Pelvic MRI (with and without contrast) at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$1,284.18
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.
$2,726.00
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.
$350.87 with Wellcare vs $2,235.32 with United — 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 |
|---|---|---|---|
| Wellcare | Medicare|All Plans | $350.87 | ↓ -73% |
| Humana | Medicare|All Plans | $350.87 | ↓ -73% |
| BCBS - Anthem | Medicare|All Plans | $350.87 | ↓ -73% |
| Aetna | Medicare|All Plans | $361.40 | ↓ -72% |
| United | Medicare|All Plans | $364.90 | ↓ -72% |
| Passport by Molina | Medicare|All Plans | $368.41 | ↓ -71% |
| Passport by Molina | Medicaid|All Plans | $481.78 | ↓ -62% |
| Humana | Medicaid|All Plans | $542.70 | ↓ -58% |
| Aetna | Medicaid|Better Health | $553.77 | ↓ -57% |
| United | Medicaid|All Plans | $564.85 | ↓ -56% |
| BCBS - Anthem | Commercial|Pathway | $567.00 | ↓ -56% |
| Wellcare | Medicaid|All Plans | $570.39 | ↓ -56% |
| BCBS - Anthem | Medicaid|All Plans | $581.46 | ↓ -55% |
| BCBS - Anthem | Commercial|HMO PPO | $590.00 | ↓ -54% |
| CareSource | Commercial|All Plans | $701.74 | ↓ -45% |
| Humana | Commercial|All Plans | $1,125.32 | ↓ -12% |
| Cigna | Commercial|PPO | $1,579.27 | ↑ +23% |
| Cigna | Commercial|All Other Plans | $1,579.27 | ↑ +23% |
| United | Commercial|Options | $1,593.00 | ↑ +24% |
| United | Commercial|Non-Options | $1,593.00 | ↑ +24% |
| United | Commercial|All Other Plans | $1,610.00 | ↑ +25% |
| Aetna | Commercial|PPO | $1,620.29 | ↑ +26% |
| Aetna | Commercial|HMO | $1,620.29 | ↑ +26% |
| Aetna | Commercial|All Other Plans | $1,620.29 | ↑ +26% |
| Multiplan | Commercial|All Plans | $1,866.41 | ↑ +45% |
| United | Commercial|PPO | $2,235.32 | ↑ +74% |
Visitor-reported prices
Comments
Pelvic MRI (with and without contrast) at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $1,042.75 | $567.00 – $2,362.36 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $1,183.93 | $677.62 – $2,234.96 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $1,177.14 | $672.28 – $2,922.92 |
| CHI Saint Joseph Health - Saint Joseph London | London | $1,227.52 | $491.24 – $3,130.40 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $1,804.05 | $750.06 – $3,869.32 |
| Adventhealth Manchester | Manchester | $5,060.67 | $327.35 – $327.35 |