Biopsy of heart lining at Baptist Health Louisville
4000 Kresge Way, Louisville, KY · Baptisthealth · · NPI 1265539498
$11,007.22
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.
$14,676.29
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.
$1,614.39 with AETNA MCAID vs $14,676.29 with AETNA MCR ADV — 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 |
|---|---|---|---|
| AETNA MCAID | AETNA MCAID | $1,614.39 | ↓ -85% |
| HUMANA MCAID - ALL OTHER PLANS | HUMANA MCAID - ALL OTHER PLANS | $1,614.39 | ↓ -85% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $1,614.39 | ↓ -85% |
| UHC MCAID | UHC MCAID | $1,614.39 | ↓ -85% |
| WELLCARE MCAID - ALL PLANS | WELLCARE MCAID - ALL PLANS | $1,614.39 | ↓ -85% |
| SIG ADVANTAGE - ALL PLANS | SIG ADVANTAGE - ALL PLANS | $3,035.80 | ↓ -72% |
| ANTHEM MCR ADV | ANTHEM MCR ADV | $3,050.98 | ↓ -72% |
| HUMANA MCR ADV | HUMANA MCR ADV | $3,187.59 | ↓ -71% |
| ANTHEM BHS1 | ANTHEM BHS1 | $3,614.77 | ↓ -67% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $4,027.00 | ↓ -63% |
| ANTHEM PATH HPN | ANTHEM PATH HPN | $4,621.00 | ↓ -58% |
| UHC ALL PAYER NEW - ALL OTHER PLANS | UHC ALL PAYER NEW - ALL OTHER PLANS | $4,637.71 | ↓ -58% |
| AETNA NEW BUS - ALL OTHER PLANS | AETNA NEW BUS - ALL OTHER PLANS | $4,799.15 | ↓ -56% |
| ANTHEM BLUE PREF HMO/HIC | ANTHEM BLUE PREF HMO/HIC | $5,134.00 | ↓ -53% |
| ANTHEM INDIANA HMO | ANTHEM INDIANA HMO | $5,134.00 | ↓ -53% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $5,134.00 | ↓ -53% |
| ANTHEM PATH HMO | ANTHEM PATH HMO | $5,134.00 | ↓ -53% |
| UHC ALL PAYER OLD | UHC ALL PAYER OLD | $5,239.44 | ↓ -52% |
| CARESOURCE-ALL PLANS | CARESOURCE-ALL PLANS | $5,464.44 | ↓ -50% |
| AMBETTER/WCARE IND MRKT | AMBETTER/WCARE IND MRKT | $5,846.95 | ↓ -47% |
| AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | $5,846.95 | ↓ -47% |
| ALLIANCE COAL - ALL PLANS | ALLIANCE COAL - ALL PLANS | $6,071.60 | ↓ -45% |
| AETNA COMM | AETNA COMM | $6,365.11 | ↓ -42% |
| ANTHEM BLUE TRAD - ALL OTHER PLANS | ANTHEM BLUE TRAD - ALL OTHER PLANS | $6,494.26 | ↓ -41% |
| SIHO EXCLUS NTWRK | SIHO EXCLUS NTWRK | $6,604.33 | ↓ -40% |
| SIHO DUAL NTWRK | SIHO DUAL NTWRK | $7,338.15 | ↓ -33% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $10,273.40 | ↓ -7% |
| SIHO PPO - ALL OTHER PLANS | SIHO PPO - ALL OTHER PLANS | $10,273.40 | ↓ -7% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $11,082.00 | ↑ +1% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $12,474.85 | ↑ +13% |
| CENTER CARE-ALL PLANS | CENTER CARE-ALL PLANS | $13,117.67 | ↑ +19% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $14,676.29 | ↑ +33% |
| PASSPORT MCR ADV - ALL OTHER PLANS | PASSPORT MCR ADV - ALL OTHER PLANS | $14,676.29 | ↑ +33% |
| PASSPORT MCR/MCD ADV | PASSPORT MCR/MCD ADV | $14,676.29 | ↑ +33% |
| AETNA MCR ADV | AETNA MCR ADV | $14,676.29 | ↑ +33% |
Visitor-reported prices
Comments
Biopsy of heart lining at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $1,295.95 | $646.21 – $2,503.41 |
| Baptist Health Corbin | Corbin | $11,007.22 | $14,676.29 – $29,352.58 |
| Baptist Health Lexington | Lexington | $11,007.22 | $3,083.61 – $14,838.00 |
| Baptist Health Hardin | Elizabethtown | $11,007.22 | $14,676.29 – $29,352.58 |
| Baptist Health La Grange | La Grange | $11,007.22 | $14,676.29 – $29,352.58 |
| Baptist Health Paducah | Paducah | $11,007.22 | $3,138.77 – $14,676.29 |
| Adventhealth Manchester | Manchester | not published | $2,962.64 – $2,962.64 |