Change cystostomy tube simple at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$296.32
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.
$629.00
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.
$147.76 with Passport by Molina vs $1,538.38 with Humana — 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 | $147.76 | ↓ -50% |
| Humana | Medicaid|All Plans | $166.44 | ↓ -44% |
| Aetna | Medicaid|Better Health | $169.83 | ↓ -43% |
| United | Medicaid|All Plans | $173.23 | ↓ -42% |
| Wellcare | Medicaid|All Plans | $174.93 | ↓ -41% |
| BCBS - Anthem | Medicaid|All Plans | $178.33 | ↓ -40% |
| Wellcare | Medicare|All Plans | $238.95 | ↓ -19% |
| BCBS - Anthem | Medicare|All Plans | $238.95 | ↓ -19% |
| Humana | Medicare|All Plans | $238.95 | ↓ -19% |
| Aetna | Medicare|All Plans | $246.12 | ↓ -17% |
| United | Medicare|All Plans | $248.51 | ↓ -16% |
| Passport by Molina | Medicare|All Plans | $250.90 | ↓ -15% |
| United | Commercial|All Other Plans | $301.92 | ↑ +2% |
| Aetna | Commercial|HMO | $396.27 | ↑ +34% |
| Cigna | Commercial|All Other Plans | $396.27 | ↑ +34% |
| Cigna | Commercial|PPO | $396.27 | ↑ +34% |
| Aetna | Commercial|PPO | $396.27 | ↑ +34% |
| Aetna | Commercial|All Other Plans | $396.27 | ↑ +34% |
| United | Commercial|PPO | $471.75 | ↑ +59% |
| CareSource | Commercial|All Plans | $477.90 | ↑ +61% |
| Multiplan | Commercial|All Plans | $572.39 | ↑ +93% |
| Humana | Commercial|All Plans | $1,538.38 | ↑ +419% |
| United | Commercial|Non-Options | not published by hospital | — |
| United | Commercial|Options | not published by hospital | — |
Visitor-reported prices
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Change cystostomy tube simple at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $252.66 | $153.73 – $572.39 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $140.28 | $80.29 – $264.81 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $174.82 | $99.84 – $434.07 |
| CHI Saint Joseph Health - Saint Joseph London | London | $190.20 | $76.12 – $485.03 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $230.39 | $95.79 – $494.13 |
| Adventhealth Manchester | Manchester | $1,176.28 | $234.43 – $234.43 |