Ultrasound chest at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$456.28
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.
$906.00
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.
$104.48 with Humana vs $785.33 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 |
|---|---|---|---|
| Humana | Medicare|All Plans | $104.48 | ↓ -77% |
| Wellcare | Medicare|All Plans | $104.48 | ↓ -77% |
| BCBS - Anthem | Medicare|All Plans | $104.48 | ↓ -77% |
| Aetna | Medicare|All Plans | $107.61 | ↓ -76% |
| United | Medicare|All Plans | $108.66 | ↓ -76% |
| Passport by Molina | Medicare|All Plans | $109.70 | ↓ -76% |
| Humana | Commercial|All Plans | $177.32 | ↓ -61% |
| Passport by Molina | Medicaid|All Plans | $202.72 | ↓ -56% |
| CareSource | Commercial|All Plans | $208.96 | ↓ -54% |
| Humana | Medicaid|All Plans | $228.35 | ↓ -50% |
| Aetna | Medicaid|Better Health | $233.01 | ↓ -49% |
| United | Medicaid|All Plans | $237.68 | ↓ -48% |
| Wellcare | Medicaid|All Plans | $240.01 | ↓ -47% |
| BCBS - Anthem | Medicaid|All Plans | $244.67 | ↓ -46% |
| United | Commercial|All Other Plans | $535.06 | ↑ +17% |
| Aetna | Commercial|All Other Plans | $543.69 | ↑ +19% |
| Cigna | Commercial|All Other Plans | $543.69 | ↑ +19% |
| Cigna | Commercial|PPO | $543.69 | ↑ +19% |
| Aetna | Commercial|HMO | $543.69 | ↑ +19% |
| Aetna | Commercial|PPO | $543.69 | ↑ +19% |
| United | Commercial|PPO | $629.99 | ↑ +38% |
| United | Commercial|Non-Options | $661.38 | ↑ +45% |
| United | Commercial|Options | $661.38 | ↑ +45% |
| Multiplan | Commercial|All Plans | $785.33 | ↑ +72% |
Visitor-reported prices
Comments
Ultrasound chest at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $363.92 | $177.32 – $824.46 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $255.98 | $146.51 – $483.21 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $346.33 | $197.79 – $859.95 |
| CHI Saint Joseph Health - Saint Joseph London | London | $178.07 | $71.26 – $454.09 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $302.09 | $125.60 – $647.92 |
| Adventhealth Manchester | Manchester | $610.46 | $98.09 – $98.09 |