Breast punct aspir cyst, bil at CHI Saint Joseph Health - Saint Joseph London
1001 SAINT JOSEPH LANE, London, KY · CommonSpirit Health · · NPI 1992701429
$219.46
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.
$615.00
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.
$87.83 with Passport by Molina vs $2,163.00 with BCBS - Anthem — 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 | $87.83 | ↓ -60% |
| Wellcare | Medicaid|All Plans | $103.32 | ↓ -53% |
| Aetna | Medicaid|Better Health | $129.15 | ↓ -41% |
| Humana | Medicaid|All Plans | $129.15 | ↓ -41% |
| United | Medicaid|All Plans | $131.74 | ↓ -40% |
| BCBS - Anthem | Medicaid|All Plans | $135.61 | ↓ -38% |
| United | Commercial|Non-Options | $375.15 | ↑ +71% |
| United | Commercial|Options | $375.15 | ↑ +71% |
| Humana | Commercial|All Plans | $442.80 | ↑ +102% |
| Multiplan | Commercial|All Plans | $559.65 | ↑ +155% |
| Wellcare | Medicare|All Plans | $637.40 | ↑ +190% |
| Humana | Medicare|All Plans | $637.40 | ↑ +190% |
| BCBS - Anthem | Medicare|All Plans | $637.40 | ↑ +190% |
| United | Medicare|All Plans | $650.15 | ↑ +196% |
| Aetna | Medicare|All Plans | $656.52 | ↑ +199% |
| Passport by Molina | Medicare|All Plans | $669.27 | ↑ +205% |
| CareSource | Commercial|All Plans | $1,274.80 | ↑ +481% |
| BCBS - Anthem | Commercial|Pathway | $1,830.00 | ↑ +734% |
| BCBS - Anthem | Commercial|HMO PPO | $2,163.00 | ↑ +886% |
Visitor-reported prices
Comments
Breast punct aspir cyst, bil at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $438.63 | $266.89 – $993.72 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $504.53 | $251.58 – $974.61 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $361.07 | $150.12 – $774.41 |
| Adventhealth Manchester | Manchester | not published | $664.43 – $664.43 |