Wound therapy negative pressure per session <= 50 sq cm dme at CHI Saint Joseph Health - Saint Joseph Hospital
1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984
$242.61
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.
$515.00
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.
$58.26 with Passport by Molina vs $390.44 with CareSource — 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 | $58.26 | ↓ -76% |
| Humana | Medicaid|All Plans | $65.63 | ↓ -73% |
| Aetna | Medicaid|Better Health | $66.96 | ↓ -72% |
| United | Medicaid|All Plans | $68.30 | ↓ -72% |
| Wellcare | Medicaid|All Plans | $68.97 | ↓ -72% |
| BCBS - Anthem | Medicaid|All Plans | $70.31 | ↓ -71% |
| Humana | Commercial|All Plans | $153.76 | ↓ -37% |
| United | Commercial|Options | $181.04 | ↓ -25% |
| United | Commercial|Non-Options | $181.04 | ↓ -25% |
| Cigna | Commercial|All Other Plans | $190.96 | ↓ -21% |
| Cigna | Commercial|PPO | $190.96 | ↓ -21% |
| Wellcare | Medicare|All Plans | $195.22 | ↓ -20% |
| BCBS - Anthem | Medicare|All Plans | $195.22 | ↓ -20% |
| Humana | Medicare|All Plans | $195.22 | ↓ -20% |
| Aetna | Commercial|PPO | $195.92 | ↓ -19% |
| Aetna | Commercial|All Other Plans | $195.92 | ↓ -19% |
| Aetna | Commercial|HMO | $195.92 | ↓ -19% |
| Aetna | Medicare|All Plans | $201.08 | ↓ -17% |
| United | Medicare|All Plans | $203.03 | ↓ -16% |
| Passport by Molina | Medicare|All Plans | $204.98 | ↓ -16% |
| Multiplan | Commercial|All Plans | $225.68 | ↓ -7% |
| United | Commercial|All Other Plans | $319.30 | ↑ +32% |
| United | Commercial|PPO | $375.95 | ↑ +55% |
| CareSource | Commercial|All Plans | $390.44 | ↑ +61% |
Visitor-reported prices
Comments
Wound therapy negative pressure per session <= 50 sq cm dme at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $206.87 | $125.87 – $468.65 |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $76.17 | $43.60 – $143.78 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $161.26 | $92.10 – $400.40 |
| CHI Saint Joseph Health - Saint Joseph London | London | $83.86 | $33.56 – $213.85 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $104.80 | $43.58 – $224.77 |
| Adventhealth Manchester | Manchester | $624.41 | $188.25 – $188.25 |