Breast Biopsy (ultrasound-guided, percutaneous) at CHI Saint Joseph Health - Saint Joseph London
1001 SAINT JOSEPH LANE, London, KY · CommonSpirit Health · · NPI 1992701429
$571.66
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.
$1,602.00
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.
$228.77 with Passport by Molina vs $2,935.62 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 | $228.77 | ↓ -60% |
| Wellcare | Medicaid|All Plans | $269.14 | ↓ -53% |
| Aetna | Medicaid|Better Health | $336.42 | ↓ -41% |
| Humana | Medicaid|All Plans | $336.42 | ↓ -41% |
| United | Medicaid|All Plans | $343.15 | ↓ -40% |
| BCBS - Anthem | Medicaid|All Plans | $353.25 | ↓ -38% |
| United | Commercial|Non-Options | $977.22 | ↑ +71% |
| United | Commercial|Options | $977.22 | ↑ +71% |
| Humana | Commercial|All Plans | $1,153.44 | ↑ +102% |
| Multiplan | Commercial|All Plans | $1,457.82 | ↑ +155% |
| Wellcare | Medicare|All Plans | $1,467.81 | ↑ +157% |
| Humana | Medicare|All Plans | $1,467.81 | ↑ +157% |
| BCBS - Anthem | Medicare|All Plans | $1,467.81 | ↑ +157% |
| United | Medicare|All Plans | $1,497.17 | ↑ +162% |
| Aetna | Medicare|All Plans | $1,511.84 | ↑ +164% |
| Passport by Molina | Medicare|All Plans | $1,541.20 | ↑ +170% |
| BCBS - Anthem | Commercial|Pathway | $1,994.00 | ↑ +249% |
| BCBS - Anthem | Commercial|HMO PPO | $2,356.00 | ↑ +312% |
| CareSource | Commercial|All Plans | $2,935.62 | ↑ +414% |
Visitor-reported prices
Comments
Breast Biopsy (ultrasound-guided, percutaneous) at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $614.62 | $351.78 – $1,160.25 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $467.27 | $266.86 – $1,160.25 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $708.56 | $431.13 – $1,605.24 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $831.00 | $414.37 – $1,605.24 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $748.44 | $311.17 – $1,605.24 |
| Adventhealth Manchester | Manchester | $2,333.63 | $1,549.68 – $1,549.68 |