Radphm lcl tmr spect/ct 2+ areas/2+ days at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$2,325.27
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.
$4,936.00
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.
$401.21 with Passport by Molina vs $3,702.00 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 | $401.21 | ↓ -83% |
| Humana | Medicaid|All Plans | $451.94 | ↓ -81% |
| Aetna | Medicaid|Better Health | $461.16 | ↓ -80% |
| United | Medicaid|All Plans | $470.39 | ↓ -80% |
| Wellcare | Medicaid|All Plans | $475.00 | ↓ -80% |
| BCBS - Anthem | Medicaid|All Plans | $484.22 | ↓ -79% |
| Humana | Commercial|All Plans | $1,058.96 | ↓ -54% |
| United | Commercial|Options | $1,281.00 | ↓ -45% |
| United | Commercial|Non-Options | $1,281.00 | ↓ -45% |
| Humana | Medicare|All Plans | $1,282.61 | ↓ -45% |
| Wellcare | Medicare|All Plans | $1,282.61 | ↓ -45% |
| BCBS - Anthem | Medicare|All Plans | $1,282.61 | ↓ -45% |
| Cigna | Commercial|PPO | $1,315.16 | ↓ -43% |
| Cigna | Commercial|All Other Plans | $1,315.16 | ↓ -43% |
| Aetna | Medicare|All Plans | $1,321.09 | ↓ -43% |
| United | Medicare|All Plans | $1,333.91 | ↓ -43% |
| Passport by Molina | Medicare|All Plans | $1,346.74 | ↓ -42% |
| Aetna | Commercial|PPO | $1,349.32 | ↓ -42% |
| Aetna | Commercial|All Other Plans | $1,349.32 | ↓ -42% |
| Aetna | Commercial|HMO | $1,349.32 | ↓ -42% |
| Multiplan | Commercial|All Plans | $1,554.28 | ↓ -33% |
| CareSource | Commercial|All Plans | $2,565.22 | ↑ +10% |
| United | Commercial|All Other Plans | $3,159.04 | ↑ +36% |
| United | Commercial|PPO | $3,702.00 | ↑ +59% |
Visitor-reported prices
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Radphm lcl tmr spect/ct 2+ areas/2+ days at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $1,982.67 | $417.44 – $1,554.28 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $654.15 | $374.40 – $1,234.87 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $497.32 | $284.03 – $1,234.87 |
| CHI Saint Joseph Health - Saint Joseph London | London | $558.45 | $190.07 – $1,211.21 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $575.75 | $239.38 – $1,234.87 |
| Adventhealth Manchester | Manchester | not published | $1,214.76 – $1,214.76 |