Upper Endoscopy (EGD, diagnostic) at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$1,177.71
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.
$2,500.00
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.
$587.25 with Passport by Molina vs $2,275.00 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 |
|---|---|---|---|
| Passport by Molina | Medicaid|All Plans | $587.25 | ↓ -50% |
| Humana | Medicaid|All Plans | $661.50 | ↓ -44% |
| Aetna | Medicaid|Better Health | $675.00 | ↓ -43% |
| United | Medicaid|All Plans | $688.50 | ↓ -42% |
| Wellcare | Medicaid|All Plans | $695.25 | ↓ -41% |
| BCBS - Anthem | Medicaid|All Plans | $708.75 | ↓ -40% |
| Wellcare | Medicare|All Plans | $921.13 | ↓ -22% |
| BCBS - Anthem | Medicare|All Plans | $921.13 | ↓ -22% |
| Humana | Medicare|All Plans | $921.13 | ↓ -22% |
| Aetna | Medicare|All Plans | $948.76 | ↓ -19% |
| United | Medicare|All Plans | $957.98 | ↓ -19% |
| Passport by Molina | Medicare|All Plans | $967.19 | ↓ -18% |
| United | Commercial|All Other Plans | $1,200.00 | ↑ +2% |
| Humana | Commercial|All Plans | $1,538.38 | ↑ +31% |
| Cigna | Commercial|PPO | $1,575.00 | ↑ +34% |
| Cigna | Commercial|All Other Plans | $1,575.00 | ↑ +34% |
| Aetna | Commercial|HMO | $1,575.00 | ↑ +34% |
| Aetna | Commercial|PPO | $1,575.00 | ↑ +34% |
| Aetna | Commercial|All Other Plans | $1,575.00 | ↑ +34% |
| BCBS - Anthem | Commercial|Pathway | $1,821.00 | ↑ +55% |
| CareSource | Commercial|All Plans | $1,842.26 | ↑ +56% |
| United | Commercial|PPO | $1,875.00 | ↑ +59% |
| BCBS - Anthem | Commercial|HMO PPO | $2,152.00 | ↑ +83% |
| Multiplan | Commercial|All Plans | $2,275.00 | ↑ +93% |
| United | Commercial|Non-Options | not published by hospital | — |
| United | Commercial|Options | not published by hospital | — |
Visitor-reported prices
Comments
Upper Endoscopy (EGD, diagnostic) at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $1,004.19 | $611.00 – $2,275.00 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $1,040.76 | $595.67 – $1,964.69 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $916.21 | $523.25 – $2,275.00 |
| CHI Saint Joseph Health - Saint Joseph London | London | $892.09 | $357.00 – $2,275.00 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $1,272.85 | $529.20 – $2,730.00 |
| Adventhealth Manchester | Manchester | not published | $851.02 – $851.02 |