Clsd tx fx radius/ulna dist w/manip 25605 at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$466.86
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.
$927.00
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.
$217.76 with Passport by Molina vs $3,796.00 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 →
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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 | $217.76 | ↓ -53% |
| Humana | Medicaid|All Plans | $245.29 | ↓ -47% |
| Aetna | Medicaid|Better Health | $250.29 | ↓ -46% |
| United | Medicaid|All Plans | $255.30 | ↓ -45% |
| Wellcare | Medicaid|All Plans | $257.80 | ↓ -45% |
| BCBS - Anthem | Medicaid|All Plans | $262.81 | ↓ -44% |
| United | Commercial|All Other Plans | $444.96 | ↓ -5% |
| Humana | Commercial|All Plans | $574.74 | ↑ +23% |
| Cigna | Commercial|PPO | $584.01 | ↑ +25% |
| Aetna | Commercial|All Other Plans | $584.01 | ↑ +25% |
| Aetna | Commercial|PPO | $584.01 | ↑ +25% |
| Aetna | Commercial|HMO | $584.01 | ↑ +25% |
| Cigna | Commercial|All Other Plans | $584.01 | ↑ +25% |
| United | Commercial|Options | $676.71 | ↑ +45% |
| United | Commercial|Non-Options | $676.71 | ↑ +45% |
| United | Commercial|PPO | $695.25 | ↑ +49% |
| Multiplan | Commercial|All Plans | $843.57 | ↑ +81% |
| BCBS - Anthem | Medicare|All Plans | $1,572.37 | ↑ +237% |
| Wellcare | Medicare|All Plans | $1,572.37 | ↑ +237% |
| Humana | Medicare|All Plans | $1,572.37 | ↑ +237% |
| Aetna | Medicare|All Plans | $1,619.54 | ↑ +247% |
| United | Medicare|All Plans | $1,635.26 | ↑ +250% |
| Passport by Molina | Medicare|All Plans | $1,650.99 | ↑ +254% |
| CareSource | Commercial|All Plans | $3,144.74 | ↑ +574% |
| BCBS - Anthem | Commercial|Pathway | $3,212.00 | ↑ +588% |
| BCBS - Anthem | Commercial|HMO PPO | $3,796.00 | ↑ +713% |
Visitor-reported prices
Comments
Clsd tx fx radius/ulna dist w/manip 25605 at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $372.36 | $226.56 – $843.57 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $532.19 | $304.60 – $1,004.64 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $288.06 | $164.51 – $715.26 |
| CHI Saint Joseph Health - Saint Joseph London | London | $836.78 | $334.87 – $2,133.95 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $902.03 | $375.03 – $1,934.66 |
| Adventhealth Manchester | Manchester | $8,711.83 | $1,508.77 – $1,508.77 |