Bilateral n block inj occipital 64405 at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$483.34
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.
$1,026.00
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.
$193.56 with Passport by Molina vs $769.50 with United — 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 | $193.56 | ↓ -60% |
| Humana | Medicaid|All Plans | $218.04 | ↓ -55% |
| Aetna | Medicaid|Better Health | $222.48 | ↓ -54% |
| United | Medicaid|All Plans | $226.93 | ↓ -53% |
| Wellcare | Medicaid|All Plans | $229.16 | ↓ -53% |
| BCBS - Anthem | Medicaid|All Plans | $233.61 | ↓ -52% |
| Wellcare | Medicare|All Plans | $290.02 | ↓ -40% |
| BCBS - Anthem | Medicare|All Plans | $290.02 | ↓ -40% |
| Humana | Medicare|All Plans | $290.02 | ↓ -40% |
| Aetna | Medicare|All Plans | $298.72 | ↓ -38% |
| United | Medicare|All Plans | $301.62 | ↓ -38% |
| Passport by Molina | Medicare|All Plans | $304.52 | ↓ -37% |
| United | Commercial|All Other Plans | $492.48 | ↑ +2% |
| Humana | Commercial|All Plans | $510.88 | ↑ +6% |
| CareSource | Commercial|All Plans | $580.04 | ↑ +20% |
| United | Commercial|Options | $601.52 | ↑ +24% |
| United | Commercial|Non-Options | $601.52 | ↑ +24% |
| Cigna | Commercial|PPO | $634.48 | ↑ +31% |
| Cigna | Commercial|All Other Plans | $634.48 | ↑ +31% |
| Aetna | Commercial|HMO | $646.38 | ↑ +34% |
| Aetna | Commercial|PPO | $646.38 | ↑ +34% |
| Aetna | Commercial|All Other Plans | $646.38 | ↑ +34% |
| Multiplan | Commercial|All Plans | $749.84 | ↑ +55% |
| United | Commercial|PPO | $769.50 | ↑ +59% |
Visitor-reported prices
Comments
Bilateral n block inj occipital 64405 at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $412.12 | $250.76 – $933.66 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $294.06 | $168.30 – $555.10 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $94.19 | $53.80 – $233.87 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $484.96 | $201.63 – $1,040.13 |
| Adventhealth Manchester | Manchester | not published | $288.01 – $288.01 |