X-ray exam of perineum at CHI Saint Joseph Health - Saint Joseph Hospital

1 Saint Joseph Drive, Lexington, KY · CommonSpirit Health · · NPI 1437150984

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$274.48

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$545.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$128.03 with Passport by Molina vs $495.95 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 →

Payer
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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
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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 $128.03 ↓ -53%
Humana Medicaid|All Plans $144.21 ↓ -47%
Aetna Medicaid|Better Health $147.15 ↓ -46%
United Medicaid|All Plans $150.10 ↓ -45%
Wellcare Medicaid|All Plans $151.57 ↓ -45%
BCBS - Anthem Medicaid|All Plans $154.51 ↓ -44%
Humana Commercial|All Plans $175.76 ↓ -36%
Humana Medicare|All Plans $237.49 ↓ -13%
BCBS - Anthem Medicare|All Plans $237.49 ↓ -13%
Wellcare Medicare|All Plans $237.49 ↓ -13%
Aetna Medicare|All Plans $244.61 ↓ -11%
United Medicare|All Plans $246.99 ↓ -10%
Passport by Molina Medicare|All Plans $249.36 ↓ -9%
United Commercial|All Other Plans $337.90 ↑ +23%
Aetna Commercial|All Other Plans $343.35 ↑ +25%
Cigna Commercial|All Other Plans $343.35 ↑ +25%
Cigna Commercial|PPO $343.35 ↑ +25%
Aetna Commercial|HMO $343.35 ↑ +25%
Aetna Commercial|PPO $343.35 ↑ +25%
United Commercial|PPO $397.85 ↑ +45%
United Commercial|Options $397.85 ↑ +45%
United Commercial|Non-Options $397.85 ↑ +45%
CareSource Commercial|All Plans $474.98 ↑ +73%
Multiplan Commercial|All Plans $495.95 ↑ +81%

Visitor-reported prices

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X-ray exam of perineum at other Kentucky hospitals

Hospital City Cash price Negotiated range
CHI Saint Joseph Health - Saint Joseph East Lexington $218.92 $133.20 – $495.95
CHI Saint Joseph Health - Saint Joseph Berea Berea $262.72 $150.37 – $495.95
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling $199.74 $114.07 – $495.95
CHI Saint Joseph Health - Saint Joseph London London $194.48 $77.83 – $495.95
CHI Saint Joseph Health - Flaget Memorial Hospital Bardstown $231.24 $96.14 – $495.95
Adventhealth Manchester Manchester not published $223.88 – $223.88

All Kentucky hospitals for this procedure →