Ghs layered repair 20.1 - 30.0 cm -12056 at CHI Saint Joseph Health - Saint Joseph London
1001 SAINT JOSEPH LANE, London, KY · CommonSpirit Health · · NPI 1992701429
$854.27
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.
$2,394.00
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.
$341.87 with Passport by Molina vs $2,356.00 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 | $341.87 | ↓ -60% |
| Wellcare | Medicare|All Plans | $361.94 | ↓ -58% |
| Humana | Medicare|All Plans | $361.94 | ↓ -58% |
| BCBS - Anthem | Medicare|All Plans | $361.94 | ↓ -58% |
| United | Medicare|All Plans | $369.18 | ↓ -57% |
| Aetna | Medicare|All Plans | $372.80 | ↓ -56% |
| Passport by Molina | Medicare|All Plans | $380.04 | ↓ -56% |
| Wellcare | Medicaid|All Plans | $402.20 | ↓ -53% |
| Aetna | Medicaid|Better Health | $502.74 | ↓ -41% |
| Humana | Medicaid|All Plans | $502.74 | ↓ -41% |
| United | Medicaid|All Plans | $512.80 | ↓ -40% |
| BCBS - Anthem | Medicaid|All Plans | $527.88 | ↓ -38% |
| CareSource | Commercial|All Plans | $723.88 | ↓ -15% |
| United | Commercial|Options | $1,460.34 | ↑ +71% |
| United | Commercial|Non-Options | $1,460.34 | ↑ +71% |
| Humana | Commercial|All Plans | $1,723.68 | ↑ +102% |
| BCBS - Anthem | Commercial|Pathway | $1,994.00 | ↑ +133% |
| Multiplan | Commercial|All Plans | $2,178.54 | ↑ +155% |
| BCBS - Anthem | Commercial|HMO PPO | $2,356.00 | ↑ +176% |
Visitor-reported prices
Comments
Ghs layered repair 20.1 - 30.0 cm -12056 at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $296.95 | $169.96 – $560.56 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $322.87 | $184.40 – $801.71 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $320.54 | $195.04 – $726.18 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $401.89 | $187.46 – $726.18 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $802.32 | $333.58 – $1,720.81 |
| Adventhealth Manchester | Manchester | not published | $381.43 – $381.43 |