Drug/substance nos 4-6 at Baptist Health Louisville
4000 Kresge Way, Louisville, KY · Baptisthealth · · NPI 1265539498
$957.82
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.
$1,277.09
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.
$0.01 with ANTHEM PATH HMO vs $1,277.09 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 |
|---|---|---|---|
| ANTHEM PATH HMO | ANTHEM PATH HMO | $0.01 | ↓ -100% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $0.01 | ↓ -100% |
| ANTHEM INDIANA HMO | ANTHEM INDIANA HMO | $0.01 | ↓ -100% |
| ANTHEM BLUE PREF HMO/HIC | ANTHEM BLUE PREF HMO/HIC | $0.01 | ↓ -100% |
| ANTHEM PATH HPN | ANTHEM PATH HPN | $0.01 | ↓ -100% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $0.01 | ↓ -100% |
| ANTHEM BLUE TRAD - ALL OTHER PLANS | ANTHEM BLUE TRAD - ALL OTHER PLANS | $0.01 | ↓ -100% |
| HUMANA MCAID - ALL OTHER PLANS | HUMANA MCAID - ALL OTHER PLANS | $140.48 | ↓ -85% |
| AETNA MCAID | AETNA MCAID | $140.48 | ↓ -85% |
| WELLCARE MCAID - ALL PLANS | WELLCARE MCAID - ALL PLANS | $140.48 | ↓ -85% |
| UHC MCAID | UHC MCAID | $140.48 | ↓ -85% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $140.48 | ↓ -85% |
| ANTHEM BHS1 | ANTHEM BHS1 | $314.55 | ↓ -67% |
| UHC ALL PAYER NEW - ALL OTHER PLANS | UHC ALL PAYER NEW - ALL OTHER PLANS | $403.56 | ↓ -58% |
| AETNA NEW BUS - ALL OTHER PLANS | AETNA NEW BUS - ALL OTHER PLANS | $417.61 | ↓ -56% |
| UHC ALL PAYER OLD | UHC ALL PAYER OLD | $455.92 | ↓ -52% |
| AETNA COMM | AETNA COMM | $553.87 | ↓ -42% |
| SIHO EXCLUS NTWRK | SIHO EXCLUS NTWRK | $574.69 | ↓ -40% |
| SIHO DUAL NTWRK | SIHO DUAL NTWRK | $638.55 | ↓ -33% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $859.99 | ↓ -10% |
| SIHO PPO - ALL OTHER PLANS | SIHO PPO - ALL OTHER PLANS | $893.96 | ↓ -7% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $893.96 | ↓ -7% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $1,085.53 | ↑ +13% |
| CENTER CARE-ALL PLANS | CENTER CARE-ALL PLANS | $1,141.46 | ↑ +19% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $1,277.09 | ↑ +33% |
| PASSPORT MCR/MCD ADV | PASSPORT MCR/MCD ADV | $1,277.09 | ↑ +33% |
| PASSPORT MCR ADV - ALL OTHER PLANS | PASSPORT MCR ADV - ALL OTHER PLANS | $1,277.09 | ↑ +33% |
| AETNA MCR ADV | AETNA MCR ADV | $1,277.09 | ↑ +33% |
Visitor-reported prices
Comments
Drug/substance nos 4-6 at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $4.83 | $0.01 – $10.92 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $6.05 | $0.01 – $10.92 |