Abdominal CT scan (with contrast) at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$1,000.11
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.
$2,123.00
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.
$174.90 with Humana vs $1,931.93 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 | Medicare|All Plans | $174.90 | ↓ -83% |
| Wellcare | Medicare|All Plans | $174.90 | ↓ -83% |
| BCBS - Anthem | Medicare|All Plans | $174.90 | ↓ -83% |
| Aetna | Medicare|All Plans | $180.15 | ↓ -82% |
| United | Medicare|All Plans | $181.90 | ↓ -82% |
| Passport by Molina | Medicare|All Plans | $183.65 | ↓ -82% |
| BCBS - Anthem | Commercial|Pathway | $340.00 | ↓ -66% |
| CareSource | Commercial|All Plans | $349.80 | ↓ -65% |
| BCBS - Anthem | Commercial|HMO PPO | $354.00 | ↓ -65% |
| Humana | Commercial|All Plans | $479.05 | ↓ -52% |
| Passport by Molina | Medicaid|All Plans | $498.70 | ↓ -50% |
| Humana | Medicaid|All Plans | $561.75 | ↓ -44% |
| Aetna | Medicaid|Better Health | $573.21 | ↓ -43% |
| United | Medicaid|All Plans | $584.68 | ↓ -42% |
| Wellcare | Medicaid|All Plans | $590.41 | ↓ -41% |
| BCBS - Anthem | Medicaid|All Plans | $601.88 | ↓ -40% |
| United | Commercial|All Other Plans | $1,094.00 | ↑ +9% |
| Cigna | Commercial|PPO | $1,337.49 | ↑ +34% |
| Aetna | Commercial|All Other Plans | $1,337.49 | ↑ +34% |
| Cigna | Commercial|All Other Plans | $1,337.49 | ↑ +34% |
| Aetna | Commercial|HMO | $1,337.49 | ↑ +34% |
| Aetna | Commercial|PPO | $1,337.49 | ↑ +34% |
| United | Commercial|PPO | $1,740.86 | ↑ +74% |
| Multiplan | Commercial|All Plans | $1,931.93 | ↑ +93% |
Visitor-reported prices
Comments
Abdominal CT scan (with contrast) at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $789.70 | $340.00 – $1,789.06 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $595.34 | $340.74 – $1,123.85 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $733.70 | $419.02 – $1,821.82 |
| CHI Saint Joseph Health - Saint Joseph London | London | $1,176.85 | $470.96 – $3,001.18 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $831.60 | $345.75 – $1,783.60 |
| Adventhealth Manchester | Manchester | $4,884.31 | $164.58 – $164.58 |