Debr musc/fascia 20sq cm/< 11043 at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$1,046.28
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.
$2,221.00
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.
$521.72 with Passport by Molina vs $2,376.00 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 | $521.72 | ↓ -50% |
| Humana | Medicaid|All Plans | $587.68 | ↓ -44% |
| Aetna | Medicaid|Better Health | $599.67 | ↓ -43% |
| BCBS - Anthem | Medicare|All Plans | $601.41 | ↓ -43% |
| Wellcare | Medicare|All Plans | $601.41 | ↓ -43% |
| Humana | Medicare|All Plans | $601.41 | ↓ -43% |
| United | Medicaid|All Plans | $611.67 | ↓ -42% |
| Wellcare | Medicaid|All Plans | $617.67 | ↓ -41% |
| Aetna | Medicare|All Plans | $619.45 | ↓ -41% |
| United | Medicare|All Plans | $625.47 | ↓ -40% |
| BCBS - Anthem | Medicaid|All Plans | $629.66 | ↓ -40% |
| Passport by Molina | Medicare|All Plans | $631.48 | ↓ -40% |
| United | Commercial|All Other Plans | $1,066.08 | ↑ +2% |
| CareSource | Commercial|All Plans | $1,202.82 | ↑ +15% |
| Aetna | Commercial|PPO | $1,399.23 | ↑ +34% |
| Cigna | Commercial|PPO | $1,399.23 | ↑ +34% |
| Aetna | Commercial|All Other Plans | $1,399.23 | ↑ +34% |
| Aetna | Commercial|HMO | $1,399.23 | ↑ +34% |
| Cigna | Commercial|All Other Plans | $1,399.23 | ↑ +34% |
| United | Commercial|PPO | $1,665.75 | ↑ +59% |
| Humana | Commercial|All Plans | $1,923.63 | ↑ +84% |
| BCBS - Anthem | Commercial|Pathway | $2,011.00 | ↑ +92% |
| Multiplan | Commercial|All Plans | $2,021.11 | ↑ +93% |
| BCBS - Anthem | Commercial|HMO PPO | $2,376.00 | ↑ +127% |
| United | Commercial|Non-Options | not published by hospital | — |
| United | Commercial|Options | not published by hospital | — |
Visitor-reported prices
Comments
Debr musc/fascia 20sq cm/< 11043 at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $449.08 | $273.24 – $1,017.38 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $778.04 | $444.35 – $1,931.93 |
| CHI Saint Joseph Health - Saint Joseph London | London | $715.46 | $286.32 – $1,824.55 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $603.76 | $251.02 – $1,294.93 |
| Adventhealth Manchester | Manchester | $1,776.15 | $693.47 – $693.47 |