X-ray humerus >= 2 views left at CHI Saint Joseph Health - Saint Joseph East
150 North Eagle Creek Drive, Lexington, KY · CommonSpirit Health · · NPI 1447457775
$410.11
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.
$1,021.00
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.
$59.05 with Humana vs $615.16 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 |
|---|---|---|---|
| Humana | Commercial|All Plans | $59.05 | ↓ -86% |
| Wellcare | Medicare|All Plans | $86.51 | ↓ -79% |
| BCBS - Anthem | Medicare|All Plans | $86.51 | ↓ -79% |
| Humana | Medicare|All Plans | $86.51 | ↓ -79% |
| Aetna | Medicare|All Plans | $89.11 | ↓ -78% |
| United | Medicare|All Plans | $89.97 | ↓ -78% |
| Passport by Molina | Medicare|All Plans | $90.84 | ↓ -78% |
| Passport by Molina | Medicaid|All Plans | $165.22 | ↓ -60% |
| Wellcare | Medicaid|All Plans | $172.25 | ↓ -58% |
| CareSource | Commercial|All Plans | $173.02 | ↓ -58% |
| Humana | Medicaid|All Plans | $174.01 | ↓ -58% |
| Aetna | Medicaid|Better Health | $175.76 | ↓ -57% |
| United | Medicaid|Community Plan | $179.28 | ↓ -56% |
| BCBS - Anthem | Medicaid|All Plans | $184.55 | ↓ -55% |
| Aetna | Commercial|All Other Plans | $425.88 | ↑ +4% |
| Aetna | Commercial|HMO | $425.88 | ↑ +4% |
| Aetna | Commercial|PPO | $425.88 | ↑ +4% |
| Cigna | Commercial|PPO | $432.64 | ↑ +5% |
| Cigna | Commercial|All Other Plans | $432.64 | ↑ +5% |
| United | Commercial|Non-Options | $439.40 | ↑ +7% |
| United | Commercial|Options PPO | $513.76 | ↑ +25% |
| Multiplan | Commercial|All Plans | $615.16 | ↑ +50% |
Visitor-reported prices
Comments
X-ray humerus >= 2 views left at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $480.98 | $59.05 – $615.16 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $491.70 | $105.12 – $346.71 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $311.51 | $84.77 – $368.55 |
| CHI Saint Joseph Health - Saint Joseph London | London | $304.39 | $59.05 – $601.51 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $433.62 | $59.05 – $930.02 |
| Adventhealth Manchester | Manchester | $551.31 | $81.65 – $81.65 |