Smear fluorescent and/or acid fast stain at CHI Saint Joseph Health - Saint Joseph Hospital

1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$61.72

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$131.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$4.57 with BCBS - Anthem vs $119.21 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 →

Payer
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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
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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 $4.57 ↓ -93%
BCBS - Anthem Commercial|Pathway $4.57 ↓ -93%
Wellcare Medicare|All Plans $5.39 ↓ -91%
Humana Medicaid|All Plans $5.39 ↓ -91%
Aetna Medicaid|Better Health $5.39 ↓ -91%
Passport by Molina Medicaid|All Plans $5.39 ↓ -91%
United Commercial|All Other Plans $5.39 ↓ -91%
Humana Medicare|All Plans $5.39 ↓ -91%
BCBS - Anthem Medicare|All Plans $5.39 ↓ -91%
United Medicaid|All Plans $5.50 ↓ -91%
Wellcare Medicaid|All Plans $5.50 ↓ -91%
Aetna Medicare|All Plans $5.55 ↓ -91%
United Medicare|All Plans $5.61 ↓ -91%
Passport by Molina Medicare|All Plans $5.66 ↓ -91%
BCBS - Anthem Medicaid|All Plans $5.66 ↓ -91%
CareSource Commercial|All Plans $10.78 ↓ -83%
Humana Commercial|All Plans $23.93 ↓ -61%
Cigna Commercial|PPO $82.53 ↑ +34%
Aetna Commercial|All Other Plans $82.53 ↑ +34%
Cigna Commercial|All Other Plans $82.53 ↑ +34%
Aetna Commercial|HMO $82.53 ↑ +34%
Aetna Commercial|PPO $82.53 ↑ +34%
United Commercial|PPO $95.63 ↑ +55%
Multiplan Commercial|All Plans $119.21 ↑ +93%

Visitor-reported prices

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Smear fluorescent and/or acid fast stain at other Kentucky hospitals

Hospital City Cash price Negotiated range
CHI Saint Joseph Health - Saint Joseph East Lexington $52.62 $4.57 – $119.21
CHI Saint Joseph Health - Saint Joseph Berea Berea $50.62 $4.57 – $95.55
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling $35.55 $4.57 – $88.27
CHI Saint Joseph Health - Saint Joseph London London $43.54 $4.57 – $111.02
CHI Saint Joseph Health - Flaget Memorial Hospital Bardstown $45.40 $4.57 – $97.37
Adventhealth Manchester Manchester $138.18 $5.39 – $5.39

All Kentucky hospitals for this procedure →