Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$47.11
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.
$100.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$23.49 with Passport by Molina vs $1,538.38 with Humana — 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 | $23.49 | ↓ -50% |
| Humana | Medicaid|All Plans | $26.46 | ↓ -44% |
| Aetna | Medicaid|Better Health | $27.00 | ↓ -43% |
| United | Medicaid|All Plans | $27.54 | ↓ -42% |
| Wellcare | Medicaid|All Plans | $27.81 | ↓ -41% |
| BCBS - Anthem | Medicaid|All Plans | $28.35 | ↓ -40% |
| United | Commercial|All Other Plans | $62.00 | ↑ +32% |
| Aetna | Commercial|HMO | $63.00 | ↑ +34% |
| Aetna | Commercial|PPO | $63.00 | ↑ +34% |
| Aetna | Commercial|All Other Plans | $63.00 | ↑ +34% |
| Cigna | Commercial|All Other Plans | $63.00 | ↑ +34% |
| Cigna | Commercial|PPO | $63.00 | ↑ +34% |
| United | Commercial|PPO | $73.00 | ↑ +55% |
| Multiplan | Commercial|All Plans | $91.00 | ↑ +93% |
| Humana | Commercial|All Plans | $1,538.38 | ↑ +3166% |
Visitor-reported prices
Comments
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $40.17 | $24.44 – $91.00 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $46.28 | $26.49 – $87.36 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $28.96 | $16.54 – $71.89 |
| CHI Saint Joseph Health - Saint Joseph London | London | $32.48 | $13.00 – $82.81 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $42.43 | $17.64 – $91.00 |