Ghs clsd tx frac distal tibia w/manipulation at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$410.96
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.
$816.00
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.
$191.68 with Passport by Molina vs $3,144.74 with CareSource — 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 | $191.68 | ↓ -53% |
| Humana | Medicaid|All Plans | $215.92 | ↓ -47% |
| Aetna | Medicaid|Better Health | $220.32 | ↓ -46% |
| United | Medicaid|All Plans | $224.73 | ↓ -45% |
| Wellcare | Medicaid|All Plans | $226.93 | ↓ -45% |
| BCBS - Anthem | Medicaid|All Plans | $231.34 | ↓ -44% |
| United | Commercial|All Other Plans | $391.68 | ↓ -5% |
| Humana | Commercial|All Plans | $505.92 | ↑ +23% |
| Cigna | Commercial|PPO | $514.08 | ↑ +25% |
| Aetna | Commercial|All Other Plans | $514.08 | ↑ +25% |
| Aetna | Commercial|PPO | $514.08 | ↑ +25% |
| Aetna | Commercial|HMO | $514.08 | ↑ +25% |
| Cigna | Commercial|All Other Plans | $514.08 | ↑ +25% |
| United | Commercial|Options | $595.68 | ↑ +45% |
| United | Commercial|Non-Options | $595.68 | ↑ +45% |
| United | Commercial|PPO | $612.00 | ↑ +49% |
| Multiplan | Commercial|All Plans | $742.56 | ↑ +81% |
| BCBS - Anthem | Medicare|All Plans | $1,572.37 | ↑ +283% |
| Wellcare | Medicare|All Plans | $1,572.37 | ↑ +283% |
| Humana | Medicare|All Plans | $1,572.37 | ↑ +283% |
| Aetna | Medicare|All Plans | $1,619.54 | ↑ +294% |
| United | Medicare|All Plans | $1,635.26 | ↑ +298% |
| Passport by Molina | Medicare|All Plans | $1,650.99 | ↑ +302% |
| BCBS - Anthem | Commercial|Pathway | $2,011.00 | ↑ +389% |
| BCBS - Anthem | Commercial|HMO PPO | $2,376.00 | ↑ +478% |
| CareSource | Commercial|All Plans | $3,144.74 | ↑ +665% |
Visitor-reported prices
Comments
Ghs clsd tx frac distal tibia w/manipulation at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $327.77 | $199.44 – $742.56 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $1,090.89 | $624.37 – $2,059.33 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $288.06 | $164.51 – $715.26 |
| CHI Saint Joseph Health - Saint Joseph London | London | $1,394.16 | $557.92 – $3,555.37 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $1,078.10 | $448.24 – $2,312.31 |
| Adventhealth Manchester | Manchester | $624.82 | $1,508.77 – $1,508.77 |