Nm imaging pulmonary ventilation/perfusion at CHI Saint Joseph Health - Saint Joseph London
1001 SAINT JOSEPH LANE, London, KY · CommonSpirit Health · · NPI 1992701429
$642.31
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.
$1,800.00
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.
$257.04 with Passport by Molina vs $1,638.00 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 →
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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 | $257.04 | ↓ -60% |
| Wellcare | Medicaid|All Plans | $302.40 | ↓ -53% |
| Aetna | Medicaid|Better Health | $378.00 | ↓ -41% |
| Humana | Medicaid|All Plans | $378.00 | ↓ -41% |
| United | Medicaid|All Plans | $385.56 | ↓ -40% |
| BCBS - Anthem | Medicaid|All Plans | $396.90 | ↓ -38% |
| BCBS - Anthem | Medicare|All Plans | $487.63 | ↓ -24% |
| Wellcare | Medicare|All Plans | $487.63 | ↓ -24% |
| Humana | Medicare|All Plans | $487.63 | ↓ -24% |
| United | Medicare|All Plans | $497.38 | ↓ -23% |
| Aetna | Medicare|All Plans | $502.26 | ↓ -22% |
| Passport by Molina | Medicare|All Plans | $512.01 | ↓ -20% |
| Humana | Commercial|All Plans | $843.78 | ↑ +31% |
| CareSource | Commercial|All Plans | $975.26 | ↑ +52% |
| United | Commercial|Non-Options | $1,260.00 | ↑ +96% |
| United | Commercial|Options | $1,260.00 | ↑ +96% |
| Multiplan | Commercial|All Plans | $1,638.00 | ↑ +155% |
Visitor-reported prices
Comments
Nm imaging pulmonary ventilation/perfusion at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $795.39 | $455.24 – $1,501.50 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $955.79 | $545.86 – $2,373.28 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $662.37 | $403.02 – $1,500.59 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $776.82 | $387.36 – $1,500.59 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $596.97 | $248.20 – $1,280.37 |
| Adventhealth Manchester | Manchester | $2,045.06 | $509.46 – $509.46 |