Sumatriptan 6 mg/0.5 ml subcutaneous solution at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$91.67
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.
$182.02
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.
$15.48 with Passport by Molina vs $60.60 with United — 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 |
|---|---|---|---|
| Passport by Molina | Medicaid|All Plans | $15.48 | ↓ -83% |
| Humana | Medicaid|All Plans | $17.43 | ↓ -81% |
| Aetna | Medicaid|Better Health | $17.79 | ↓ -81% |
| United | Medicaid|All Plans | $18.14 | ↓ -80% |
| Wellcare | Medicaid|All Plans | $18.32 | ↓ -80% |
| BCBS - Anthem | Medicaid|All Plans | $18.68 | ↓ -80% |
| Aetna | Commercial|HMO | $27.67 | ↓ -70% |
| Aetna | Commercial|All Other Plans | $27.67 | ↓ -70% |
| Aetna | Commercial|PPO | $27.67 | ↓ -70% |
| BCBS - Anthem | Commercial|Pathway | $36.23 | ↓ -60% |
| Cigna | Commercial|All Other Plans | $36.23 | ↓ -60% |
| Cigna | Commercial|PPO | $36.23 | ↓ -60% |
| Humana | Commercial|All Plans | $39.52 | ↓ -57% |
| BCBS - Anthem | Commercial|HMO PPO | $41.50 | ↓ -55% |
| United | Commercial|Non-Options | $48.08 | ↓ -48% |
| United | Commercial|Options | $48.08 | ↓ -48% |
| United | Commercial|All Other Plans | $48.74 | ↓ -47% |
| Multiplan | Commercial|All Plans | $59.94 | ↓ -35% |
| United | Commercial|PPO | $60.60 | ↓ -34% |
Visitor-reported prices
Comments
Sumatriptan 6 mg/0.5 ml subcutaneous solution at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $73.12 | $16.10 – $59.94 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $87.75 | $18.18 – $59.94 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $66.71 | $13.79 – $59.94 |
| CHI Saint Joseph Health - Saint Joseph London | London | $64.96 | $9.41 – $59.94 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $77.23 | $11.62 – $59.94 |
| Adventhealth Manchester | Manchester | $87.73 | not published |