Insertion picc without port or pump with imaging guidance=>5y at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$692.50
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.
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What you pay up front if you don't use insurance.
$1,470.00
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.
$345.31 with Passport by Molina vs $3,052.44 with CareSource — 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 | $345.31 | ↓ -50% |
| Humana | Medicaid|All Plans | $388.97 | ↓ -44% |
| Aetna | Medicaid|Better Health | $396.90 | ↓ -43% |
| United | Medicaid|All Plans | $404.84 | ↓ -42% |
| Wellcare | Medicaid|All Plans | $408.81 | ↓ -41% |
| BCBS - Anthem | Medicaid|All Plans | $416.75 | ↓ -40% |
| United | Commercial|All Other Plans | $705.60 | ↑ +2% |
| Cigna | Commercial|All Other Plans | $926.10 | ↑ +34% |
| Aetna | Commercial|HMO | $926.10 | ↑ +34% |
| Aetna | Commercial|PPO | $926.10 | ↑ +34% |
| Aetna | Commercial|All Other Plans | $926.10 | ↑ +34% |
| Cigna | Commercial|PPO | $926.10 | ↑ +34% |
| United | Commercial|PPO | $1,102.50 | ↑ +59% |
| Multiplan | Commercial|All Plans | $1,337.70 | ↑ +93% |
| Wellcare | Medicare|All Plans | $1,526.22 | ↑ +120% |
| BCBS - Anthem | Medicare|All Plans | $1,526.22 | ↑ +120% |
| Humana | Medicare|All Plans | $1,526.22 | ↑ +120% |
| Humana | Commercial|All Plans | $1,538.38 | ↑ +122% |
| Aetna | Medicare|All Plans | $1,572.01 | ↑ +127% |
| United | Medicare|All Plans | $1,587.27 | ↑ +129% |
| Passport by Molina | Medicare|All Plans | $1,602.53 | ↑ +131% |
| BCBS - Anthem | Commercial|Pathway | $2,011.00 | ↑ +190% |
| BCBS - Anthem | Commercial|HMO PPO | $2,376.00 | ↑ +243% |
| CareSource | Commercial|All Plans | $3,052.44 | ↑ +341% |
| United | Commercial|Non-Options | not published by hospital | — |
| United | Commercial|Options | not published by hospital | — |
Visitor-reported prices
Comments
Insertion picc without port or pump with imaging guidance=>5y at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $590.47 | $359.27 – $1,337.70 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $639.69 | $366.12 – $1,207.57 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $486.32 | $277.75 – $1,207.57 |
| CHI Saint Joseph Health - Saint Joseph London | London | $493.15 | $197.35 – $1,257.62 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $742.07 | $308.53 – $1,591.59 |
| Adventhealth Manchester | Manchester | $5,978.45 | $1,477.02 – $1,477.02 |