Pr moderate sedation same physician >= 5 years initial 15 minutes at CHI Saint Joseph Health - Saint Joseph East
150 North Eagle Creek Drive, Lexington, KY · CommonSpirit Health · · NPI 1447457775
$94.40
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.
$235.00
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.
$52.31 with Passport by Molina vs $194.74 with Multiplan — 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 | $52.31 | ↓ -45% |
| Wellcare | Medicaid|All Plans | $54.53 | ↓ -42% |
| Humana | Medicaid|All Plans | $55.09 | ↓ -42% |
| Aetna | Medicaid|Better Health | $55.64 | ↓ -41% |
| United | Medicaid|Community Plan | $56.76 | ↓ -40% |
| BCBS - Anthem | Medicaid|All Plans | $58.43 | ↓ -38% |
| Aetna | Commercial|All Other Plans | $134.82 | ↑ +43% |
| Aetna | Commercial|PPO | $134.82 | ↑ +43% |
| Aetna | Commercial|HMO | $134.82 | ↑ +43% |
| Cigna | Commercial|All Other Plans | $136.96 | ↑ +45% |
| Cigna | Commercial|PPO | $136.96 | ↑ +45% |
| United | Commercial|Non-Options | $139.10 | ↑ +47% |
| United | Commercial|Options PPO | $162.64 | ↑ +72% |
| Multiplan | Commercial|All Plans | $194.74 | ↑ +106% |
Visitor-reported prices
Comments
Pr moderate sedation same physician >= 5 years initial 15 minutes at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $118.36 | $55.21 – $213.85 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $93.52 | $40.29 – $132.86 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $71.10 | $21.35 – $92.82 |
| CHI Saint Joseph Health - Saint Joseph London | London | $115.98 | $30.42 – $193.83 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $166.32 | $45.69 – $235.69 |
| Adventhealth Manchester | Manchester | $1,806.51 | not published |