Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) at CHI Saint Joseph Health - Saint Joseph London
1001 SAINT JOSEPH LANE, London, KY · CommonSpirit Health · · NPI 1992701429
$253.36
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.
$710.00
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.
$101.39 with Passport by Molina vs $2,163.00 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 | $101.39 | ↓ -60% |
| Wellcare | Medicaid|All Plans | $119.28 | ↓ -53% |
| Aetna | Medicaid|Better Health | $149.10 | ↓ -41% |
| Humana | Medicaid|All Plans | $149.10 | ↓ -41% |
| United | Medicaid|All Plans | $152.09 | ↓ -40% |
| BCBS - Anthem | Medicaid|All Plans | $156.56 | ↓ -38% |
| United | Commercial|Non-Options | $433.10 | ↑ +71% |
| United | Commercial|Options | $433.10 | ↑ +71% |
| Humana | Commercial|All Plans | $511.20 | ↑ +102% |
| Wellcare | Medicare|All Plans | $637.40 | ↑ +152% |
| Humana | Medicare|All Plans | $637.40 | ↑ +152% |
| BCBS - Anthem | Medicare|All Plans | $637.40 | ↑ +152% |
| Multiplan | Commercial|All Plans | $646.10 | ↑ +155% |
| United | Medicare|All Plans | $650.15 | ↑ +157% |
| Aetna | Medicare|All Plans | $656.52 | ↑ +159% |
| Passport by Molina | Medicare|All Plans | $669.27 | ↑ +164% |
| CareSource | Commercial|All Plans | $1,274.80 | ↑ +403% |
| BCBS - Anthem | Commercial|Pathway | $1,830.00 | ↑ +622% |
| BCBS - Anthem | Commercial|HMO PPO | $2,163.00 | ↑ +754% |
Visitor-reported prices
Comments
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $365.53 | $222.41 – $828.10 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $428.69 | $213.76 – $828.10 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $278.76 | $115.90 – $597.87 |
| Adventhealth Manchester | Manchester | not published | $664.43 – $664.43 |