Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$89.04
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.
$189.00
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.
$44.40 with Passport by Molina vs $399.66 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 | $44.40 | ↓ -50% |
| Humana | Medicaid|All Plans | $50.01 | ↓ -44% |
| Aetna | Medicaid|Better Health | $51.03 | ↓ -43% |
| United | Medicaid|All Plans | $52.06 | ↓ -42% |
| Wellcare | Medicaid|All Plans | $52.57 | ↓ -41% |
| BCBS - Anthem | Medicaid|All Plans | $53.59 | ↓ -40% |
| United | Commercial|All Other Plans | $117.18 | ↑ +32% |
| Aetna | Commercial|PPO | $119.07 | ↑ +34% |
| Cigna | Commercial|PPO | $119.07 | ↑ +34% |
| Aetna | Commercial|All Other Plans | $119.07 | ↑ +34% |
| Cigna | Commercial|All Other Plans | $119.07 | ↑ +34% |
| Aetna | Commercial|HMO | $119.07 | ↑ +34% |
| United | Commercial|PPO | $137.97 | ↑ +55% |
| Multiplan | Commercial|All Plans | $171.99 | ↑ +93% |
| Wellcare | Medicare|All Plans | $199.83 | ↑ +124% |
| Humana | Medicare|All Plans | $199.83 | ↑ +124% |
| BCBS - Anthem | Medicare|All Plans | $199.83 | ↑ +124% |
| Aetna | Medicare|All Plans | $205.82 | ↑ +131% |
| United | Medicare|All Plans | $207.82 | ↑ +133% |
| Passport by Molina | Medicare|All Plans | $209.82 | ↑ +136% |
| CareSource | Commercial|All Plans | $399.66 | ↑ +349% |
Visitor-reported prices
Comments
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $75.92 | $46.20 – $171.99 |
| CHI Saint Joseph Health - Saint Joseph London | London | $66.73 | $26.71 – $170.17 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $81.04 | $33.70 – $173.81 |
| Adventhealth Manchester | Manchester | $1,359.99 | $205.46 – $205.46 |