Pt re-evaluation patient/family at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$154.99
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.
$329.00
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.
$47.45 with Passport by Molina vs $240.17 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 | $47.45 | ↓ -69% |
| Humana | Medicaid|All Plans | $53.45 | ↓ -66% |
| Aetna | Medicaid|Better Health | $54.54 | ↓ -65% |
| United | Medicaid|All Plans | $55.64 | ↓ -64% |
| Wellcare | Medicaid|All Plans | $56.18 | ↓ -64% |
| BCBS - Anthem | Medicaid|All Plans | $57.27 | ↓ -63% |
| Humana | Commercial|All Plans | $125.24 | ↓ -19% |
| United | Commercial|Non-Options | $147.46 | ↓ -5% |
| United | Commercial|Options | $147.46 | ↓ -5% |
| Cigna | Commercial|All Other Plans | $155.54 | ↑ +0% |
| Cigna | Commercial|PPO | $155.54 | ↑ +0% |
| Aetna | Commercial|All Other Plans | $159.58 | ↑ +3% |
| Aetna | Commercial|PPO | $159.58 | ↑ +3% |
| Aetna | Commercial|HMO | $159.58 | ↑ +3% |
| Multiplan | Commercial|All Plans | $183.82 | ↑ +19% |
| United | Commercial|All Other Plans | $203.98 | ↑ +32% |
| United | Commercial|PPO | $240.17 | ↑ +55% |
Visitor-reported prices
Comments
Pt re-evaluation patient/family at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $132.16 | $80.41 – $299.39 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $71.83 | $41.11 – $135.59 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $179.58 | $40.74 – $445.90 |
| CHI Saint Joseph Health - Saint Joseph London | London | $81.36 | $32.56 – $207.48 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $62.37 | $25.94 – $133.77 |
| Adventhealth Manchester | Manchester | $240.18 | $63.55 – $63.55 |