Drainage external ear simple 69000 at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$253.32
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.
$503.00
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.
$118.16 with Passport by Molina vs $1,382.52 with CareSource — 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 | $118.16 | ↓ -53% |
| Humana | Medicaid|All Plans | $133.10 | ↓ -47% |
| Aetna | Medicaid|Better Health | $135.81 | ↓ -46% |
| United | Medicaid|All Plans | $138.53 | ↓ -45% |
| Wellcare | Medicaid|All Plans | $139.89 | ↓ -45% |
| BCBS - Anthem | Medicaid|All Plans | $142.61 | ↓ -44% |
| BCBS - Anthem | Commercial|Pathway | $236.41 | ↓ -7% |
| United | Commercial|All Other Plans | $241.44 | ↓ -5% |
| BCBS - Anthem | Commercial|HMO PPO | $266.59 | ↑ +5% |
| Humana | Commercial|All Plans | $311.86 | ↑ +23% |
| Cigna | Commercial|All Other Plans | $316.89 | ↑ +25% |
| Aetna | Commercial|All Other Plans | $316.89 | ↑ +25% |
| Aetna | Commercial|PPO | $316.89 | ↑ +25% |
| Aetna | Commercial|HMO | $316.89 | ↑ +25% |
| Cigna | Commercial|PPO | $316.89 | ↑ +25% |
| United | Commercial|Non-Options | $367.19 | ↑ +45% |
| United | Commercial|Options | $367.19 | ↑ +45% |
| United | Commercial|PPO | $377.25 | ↑ +49% |
| Multiplan | Commercial|All Plans | $457.73 | ↑ +81% |
| Wellcare | Medicare|All Plans | $691.26 | ↑ +173% |
| BCBS - Anthem | Medicare|All Plans | $691.26 | ↑ +173% |
| Humana | Medicare|All Plans | $691.26 | ↑ +173% |
| Aetna | Medicare|All Plans | $712.00 | ↑ +181% |
| United | Medicare|All Plans | $718.91 | ↑ +184% |
| Passport by Molina | Medicare|All Plans | $725.82 | ↑ +187% |
| CareSource | Commercial|All Plans | $1,382.52 | ↑ +446% |
Visitor-reported prices
Comments
Drainage external ear simple 69000 at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $202.05 | $122.94 – $457.73 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $178.37 | $102.09 – $336.70 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $190.57 | $108.84 – $473.20 |
| CHI Saint Joseph Health - Saint Joseph London | London | $347.21 | $138.95 – $885.43 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $318.64 | $132.48 – $683.41 |
| Adventhealth Manchester | Manchester | not published | $664.43 – $664.43 |