Ghs peritonsillar abscess i andd at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$244.50
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.
$519.00
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.
$121.92 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 | $121.92 | ↓ -50% |
| Humana | Medicaid|All Plans | $137.33 | ↓ -44% |
| Aetna | Medicaid|Better Health | $140.13 | ↓ -43% |
| United | Medicaid|All Plans | $142.94 | ↓ -42% |
| Wellcare | Medicaid|All Plans | $144.34 | ↓ -41% |
| BCBS - Anthem | Medicaid|All Plans | $147.14 | ↓ -40% |
| Wellcare | Medicare|All Plans | $228.15 | ↓ -7% |
| BCBS - Anthem | Medicare|All Plans | $228.15 | ↓ -7% |
| Humana | Medicare|All Plans | $228.15 | ↓ -7% |
| Aetna | Medicare|All Plans | $234.99 | ↓ -4% |
| United | Medicare|All Plans | $237.28 | ↓ -3% |
| Passport by Molina | Medicare|All Plans | $239.56 | ↓ -2% |
| United | Commercial|All Other Plans | $249.12 | ↑ +2% |
| Aetna | Commercial|HMO | $326.97 | ↑ +34% |
| Cigna | Commercial|All Other Plans | $326.97 | ↑ +34% |
| Cigna | Commercial|PPO | $326.97 | ↑ +34% |
| Aetna | Commercial|PPO | $326.97 | ↑ +34% |
| Aetna | Commercial|All Other Plans | $326.97 | ↑ +34% |
| United | Commercial|PPO | $389.25 | ↑ +59% |
| CareSource | Commercial|All Plans | $456.30 | ↑ +87% |
| Multiplan | Commercial|All Plans | $472.29 | ↑ +93% |
| Humana | Commercial|All Plans | $1,538.38 | ↑ +529% |
| BCBS - Anthem | Commercial|Pathway | $1,821.00 | ↑ +645% |
| BCBS - Anthem | Commercial|HMO PPO | $2,152.00 | ↑ +780% |
| United | Commercial|Non-Options | not published by hospital | — |
| United | Commercial|Options | not published by hospital | — |
Visitor-reported prices
Comments
Ghs peritonsillar abscess i andd at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $208.47 | $126.85 – $472.29 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $345.64 | $197.83 – $652.47 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $193.14 | $110.31 – $479.57 |
| CHI Saint Joseph Health - Saint Joseph London | London | $272.27 | $108.96 – $694.33 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $358.52 | $149.06 – $768.95 |
| Adventhealth Manchester | Manchester | not published | $222.23 – $222.23 |