Inj, gadopiclenol, 1 ml at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$16.83
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.
$33.40
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.
$5.90 with Passport by Molina vs $23.11 with United — 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 | $5.90 | ↓ -65% |
| Humana | Medicaid|All Plans | $6.65 | ↓ -60% |
| Aetna | Medicaid|Better Health | $6.78 | ↓ -60% |
| United | Medicaid|All Plans | $6.92 | ↓ -59% |
| Wellcare | Medicaid|All Plans | $6.99 | ↓ -58% |
| BCBS - Anthem | Medicaid|All Plans | $7.12 | ↓ -58% |
| Aetna | Commercial|All Other Plans | $10.55 | ↓ -37% |
| Aetna | Commercial|PPO | $10.55 | ↓ -37% |
| Aetna | Commercial|HMO | $10.55 | ↓ -37% |
| BCBS - Anthem | Commercial|Pathway | $11.81 | ↓ -30% |
| BCBS - Anthem | Commercial|HMO PPO | $13.31 | ↓ -21% |
| Cigna | Commercial|PPO | $13.82 | ↓ -18% |
| Cigna | Commercial|All Other Plans | $13.82 | ↓ -18% |
| Humana | Commercial|All Plans | $15.07 | ↓ -10% |
| United | Commercial|Non-Options | $18.34 | ↑ +9% |
| United | Commercial|Options | $18.34 | ↑ +9% |
| United | Commercial|All Other Plans | $18.59 | ↑ +10% |
| Multiplan | Commercial|All Plans | $22.86 | ↑ +36% |
| United | Commercial|PPO | $23.11 | ↑ +37% |
Visitor-reported prices
Comments
Inj, gadopiclenol, 1 ml at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $13.42 | $6.14 – $22.86 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $16.11 | $6.93 – $22.86 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $12.25 | $5.26 – $22.86 |
| CHI Saint Joseph Health - Saint Joseph London | London | $11.92 | $3.59 – $22.86 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $14.18 | $4.43 – $22.86 |
| Adventhealth Manchester | Manchester | $303.51 | not published |