Prealbumin at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$81.59
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.
$162.00
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.
$12.39 with BCBS - Anthem vs $147.42 with Multiplan — 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 |
|---|---|---|---|
| BCBS - Anthem | Commercial|HMO PPO | $12.39 | ↓ -85% |
| BCBS - Anthem | Commercial|Pathway | $12.39 | ↓ -85% |
| Wellcare | Medicare|All Plans | $14.59 | ↓ -82% |
| Humana | Medicaid|All Plans | $14.59 | ↓ -82% |
| Aetna | Medicaid|Better Health | $14.59 | ↓ -82% |
| Passport by Molina | Medicaid|All Plans | $14.59 | ↓ -82% |
| United | Commercial|All Other Plans | $14.59 | ↓ -82% |
| Humana | Medicare|All Plans | $14.59 | ↓ -82% |
| BCBS - Anthem | Medicare|All Plans | $14.59 | ↓ -82% |
| United | Medicaid|All Plans | $14.88 | ↓ -82% |
| Wellcare | Medicaid|All Plans | $14.88 | ↓ -82% |
| Aetna | Medicare|All Plans | $15.03 | ↓ -82% |
| United | Medicare|All Plans | $15.17 | ↓ -81% |
| Passport by Molina | Medicare|All Plans | $15.32 | ↓ -81% |
| BCBS - Anthem | Medicaid|All Plans | $15.32 | ↓ -81% |
| CareSource | Commercial|All Plans | $29.18 | ↓ -64% |
| Humana | Commercial|All Plans | $64.89 | ↓ -20% |
| Aetna | Commercial|HMO | $102.06 | ↑ +25% |
| Cigna | Commercial|PPO | $102.06 | ↑ +25% |
| Aetna | Commercial|All Other Plans | $102.06 | ↑ +25% |
| Cigna | Commercial|All Other Plans | $102.06 | ↑ +25% |
| Aetna | Commercial|PPO | $102.06 | ↑ +25% |
| United | Commercial|PPO | $118.26 | ↑ +45% |
| United | Commercial|Non-Options | $118.26 | ↑ +45% |
| United | Commercial|Options | $118.26 | ↑ +45% |
| Multiplan | Commercial|All Plans | $147.42 | ↑ +81% |
Visitor-reported prices
Comments
Prealbumin at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $65.08 | $12.39 – $147.42 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $73.76 | $12.39 – $139.23 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $30.42 | $12.39 – $75.53 |
| CHI Saint Joseph Health - Saint Joseph London | London | $51.39 | $12.39 – $131.04 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $114.14 | $12.39 – $244.79 |
| Adventhealth Manchester | Manchester | $286.47 | $14.59 – $14.59 |