156.56 – $680.68 |
| CHI Saint Joseph Health - Saint Joseph London | London | $534.90 | $214.06 – $1,364.09 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $460.77 | $191.58 – $988.26 |
| Adventhealth Manchester | Manchester | $997.85 | $381.43 – $381.43 |