Prep skin to 100cm2 trk/ext at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$2,303.05
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.
$4,573.00
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.
$1,074.20 with Passport by Molina vs $4,161.43 with Multiplan — 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 | $1,074.20 | ↓ -53% |
| Humana | Medicaid|All Plans | $1,210.02 | ↓ -47% |
| Aetna | Medicaid|Better Health | $1,234.71 | ↓ -46% |
| United | Medicaid|All Plans | $1,259.41 | ↓ -45% |
| Wellcare | Medicaid|All Plans | $1,271.76 | ↓ -45% |
| BCBS - Anthem | Medicaid|All Plans | $1,296.45 | ↓ -44% |
| BCBS - Anthem | Medicare|All Plans | $1,797.18 | ↓ -22% |
| Wellcare | Medicare|All Plans | $1,797.18 | ↓ -22% |
| Humana | Medicare|All Plans | $1,797.18 | ↓ -22% |
| BCBS - Anthem | Commercial|Pathway | $1,821.00 | ↓ -21% |
| Aetna | Medicare|All Plans | $1,851.10 | ↓ -20% |
| United | Medicare|All Plans | $1,869.07 | ↓ -19% |
| Passport by Molina | Medicare|All Plans | $1,887.04 | ↓ -18% |
| Humana | Commercial|All Plans | $1,923.63 | ↓ -16% |
| BCBS - Anthem | Commercial|HMO PPO | $2,152.00 | ↓ -7% |
| United | Commercial|All Other Plans | $2,195.04 | ↓ -5% |
| Cigna | Commercial|PPO | $2,880.99 | ↑ +25% |
| Cigna | Commercial|All Other Plans | $2,880.99 | ↑ +25% |
| Aetna | Commercial|HMO | $2,880.99 | ↑ +25% |
| Aetna | Commercial|PPO | $2,880.99 | ↑ +25% |
| Aetna | Commercial|All Other Plans | $2,880.99 | ↑ +25% |
| United | Commercial|Non-Options | $3,338.29 | ↑ +45% |
| United | Commercial|Options | $3,338.29 | ↑ +45% |
| United | Commercial|PPO | $3,429.75 | ↑ +49% |
| CareSource | Commercial|All Plans | $3,594.36 | ↑ +56% |
| Multiplan | Commercial|All Plans | $4,161.43 | ↑ +81% |
Visitor-reported prices
Comments
Prep skin to 100cm2 trk/ext at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $1,836.86 | $1,117.65 – $4,161.43 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $2,204.44 | $1,261.70 – $4,161.43 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $1,675.92 | $957.13 – $4,161.43 |
| CHI Saint Joseph Health - Saint Joseph London | London | $1,631.81 | $653.03 – $4,161.43 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $1,940.24 | $806.68 – $4,161.43 |
| Adventhealth Manchester | Manchester | $5,798.99 | $693.47 – $693.47 |