Abdominal CT scan (with and without contrast) at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$1,342.59
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.
?
What you pay up front if you don't use insurance.
$2,850.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$174.90 with Humana vs $2,337.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | Medicare|All Plans | $174.90 | ↓ -87% |
| Wellcare | Medicare|All Plans | $174.90 | ↓ -87% |
| BCBS - Anthem | Medicare|All Plans | $174.90 | ↓ -87% |
| Aetna | Medicare|All Plans | $180.15 | ↓ -87% |
| United | Medicare|All Plans | $181.90 | ↓ -86% |
| Passport by Molina | Medicare|All Plans | $183.65 | ↓ -86% |
| BCBS - Anthem | Commercial|Pathway | $340.00 | ↓ -75% |
| CareSource | Commercial|All Plans | $349.80 | ↓ -74% |
| BCBS - Anthem | Commercial|HMO PPO | $354.00 | ↓ -74% |
| Humana | Commercial|All Plans | $551.46 | ↓ -59% |
| Passport by Molina | Medicaid|All Plans | $567.99 | ↓ -58% |
| Humana | Medicaid|All Plans | $639.81 | ↓ -52% |
| Aetna | Medicaid|Better Health | $652.86 | ↓ -51% |
| United | Medicaid|All Plans | $665.92 | ↓ -50% |
| Wellcare | Medicaid|All Plans | $672.45 | ↓ -50% |
| BCBS - Anthem | Medicaid|All Plans | $685.51 | ↓ -49% |
| United | Commercial|Options | $1,082.00 | ↓ -19% |
| United | Commercial|Non-Options | $1,082.00 | ↓ -19% |
| United | Commercial|All Other Plans | $1,094.00 | ↓ -19% |
| Aetna | Commercial|All Other Plans | $1,795.50 | ↑ +34% |
| Cigna | Commercial|All Other Plans | $1,795.50 | ↑ +34% |
| Cigna | Commercial|PPO | $1,795.50 | ↑ +34% |
| Aetna | Commercial|HMO | $1,795.50 | ↑ +34% |
| Aetna | Commercial|PPO | $1,795.50 | ↑ +34% |
| Multiplan | Commercial|All Plans | $2,200.38 | ↑ +64% |
| United | Commercial|PPO | $2,337.00 | ↑ +74% |
Visitor-reported prices
Comments
Abdominal CT scan (with and without contrast) at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $1,144.78 | $340.00 – $2,593.50 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $654.15 | $374.40 – $1,234.87 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $909.61 | $472.40 – $2,053.87 |
| CHI Saint Joseph Health - Saint Joseph London | London | $1,307.45 | $523.22 – $3,334.24 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $1,006.40 | $418.43 – $2,158.52 |
| Adventhealth Manchester | Manchester | $5,531.68 | $164.58 – $164.58 |