Ghs layered repair 20.1 - 30.0 cm -12056 at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$401.89
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.
$798.00
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.
$187.46 with Passport by Molina vs $2,376.00 with BCBS - Anthem — 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 | $187.46 | ↓ -53% |
| Humana | Medicaid|All Plans | $211.16 | ↓ -47% |
| Aetna | Medicaid|Better Health | $215.46 | ↓ -46% |
| United | Medicaid|All Plans | $219.77 | ↓ -45% |
| Wellcare | Medicaid|All Plans | $221.93 | ↓ -45% |
| BCBS - Anthem | Medicaid|All Plans | $226.24 | ↓ -44% |
| United | Commercial|All Other Plans | $383.04 | ↓ -5% |
| BCBS - Anthem | Medicare|All Plans | $392.53 | ↓ -2% |
| Humana | Medicare|All Plans | $392.53 | ↓ -2% |
| Wellcare | Medicare|All Plans | $392.53 | ↓ -2% |
| Aetna | Medicare|All Plans | $404.31 | ↑ +1% |
| United | Medicare|All Plans | $408.23 | ↑ +2% |
| Passport by Molina | Medicare|All Plans | $412.16 | ↑ +3% |
| Humana | Commercial|All Plans | $494.76 | ↑ +23% |
| Cigna | Commercial|PPO | $502.74 | ↑ +25% |
| Cigna | Commercial|All Other Plans | $502.74 | ↑ +25% |
| Aetna | Commercial|HMO | $502.74 | ↑ +25% |
| Aetna | Commercial|PPO | $502.74 | ↑ +25% |
| Aetna | Commercial|All Other Plans | $502.74 | ↑ +25% |
| United | Commercial|Non-Options | $582.54 | ↑ +45% |
| United | Commercial|Options | $582.54 | ↑ +45% |
| United | Commercial|PPO | $598.50 | ↑ +49% |
| Multiplan | Commercial|All Plans | $726.18 | ↑ +81% |
| CareSource | Commercial|All Plans | $785.06 | ↑ +95% |
| BCBS - Anthem | Commercial|Pathway | $2,011.00 | ↑ +400% |
| BCBS - Anthem | Commercial|HMO PPO | $2,376.00 | ↑ +491% |
Visitor-reported prices
Comments
Ghs layered repair 20.1 - 30.0 cm -12056 at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $320.54 | $195.04 – $726.18 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $296.95 | $169.96 – $560.56 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $322.87 | $184.40 – $801.71 |
| CHI Saint Joseph Health - Saint Joseph London | London | $854.27 | $341.87 – $2,178.54 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $802.32 | $333.58 – $1,720.81 |
| Adventhealth Manchester | Manchester | not published | $381.43 – $381.43 |