Closed tx humerus fx with manip 23605 at CHI Saint Joseph Health - Saint Joseph London
1001 SAINT JOSEPH LANE, London, KY · CommonSpirit Health · · NPI 1992701429
$276.20
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.
$774.00
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.
$110.53 with Passport by Molina vs $2,899.68 with CareSource — 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 | $110.53 | ↓ -60% |
| Wellcare | Medicaid|All Plans | $130.04 | ↓ -53% |
| Aetna | Medicaid|Better Health | $162.54 | ↓ -41% |
| Humana | Medicaid|All Plans | $162.54 | ↓ -41% |
| United | Medicaid|All Plans | $165.80 | ↓ -40% |
| BCBS - Anthem | Medicaid|All Plans | $170.67 | ↓ -38% |
| United | Commercial|Non-Options | $472.14 | ↑ +71% |
| United | Commercial|Options | $472.14 | ↑ +71% |
| Humana | Commercial|All Plans | $557.28 | ↑ +102% |
| Multiplan | Commercial|All Plans | $704.34 | ↑ +155% |
| Wellcare | Medicare|All Plans | $1,449.84 | ↑ +425% |
| Humana | Medicare|All Plans | $1,449.84 | ↑ +425% |
| BCBS - Anthem | Medicare|All Plans | $1,449.84 | ↑ +425% |
| United | Medicare|All Plans | $1,478.84 | ↑ +435% |
| Aetna | Medicare|All Plans | $1,493.34 | ↑ +441% |
| Passport by Molina | Medicare|All Plans | $1,522.33 | ↑ +451% |
| BCBS - Anthem | Commercial|Pathway | $1,994.00 | ↑ +622% |
| BCBS - Anthem | Commercial|HMO PPO | $2,356.00 | ↑ +753% |
| CareSource | Commercial|All Plans | $2,899.68 | ↑ +950% |
Visitor-reported prices
Comments
Closed tx humerus fx with manip 23605 at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $1,051.85 | $602.02 – $1,985.62 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $289.16 | $165.14 – $717.99 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $313.71 | $190.88 – $710.71 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $367.92 | $183.46 – $710.71 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $1,093.80 | $454.76 – $2,345.98 |
| Adventhealth Manchester | Manchester | not published | $1,508.77 – $1,508.77 |