Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance at CHI Saint Joseph Health - Saint Joseph London
1001 SAINT JOSEPH LANE, London, KY · CommonSpirit Health · · NPI 1992701429
$622.68
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.
$1,745.00
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.
$249.19 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 | $249.19 | ↓ -60% |
| Wellcare | Medicaid|All Plans | $293.16 | ↓ -53% |
| Aetna | Medicaid|Better Health | $366.45 | ↓ -41% |
| Humana | Medicaid|All Plans | $366.45 | ↓ -41% |
| United | Medicaid|All Plans | $373.78 | ↓ -40% |
| BCBS - Anthem | Medicaid|All Plans | $384.78 | ↓ -38% |
| Humana | Medicare|All Plans | $627.37 | ↑ +1% |
| Wellcare | Medicare|All Plans | $627.37 | ↑ +1% |
| BCBS - Anthem | Medicare|All Plans | $627.37 | ↑ +1% |
| United | Medicare|All Plans | $639.92 | ↑ +3% |
| Aetna | Medicare|All Plans | $646.19 | ↑ +4% |
| Passport by Molina | Medicare|All Plans | $658.74 | ↑ +6% |
| United | Commercial|Options | $1,064.45 | ↑ +71% |
| United | Commercial|Non-Options | $1,064.45 | ↑ +71% |
| CareSource | Commercial|All Plans | $1,254.74 | ↑ +102% |
| Humana | Commercial|All Plans | $1,256.40 | ↑ +102% |
| Multiplan | Commercial|All Plans | $1,587.95 | ↑ +155% |
| BCBS - Anthem | Commercial|Pathway | $1,830.00 | ↑ +194% |
| BCBS - Anthem | Commercial|HMO PPO | $2,163.00 | ↑ +247% |
Visitor-reported prices
Comments
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $802.63 | $459.38 – $1,515.15 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $610.19 | $348.49 – $1,515.15 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $925.46 | $563.10 – $2,096.64 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $1,160.34 | $541.21 – $2,096.64 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $639.40 | $265.84 – $1,371.37 |
| Adventhealth Manchester | Manchester | not published | $662.32 – $662.32 |