Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$631.54
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.
?
What you pay up front if you don't use insurance.
$1,254.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$294.57 with Passport by Molina vs $2,152.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $294.57 | ↓ -53% |
| Humana | Medicaid|All Plans | $331.81 | ↓ -47% |
| Aetna | Medicaid|Better Health | $338.58 | ↓ -46% |
| United | Medicaid|All Plans | $345.36 | ↓ -45% |
| Wellcare | Medicaid|All Plans | $348.74 | ↓ -45% |
| BCBS - Anthem | Medicaid|All Plans | $355.51 | ↓ -44% |
| United | Commercial|All Other Plans | $601.92 | ↓ -5% |
| BCBS - Anthem | Medicare|All Plans | $691.26 | ↑ +9% |
| Humana | Medicare|All Plans | $691.26 | ↑ +9% |
| Wellcare | Medicare|All Plans | $691.26 | ↑ +9% |
| Aetna | Medicare|All Plans | $712.00 | ↑ +13% |
| United | Medicare|All Plans | $718.91 | ↑ +14% |
| Passport by Molina | Medicare|All Plans | $725.82 | ↑ +15% |
| Humana | Commercial|All Plans | $777.48 | ↑ +23% |
| Cigna | Commercial|PPO | $790.02 | ↑ +25% |
| Cigna | Commercial|All Other Plans | $790.02 | ↑ +25% |
| Aetna | Commercial|HMO | $790.02 | ↑ +25% |
| Aetna | Commercial|PPO | $790.02 | ↑ +25% |
| Aetna | Commercial|All Other Plans | $790.02 | ↑ +25% |
| United | Commercial|Non-Options | $915.42 | ↑ +45% |
| United | Commercial|Options | $915.42 | ↑ +45% |
| United | Commercial|PPO | $940.50 | ↑ +49% |
| Multiplan | Commercial|All Plans | $1,141.14 | ↑ +81% |
| CareSource | Commercial|All Plans | $1,382.52 | ↑ +119% |
| BCBS - Anthem | Commercial|Pathway | $1,821.00 | ↑ +188% |
| BCBS - Anthem | Commercial|HMO PPO | $2,152.00 | ↑ +241% |
Visitor-reported prices
Comments
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $503.71 | $306.48 – $1,141.14 |
| CHI Saint Joseph Health - Saint Joseph London | London | $447.48 | $179.08 – $1,141.14 |
| Adventhealth Manchester | Manchester | not published | $664.43 – $664.43 |