Gen, neuro, clo loop, rechg at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$10,072.37
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.
$20,000.00
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.
$4,698.00 with Passport by Molina vs $18,200.00 with Multiplan — 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 | $4,698.00 | ↓ -53% |
| Humana | Medicaid|All Plans | $5,292.00 | ↓ -47% |
| Aetna | Medicaid|Better Health | $5,400.00 | ↓ -46% |
| United | Medicaid|All Plans | $5,508.00 | ↓ -45% |
| Wellcare | Medicaid|All Plans | $5,562.00 | ↓ -45% |
| BCBS - Anthem | Medicaid|All Plans | $5,670.00 | ↓ -44% |
| Cigna | Commercial|PPO | $8,000.00 | ↓ -21% |
| Cigna | Commercial|All Other Plans | $8,000.00 | ↓ -21% |
| Humana | Commercial|All Plans | $12,000.00 | ↑ +19% |
| United | Commercial|All Other Plans | $12,400.00 | ↑ +23% |
| Aetna | Commercial|All Other Plans | $12,600.00 | ↑ +25% |
| Aetna | Commercial|PPO | $12,600.00 | ↑ +25% |
| Aetna | Commercial|HMO | $12,600.00 | ↑ +25% |
| United | Commercial|Non-Options | $14,600.00 | ↑ +45% |
| United | Commercial|PPO | $14,600.00 | ↑ +45% |
| United | Commercial|Options | $14,600.00 | ↑ +45% |
| Multiplan | Commercial|All Plans | $18,200.00 | ↑ +81% |
Visitor-reported prices
Comments
Gen, neuro, clo loop, rechg at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $8,033.50 | $4,888.00 – $18,200.00 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $9,641.09 | $5,518.00 – $18,200.00 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $7,329.61 | $4,186.00 – $18,200.00 |
| CHI Saint Joseph Health - Saint Joseph London | London | $7,136.71 | $2,856.00 – $18,200.00 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $8,485.62 | $3,528.00 – $18,200.00 |