Treat finger fracture each at CHI Saint Joseph Health - Saint Joseph East
150 North Eagle Creek Drive, Lexington, KY · CommonSpirit Health · · NPI 1447457775
$1,940.90
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.
$4,832.00
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.
$1,180.95 with Passport by Molina vs $6,593.00 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 | $1,180.95 | ↓ -39% |
| Wellcare | Medicaid|All Plans | $1,231.20 | ↓ -37% |
| Humana | Medicaid|All Plans | $1,243.76 | ↓ -36% |
| Aetna | Medicaid|Better Health | $1,256.32 | ↓ -35% |
| United | Medicaid|Community Plan | $1,281.45 | ↓ -34% |
| BCBS - Anthem | Medicaid|All Plans | $1,319.14 | ↓ -32% |
| United | Commercial|Non-Options | $2,416.00 | ↑ +24% |
| Aetna | Commercial|All Other Plans | $3,044.16 | ↑ +57% |
| Aetna | Commercial|PPO | $3,044.16 | ↑ +57% |
| Aetna | Commercial|HMO | $3,044.16 | ↑ +57% |
| Cigna | Commercial|All Other Plans | $3,092.48 | ↑ +59% |
| Cigna | Commercial|PPO | $3,092.48 | ↑ +59% |
| BCBS - Anthem | Medicare|All Plans | $3,187.76 | ↑ +64% |
| Humana | Medicare|All Plans | $3,187.76 | ↑ +64% |
| Wellcare | Medicare|All Plans | $3,187.76 | ↑ +64% |
| Aetna | Medicare|All Plans | $3,283.39 | ↑ +69% |
| United | Medicare|All Plans | $3,315.27 | ↑ +71% |
| Passport by Molina | Medicare|All Plans | $3,347.15 | ↑ +72% |
| United | Commercial|Options PPO | $3,768.96 | ↑ +94% |
| Humana | Commercial|All Plans | $4,336.27 | ↑ +123% |
| Multiplan | Commercial|All Plans | $4,397.12 | ↑ +127% |
| BCBS - Anthem | Commercial|Pathway | $5,578.00 | ↑ +187% |
| CareSource | Commercial|All Plans | $6,375.52 | ↑ +228% |
| BCBS - Anthem | Commercial|HMO PPO | $6,593.00 | ↑ +240% |
Visitor-reported prices
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Treat finger fracture each at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $2,276.28 | $1,135.04 – $4,397.12 |
| Adventhealth Manchester | Manchester | not published | $3,070.09 – $3,070.09 |