Change cystostomy tube; complex 51710 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

$825.94

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.

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

$1,640.00

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.

$385.24 with Passport by Molina vs $2,152.00 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 $385.24 ↓ -53%
Humana Medicaid|All Plans $433.95 ↓ -47%
Aetna Medicaid|Better Health $442.80 ↓ -46%
United Medicaid|All Plans $451.66 ↓ -45%
Wellcare Medicaid|All Plans $456.09 ↓ -45%
BCBS - Anthem Medicaid|All Plans $464.94 ↓ -44%
Wellcare Medicare|All Plans $655.78 ↓ -21%
BCBS - Anthem Medicare|All Plans $655.78 ↓ -21%
Humana Medicare|All Plans $655.78 ↓ -21%
Aetna Medicare|All Plans $675.45 ↓ -18%
United Medicare|All Plans $682.01 ↓ -17%
Passport by Molina Medicare|All Plans $688.57 ↓ -17%
United Commercial|All Other Plans $787.20 ↓ -5%
Humana Commercial|All Plans $1,016.80 ↑ +23%
Cigna Commercial|PPO $1,033.20 ↑ +25%
Cigna Commercial|All Other Plans $1,033.20 ↑ +25%
Aetna Commercial|HMO $1,033.20 ↑ +25%
Aetna Commercial|PPO $1,033.20 ↑ +25%
Aetna Commercial|All Other Plans $1,033.20 ↑ +25%
United Commercial|Non-Options $1,197.20 ↑ +45%
United Commercial|Options $1,197.20 ↑ +45%
United Commercial|PPO $1,230.00 ↑ +49%
CareSource Commercial|All Plans $1,311.56 ↑ +59%
Multiplan Commercial|All Plans $1,492.40 ↑ +81%
BCBS - Anthem Commercial|Pathway $1,821.00 ↑ +120%
BCBS - Anthem Commercial|HMO PPO $2,152.00 ↑ +161%

Visitor-reported prices

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Change cystostomy tube; complex 51710 at other Kentucky hospitals

Hospital City Cash price Negotiated range
CHI Saint Joseph Health - Saint Joseph East Lexington $658.75 $400.82 – $1,492.40
CHI Saint Joseph Health - Saint Joseph Berea Berea $790.57 $452.48 – $1,492.40
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling $601.03 $343.26 – $1,492.40
CHI Saint Joseph Health - Saint Joseph London London $585.21 $234.20 – $1,492.40
CHI Saint Joseph Health - Flaget Memorial Hospital Bardstown $695.83 $289.30 – $1,492.40
Adventhealth Manchester Manchester $3,864.39 not published

All Kentucky hospitals for this procedure →