Surgical pathology level 2 gross & microscopic examination at CHI Saint Joseph Health - Saint Joseph East
150 North Eagle Creek Drive, Lexington, KY · CommonSpirit Health · · NPI 1447457775
$120.51
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.
$300.00
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.
$25.77 with BCBS - Anthem vs $273.00 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 |
|---|---|---|---|
| BCBS - Anthem | Commercial|HMO PPO | $25.77 | ↓ -79% |
| BCBS - Anthem | Commercial|Pathway | $25.77 | ↓ -79% |
| United | Commercial|Non-Options | $28.37 | ↓ -76% |
| BCBS - Anthem | Medicare|All Plans | $38.56 | ↓ -68% |
| Wellcare | Medicare|All Plans | $38.56 | ↓ -68% |
| Humana | Medicare|All Plans | $38.56 | ↓ -68% |
| Aetna | Medicare|All Plans | $39.72 | ↓ -67% |
| United | Medicare|All Plans | $40.10 | ↓ -67% |
| Passport by Molina | Medicare|All Plans | $40.49 | ↓ -66% |
| Humana | Commercial|All Plans | $67.18 | ↓ -44% |
| Passport by Molina | Medicaid|All Plans | $73.32 | ↓ -39% |
| Wellcare | Medicaid|All Plans | $76.44 | ↓ -37% |
| CareSource | Commercial|All Plans | $77.12 | ↓ -36% |
| Humana | Medicaid|All Plans | $77.22 | ↓ -36% |
| Aetna | Medicaid|Better Health | $78.00 | ↓ -35% |
| United | Medicaid|Community Plan | $79.56 | ↓ -34% |
| BCBS - Anthem | Medicaid|All Plans | $81.90 | ↓ -32% |
| Aetna | Commercial|HMO | $189.00 | ↑ +57% |
| Aetna | Commercial|PPO | $189.00 | ↑ +57% |
| Aetna | Commercial|All Other Plans | $189.00 | ↑ +57% |
| Cigna | Commercial|PPO | $192.00 | ↑ +59% |
| Cigna | Commercial|All Other Plans | $192.00 | ↑ +59% |
| United | Commercial|Options PPO | $228.00 | ↑ +89% |
| Multiplan | Commercial|All Plans | $273.00 | ↑ +127% |
Visitor-reported prices
Comments
Surgical pathology level 2 gross & microscopic examination at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $141.33 | $25.77 – $273.00 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $160.53 | $25.77 – $303.03 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $31.89 | $25.77 – $79.17 |
| CHI Saint Joseph Health - Saint Joseph London | London | $112.41 | $25.77 – $286.65 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $53.89 | $22.41 – $115.57 |
| Adventhealth Manchester | Manchester | $102.55 | $34.49 – $35.05 |