Vaccine tdap >=7 years im at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$104.92
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.
$208.32
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.
$42.50 with Passport by Molina vs $166.45 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 | $42.50 | ↓ -59% |
| Humana | Medicaid|All Plans | $47.88 | ↓ -54% |
| Aetna | Medicaid|Better Health | $48.85 | ↓ -53% |
| United | Medicaid|All Plans | $49.83 | ↓ -53% |
| Wellcare | Medicaid|All Plans | $50.32 | ↓ -52% |
| BCBS - Anthem | Medicaid|All Plans | $51.30 | ↓ -51% |
| BCBS - Anthem | Commercial|HMO PPO | $57.00 | ↓ -46% |
| BCBS - Anthem | Commercial|Pathway | $57.00 | ↓ -46% |
| Aetna | Commercial|All Other Plans | $75.99 | ↓ -28% |
| Aetna | Commercial|PPO | $75.99 | ↓ -28% |
| Aetna | Commercial|HMO | $75.99 | ↓ -28% |
| Cigna | Commercial|PPO | $99.51 | ↓ -5% |
| Cigna | Commercial|All Other Plans | $99.51 | ↓ -5% |
| Humana | Commercial|All Plans | $108.56 | ↑ +3% |
| United | Commercial|Non-Options | $132.08 | ↑ +26% |
| United | Commercial|Options | $132.08 | ↑ +26% |
| United | Commercial|All Other Plans | $133.89 | ↑ +28% |
| Multiplan | Commercial|All Plans | $164.64 | ↑ +57% |
| United | Commercial|PPO | $166.45 | ↑ +59% |
Visitor-reported prices
Comments
Vaccine tdap >=7 years im at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $83.68 | $44.22 – $164.64 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $100.43 | $49.92 – $164.64 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $76.35 | $37.87 – $164.64 |
| CHI Saint Joseph Health - Saint Joseph London | London | $74.34 | $25.84 – $164.64 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $88.39 | $31.92 – $164.64 |
| Adventhealth Manchester | Manchester | $386.32 | not published |