Vaccine pneumococcal conjugate 13 valent (pcv13) im at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$404.81
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.
$803.80
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.
$128.61 with Humana vs $773.97 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 |
|---|---|---|---|
| Humana | Medicare|All Plans | $128.61 | ↓ -68% |
| Wellcare | Medicare|All Plans | $128.61 | ↓ -68% |
| BCBS - Anthem | Medicare|All Plans | $128.61 | ↓ -68% |
| Aetna | Medicare|All Plans | $132.47 | ↓ -67% |
| United | Medicare|All Plans | $133.76 | ↓ -67% |
| Passport by Molina | Medicare|All Plans | $135.04 | ↓ -67% |
| Passport by Molina | Medicaid|All Plans | $188.82 | ↓ -53% |
| Aetna | Medicaid|Better Health | $199.35 | ↓ -51% |
| Humana | Medicaid|All Plans | $212.69 | ↓ -47% |
| United | Medicaid|All Plans | $221.37 | ↓ -45% |
| Wellcare | Medicaid|All Plans | $223.54 | ↓ -45% |
| BCBS - Anthem | Medicaid|All Plans | $227.88 | ↓ -44% |
| CareSource | Commercial|All Plans | $257.22 | ↓ -36% |
| BCBS - Anthem | Commercial|HMO PPO | $290.24 | ↓ -28% |
| BCBS - Anthem | Commercial|Pathway | $290.24 | ↓ -28% |
| Aetna | Commercial|HMO | $337.60 | ↓ -17% |
| Aetna | Commercial|All Other Plans | $337.60 | ↓ -17% |
| Aetna | Commercial|PPO | $337.60 | ↓ -17% |
| Cigna | Commercial|All Other Plans | $442.09 | ↑ +9% |
| Cigna | Commercial|PPO | $442.09 | ↑ +9% |
| Humana | Commercial|All Plans | $482.28 | ↑ +19% |
| United | Commercial|All Other Plans | $594.82 | ↑ +47% |
| Multiplan | Commercial|All Plans | $731.46 | ↑ +81% |
| United | Commercial|PPO | $739.50 | ↑ +83% |
| United | Commercial|Non-Options | $773.97 | ↑ +91% |
| United | Commercial|Options | $773.97 | ↑ +91% |
Visitor-reported prices
Comments
Vaccine pneumococcal conjugate 13 valent (pcv13) im at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $322.87 | $164.94 – $731.46 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $387.48 | $221.77 – $731.46 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $294.58 | $158.11 – $731.46 |
| CHI Saint Joseph Health - Saint Joseph London | London | $286.83 | $114.79 – $731.46 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $341.04 | $141.80 – $731.46 |