Repair lac palate<2 cm at CHI Saint Joseph Health - Saint Joseph London
1001 SAINT JOSEPH LANE, London, KY · CommonSpirit Health · · NPI 1992701429
$431.78
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.
$1,210.00
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.
$172.79 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 | $172.79 | ↓ -60% |
| Wellcare | Medicaid|All Plans | $203.28 | ↓ -53% |
| Aetna | Medicaid|Better Health | $254.10 | ↓ -41% |
| Humana | Medicaid|All Plans | $254.10 | ↓ -41% |
| United | Medicaid|All Plans | $259.19 | ↓ -40% |
| BCBS - Anthem | Medicaid|All Plans | $266.81 | ↓ -38% |
| Humana | Medicare|All Plans | $461.34 | ↑ +7% |
| Wellcare | Medicare|All Plans | $461.34 | ↑ +7% |
| BCBS - Anthem | Medicare|All Plans | $461.34 | ↑ +7% |
| United | Medicare|All Plans | $470.57 | ↑ +9% |
| Aetna | Medicare|All Plans | $475.18 | ↑ +10% |
| Passport by Molina | Medicare|All Plans | $484.41 | ↑ +12% |
| United | Commercial|Options | $738.10 | ↑ +71% |
| United | Commercial|Non-Options | $738.10 | ↑ +71% |
| Humana | Commercial|All Plans | $871.20 | ↑ +102% |
| CareSource | Commercial|All Plans | $922.68 | ↑ +114% |
| Multiplan | Commercial|All Plans | $1,101.10 | ↑ +155% |
| BCBS - Anthem | Commercial|Pathway | $1,830.00 | ↑ +324% |
| BCBS - Anthem | Commercial|HMO PPO | $2,163.00 | ↑ +401% |
Visitor-reported prices
Comments
Repair lac palate<2 cm at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $583.29 | $333.84 – $1,101.10 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $443.45 | $253.26 – $1,101.10 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $486.03 | $295.73 – $1,101.10 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $609.38 | $284.23 – $1,101.10 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $513.38 | $213.45 – $1,101.10 |
| Adventhealth Manchester | Manchester | not published | $506.05 – $506.05 |