Drainage of nose lesion int 30000 at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$372.63
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.
$791.00
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.
$185.81 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 | $185.81 | ↓ -50% |
| Humana | Medicaid|All Plans | $209.30 | ↓ -44% |
| Aetna | Medicaid|Better Health | $213.57 | ↓ -43% |
| United | Medicaid|All Plans | $217.85 | ↓ -42% |
| Wellcare | Medicaid|All Plans | $219.98 | ↓ -41% |
| BCBS - Anthem | Medicaid|All Plans | $224.25 | ↓ -40% |
| Wellcare | Medicare|All Plans | $228.15 | ↓ -39% |
| BCBS - Anthem | Medicare|All Plans | $228.15 | ↓ -39% |
| Humana | Medicare|All Plans | $228.15 | ↓ -39% |
| Aetna | Medicare|All Plans | $234.99 | ↓ -37% |
| United | Medicare|All Plans | $237.28 | ↓ -36% |
| Passport by Molina | Medicare|All Plans | $239.56 | ↓ -36% |
| BCBS - Anthem | Commercial|Pathway | $371.77 | ↓ -0% |
| United | Commercial|All Other Plans | $379.68 | ↑ +2% |
| BCBS - Anthem | Commercial|HMO PPO | $419.23 | ↑ +13% |
| CareSource | Commercial|All Plans | $456.30 | ↑ +22% |
| Aetna | Commercial|PPO | $498.33 | ↑ +34% |
| Aetna | Commercial|All Other Plans | $498.33 | ↑ +34% |
| Cigna | Commercial|All Other Plans | $498.33 | ↑ +34% |
| Cigna | Commercial|PPO | $498.33 | ↑ +34% |
| Aetna | Commercial|HMO | $498.33 | ↑ +34% |
| United | Commercial|PPO | $593.25 | ↑ +59% |
| Multiplan | Commercial|All Plans | $719.81 | ↑ +93% |
| Humana | Commercial|All Plans | $1,538.38 | ↑ +313% |
| United | Commercial|Non-Options | not published by hospital | — |
| United | Commercial|Options | not published by hospital | — |
Visitor-reported prices
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Drainage of nose lesion int 30000 at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $317.73 | $193.33 – $719.81 |
| CHI Saint Joseph Health - Saint Joseph London | London | $205.19 | $82.11 – $523.25 |
| Adventhealth Manchester | Manchester | $1,297.74 | $222.23 – $222.23 |