Ortho elbow w/lock w/ft&adj at CHI Saint Joseph Health - Saint Joseph London
1001 SAINT JOSEPH LANE, London, KY · CommonSpirit Health · · NPI 1992701429
$607.34
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.
$1,702.00
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.
$243.05 with Passport by Molina vs $1,548.82 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 | $243.05 | ↓ -60% |
| Wellcare | Medicaid|All Plans | $285.94 | ↓ -53% |
| Aetna | Medicaid|Better Health | $357.42 | ↓ -41% |
| Humana | Medicaid|All Plans | $357.42 | ↓ -41% |
| United | Medicaid|All Plans | $364.57 | ↓ -40% |
| BCBS - Anthem | Medicaid|All Plans | $375.30 | ↓ -38% |
| BCBS - Anthem | Commercial|Pathway | $816.96 | ↑ +35% |
| BCBS - Anthem | Commercial|HMO PPO | $919.08 | ↑ +51% |
| United | Commercial|Non-Options | $1,191.40 | ↑ +96% |
| United | Commercial|Options | $1,191.40 | ↑ +96% |
| Humana | Commercial|All Plans | $1,225.44 | ↑ +102% |
| Multiplan | Commercial|All Plans | $1,548.82 | ↑ +155% |
Visitor-reported prices
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Ortho elbow w/lock w/ft&adj at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $820.46 | $469.59 – $1,548.82 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $623.75 | $356.23 – $1,548.82 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $683.66 | $415.97 – $1,548.82 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $857.16 | $399.80 – $1,548.82 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $722.13 | $300.24 – $1,548.82 |