Pr incision & drainage abscess simple/single at CHI Saint Joseph Health - Saint Joseph East
150 North Eagle Creek Drive, Lexington, KY · CommonSpirit Health · · NPI 1447457775
$434.62
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.
$1,082.00
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.
$195.22 with Wellcare 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 |
|---|---|---|---|
| Wellcare | Medicare|All Plans | $195.22 | ↓ -55% |
| Humana | Medicare|All Plans | $195.22 | ↓ -55% |
| BCBS - Anthem | Medicare|All Plans | $195.22 | ↓ -55% |
| Aetna | Medicare|All Plans | $201.08 | ↓ -54% |
| United | Medicare|All Plans | $203.03 | ↓ -53% |
| Passport by Molina | Medicare|All Plans | $204.98 | ↓ -53% |
| Passport by Molina | Medicaid|All Plans | $264.45 | ↓ -39% |
| Wellcare | Medicaid|All Plans | $275.70 | ↓ -37% |
| Humana | Medicaid|All Plans | $278.51 | ↓ -36% |
| Aetna | Medicaid|Better Health | $281.32 | ↓ -35% |
| United | Medicaid|Community Plan | $286.95 | ↓ -34% |
| BCBS - Anthem | Medicaid|All Plans | $295.39 | ↓ -32% |
| CareSource | Commercial|All Plans | $390.44 | ↓ -10% |
| United | Commercial|Non-Options | $541.00 | ↑ +24% |
| Aetna | Commercial|HMO | $681.66 | ↑ +57% |
| Aetna | Commercial|PPO | $681.66 | ↑ +57% |
| Aetna | Commercial|All Other Plans | $681.66 | ↑ +57% |
| Cigna | Commercial|All Other Plans | $692.48 | ↑ +59% |
| Cigna | Commercial|PPO | $692.48 | ↑ +59% |
| United | Commercial|Options PPO | $843.96 | ↑ +94% |
| Multiplan | Commercial|All Plans | $984.62 | ↑ +127% |
| Humana | Commercial|All Plans | $1,538.38 | ↑ +254% |
| BCBS - Anthem | Commercial|Pathway | $2,186.00 | ↑ +403% |
| BCBS - Anthem | Commercial|HMO PPO | $2,584.00 | ↑ +495% |
Visitor-reported prices
Comments
Pr incision & drainage abscess simple/single at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $300.56 | $149.87 – $580.58 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $211.63 | $121.13 – $399.49 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $253.98 | $145.05 – $630.63 |
| CHI Saint Joseph Health - Saint Joseph London | London | $163.08 | $65.26 – $415.87 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $541.81 | $225.27 – $1,162.07 |
| Adventhealth Manchester | Manchester | $624.41 | $188.25 – $188.25 |