Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$16,232.59
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.
$32,231.94
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.
$4.41 with Humana vs $28,895.27 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 | $4.41 | ↓ -100% |
| Wellcare | Medicare|All Plans | $4.41 | ↓ -100% |
| BCBS - Anthem | Medicare|All Plans | $4.41 | ↓ -100% |
| Aetna | Medicare|All Plans | $4.54 | ↓ -100% |
| United | Medicare|All Plans | $4.59 | ↓ -100% |
| BCBS - Anthem | Commercial|Pathway | $4.60 | ↓ -100% |
| BCBS - Anthem | Commercial|HMO PPO | $4.60 | ↓ -100% |
| Passport by Molina | Medicare|All Plans | $4.63 | ↓ -100% |
| CareSource | Commercial|All Plans | $8.82 | ↓ -100% |
| United | Commercial|PPO | $11.70 | ↓ -100% |
| United | Commercial|All Other Plans | $11.70 | ↓ -100% |
| United | Commercial|Options | $11.70 | ↓ -100% |
| United | Commercial|Non-Options | $11.70 | ↓ -100% |
| Passport by Molina | Medicaid|All Plans | $7,458.79 | ↓ -54% |
| Humana | Medicaid|All Plans | $8,401.86 | ↓ -48% |
| Aetna | Medicaid|Better Health | $8,573.33 | ↓ -47% |
| United | Medicaid|All Plans | $8,744.79 | ↓ -46% |
| Wellcare | Medicaid|All Plans | $8,830.53 | ↓ -46% |
| BCBS - Anthem | Medicaid|All Plans | $9,001.99 | ↓ -45% |
| Aetna | Commercial|All Other Plans | $13,336.28 | ↓ -18% |
| Aetna | Commercial|HMO | $13,336.28 | ↓ -18% |
| Aetna | Commercial|PPO | $13,336.28 | ↓ -18% |
| Cigna | Commercial|All Other Plans | $17,464.18 | ↑ +8% |
| Cigna | Commercial|PPO | $17,464.18 | ↑ +8% |
| Humana | Commercial|All Plans | $19,051.83 | ↑ +17% |
| Multiplan | Commercial|All Plans | $28,895.27 | ↑ +78% |
Visitor-reported prices
Comments
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $12,946.76 | $4.60 – $28,895.27 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $15,537.55 | $11.70 – $28,895.27 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $11,812.38 | $4.60 – $28,895.27 |
| CHI Saint Joseph Health - Saint Joseph London | London | $11,501.50 | $4.60 – $28,895.27 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $13,675.40 | $4.60 – $28,895.27 |