Bld prd mix at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$69.50
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.
$138.00
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.
$14.76 with BCBS - Anthem vs $336.72 with CareSource — 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 |
|---|---|---|---|
| BCBS - Anthem | Commercial|Pathway | $14.76 | ↓ -79% |
| BCBS - Anthem | Commercial|HMO PPO | $14.76 | ↓ -79% |
| Passport by Molina | Medicaid|All Plans | $32.42 | ↓ -53% |
| Humana | Medicaid|All Plans | $36.52 | ↓ -47% |
| Aetna | Medicaid|Better Health | $37.26 | ↓ -46% |
| United | Medicaid|All Plans | $38.01 | ↓ -45% |
| Wellcare | Medicaid|All Plans | $38.38 | ↓ -45% |
| BCBS - Anthem | Medicaid|All Plans | $39.13 | ↓ -44% |
| Aetna | Commercial|HMO | $86.94 | ↑ +25% |
| Aetna | Commercial|PPO | $86.94 | ↑ +25% |
| Cigna | Commercial|PPO | $86.94 | ↑ +25% |
| Cigna | Commercial|All Other Plans | $86.94 | ↑ +25% |
| Aetna | Commercial|All Other Plans | $86.94 | ↑ +25% |
| Humana | Commercial|All Plans | $91.74 | ↑ +32% |
| United | Commercial|PPO | $100.74 | ↑ +45% |
| United | Commercial|Options | $100.74 | ↑ +45% |
| United | Commercial|Non-Options | $100.74 | ↑ +45% |
| Multiplan | Commercial|All Plans | $125.58 | ↑ +81% |
| United | Commercial|All Other Plans | $162.74 | ↑ +134% |
| Wellcare | Medicare|All Plans | $168.36 | ↑ +142% |
| BCBS - Anthem | Medicare|All Plans | $168.36 | ↑ +142% |
| Humana | Medicare|All Plans | $168.36 | ↑ +142% |
| Aetna | Medicare|All Plans | $173.41 | ↑ +150% |
| United | Medicare|All Plans | $175.09 | ↑ +152% |
| Passport by Molina | Medicare|All Plans | $176.78 | ↑ +154% |
| CareSource | Commercial|All Plans | $336.72 | ↑ +384% |
Visitor-reported prices
Comments
Bld prd mix at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $55.44 | $14.76 – $125.58 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $62.67 | $14.76 – $118.30 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $51.31 | $14.76 – $127.40 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $59.40 | $14.76 – $127.40 |
| Adventhealth Manchester | Manchester | not published | $159.86 – $159.86 |