Homovanillic acid (hva) at CHI Saint Joseph Health - Saint Joseph London

1001 SAINT JOSEPH LANE, London, KY · CommonSpirit Health · · NPI 1992701429

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

$65.31

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.

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

$183.00

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.

$16.44 with BCBS - Anthem vs $166.53 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
BCBS - Anthem Commercial|HMO PPO $16.44 ↓ -75%
BCBS - Anthem Commercial|Pathway $16.44 ↓ -75%
BCBS - Anthem Medicare|All Plans $22.41 ↓ -66%
Humana Medicaid|All Plans $22.41 ↓ -66%
Humana Medicare|All Plans $22.41 ↓ -66%
Aetna Medicaid|Better Health $22.41 ↓ -66%
United Commercial|Options $22.41 ↓ -66%
Passport by Molina Medicaid|All Plans $22.41 ↓ -66%
Wellcare Medicare|All Plans $22.41 ↓ -66%
United Commercial|Non-Options $22.41 ↓ -66%
Wellcare Medicaid|All Plans $22.86 ↓ -65%
United Medicaid|All Plans $22.86 ↓ -65%
United Medicare|All Plans $22.86 ↓ -65%
Aetna Medicare|All Plans $23.08 ↓ -65%
BCBS - Anthem Medicaid|All Plans $23.53 ↓ -64%
Passport by Molina Medicare|All Plans $23.53 ↓ -64%
CareSource Commercial|All Plans $44.82 ↓ -31%
Humana Commercial|All Plans $86.06 ↑ +32%
Multiplan Commercial|All Plans $166.53 ↑ +155%

Visitor-reported prices

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Homovanillic acid (hva) at other Kentucky hospitals

Hospital City Cash price Negotiated range
CHI Saint Joseph Health - Saint Joseph Berea Berea $52.55 $16.44 – $99.19
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling $30.06 $16.44 – $74.62
CHI Saint Joseph Health - Saint Joseph East Lexington $41.78 $16.44 – $94.64
CHI Saint Joseph Health - Saint Joseph Hospital Lexington $49.00 $16.44 – $94.64
CHI Saint Joseph Health - Flaget Memorial Hospital Bardstown $50.07 $16.44 – $107.38
Adventhealth Manchester Manchester not published $22.41 – $22.41

All Kentucky hospitals for this procedure →