Bone marrow;aspiration only 38220 at CHI Saint Joseph Health - Saint Joseph Hospital

1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$699.56

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,485.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$348.83 with Passport by Molina vs $4,157.00 with BCBS - Anthem — 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 →

Payer
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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
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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 $348.83 ↓ -50%
Humana Medicaid|All Plans $392.94 ↓ -44%
Aetna Medicaid|Better Health $400.95 ↓ -43%
United Medicaid|All Plans $408.97 ↓ -42%
Wellcare Medicaid|All Plans $412.98 ↓ -41%
BCBS - Anthem Medicaid|All Plans $421.00 ↓ -40%
United Commercial|All Other Plans $712.80 ↑ +2%
Cigna Commercial|All Other Plans $935.55 ↑ +34%
Aetna Commercial|HMO $935.55 ↑ +34%
Aetna Commercial|PPO $935.55 ↑ +34%
Aetna Commercial|All Other Plans $935.55 ↑ +34%
Cigna Commercial|PPO $935.55 ↑ +34%
United Commercial|PPO $1,113.75 ↑ +59%
Multiplan Commercial|All Plans $1,351.35 ↑ +93%
Humana Commercial|All Plans $1,538.38 ↑ +120%
Wellcare Medicare|All Plans $1,591.85 ↑ +128%
BCBS - Anthem Medicare|All Plans $1,591.85 ↑ +128%
Humana Medicare|All Plans $1,591.85 ↑ +128%
Aetna Medicare|All Plans $1,639.61 ↑ +134%
United Medicare|All Plans $1,655.52 ↑ +137%
Passport by Molina Medicare|All Plans $1,671.44 ↑ +139%
CareSource Commercial|All Plans $3,183.70 ↑ +355%
BCBS - Anthem Commercial|Pathway $3,517.00 ↑ +403%
BCBS - Anthem Commercial|HMO PPO $4,157.00 ↑ +494%
United Commercial|Non-Options not published by hospital
United Commercial|Options not published by hospital

Visitor-reported prices

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Bone marrow;aspiration only 38220 at other Kentucky hospitals

Hospital City Cash price Negotiated range
CHI Saint Joseph Health - Saint Joseph Berea Berea $252.60 $144.58 – $476.84
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling $243.71 $139.19 – $605.15
CHI Saint Joseph Health - Saint Joseph London London $436.06 $174.51 – $1,112.02
Adventhealth Manchester Manchester not published $1,549.68 – $1,549.68

All Kentucky hospitals for this procedure →