Application finger splntstatic 29130 at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$186.85
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.
$371.00
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.
$87.15 with Passport by Molina vs $337.61 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 |
|---|---|---|---|
| Passport by Molina | Medicaid|All Plans | $87.15 | ↓ -53% |
| Humana | Medicaid|All Plans | $98.17 | ↓ -47% |
| Aetna | Medicaid|Better Health | $100.17 | ↓ -46% |
| United | Medicaid|All Plans | $102.18 | ↓ -45% |
| Wellcare | Medicaid|All Plans | $103.18 | ↓ -45% |
| BCBS - Anthem | Medicaid|All Plans | $105.18 | ↓ -44% |
| Wellcare | Medicare|All Plans | $126.64 | ↓ -32% |
| BCBS - Anthem | Medicare|All Plans | $126.64 | ↓ -32% |
| Humana | Medicare|All Plans | $126.64 | ↓ -32% |
| Aetna | Medicare|All Plans | $130.44 | ↓ -30% |
| United | Medicare|All Plans | $131.71 | ↓ -30% |
| Passport by Molina | Medicare|All Plans | $132.97 | ↓ -29% |
| BCBS - Anthem | Commercial|Pathway | $174.37 | ↓ -7% |
| United | Commercial|All Other Plans | $178.08 | ↓ -5% |
| BCBS - Anthem | Commercial|HMO PPO | $196.63 | ↑ +5% |
| Humana | Commercial|All Plans | $230.02 | ↑ +23% |
| Cigna | Commercial|PPO | $233.73 | ↑ +25% |
| Cigna | Commercial|All Other Plans | $233.73 | ↑ +25% |
| Aetna | Commercial|HMO | $233.73 | ↑ +25% |
| Aetna | Commercial|PPO | $233.73 | ↑ +25% |
| Aetna | Commercial|All Other Plans | $233.73 | ↑ +25% |
| CareSource | Commercial|All Plans | $253.28 | ↑ +36% |
| United | Commercial|Non-Options | $270.83 | ↑ +45% |
| United | Commercial|Options | $270.83 | ↑ +45% |
| United | Commercial|PPO | $278.25 | ↑ +49% |
| Multiplan | Commercial|All Plans | $337.61 | ↑ +81% |
Visitor-reported prices
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Application finger splntstatic 29130 at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $149.03 | $90.68 – $337.61 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $171.62 | $98.23 – $323.96 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $111.05 | $63.42 – $275.73 |
| CHI Saint Joseph Health - Saint Joseph London | London | $83.86 | $33.56 – $213.85 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $290.64 | $120.84 – $623.35 |
| Adventhealth Manchester | Manchester | $735.49 | $124.84 – $124.84 |