M/phmtrc alys ishquant/semiq at Baptist Health Louisville
4000 Kresge Way, Louisville, KY · Baptisthealth · · NPI 1265539498
$1,237.18
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.
$1,649.57
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.
$77.90 with ANTHEM INDIANA HMO vs $559.36 with ANTHEM MCR SELECT — 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 INDIANA HMO | ANTHEM INDIANA HMO | $77.90 | ↓ -94% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $77.90 | ↓ -94% |
| ANTHEM PATH HMO | ANTHEM PATH HMO | $77.90 | ↓ -94% |
| ANTHEM BLUE PREF HMO/HIC | ANTHEM BLUE PREF HMO/HIC | $77.90 | ↓ -94% |
| ANTHEM PATH HPN | ANTHEM PATH HPN | $77.90 | ↓ -94% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $77.90 | ↓ -94% |
| ANTHEM BLUE TRAD - ALL OTHER PLANS | ANTHEM BLUE TRAD - ALL OTHER PLANS | $77.90 | ↓ -94% |
| UHC ALL PAYER NEW - ALL OTHER PLANS | UHC ALL PAYER NEW - ALL OTHER PLANS | $102.82 | ↓ -92% |
| ANTHEM BHS1 | ANTHEM BHS1 | $137.77 | ↓ -89% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $159.99 | ↓ -87% |
| AETNA MCAID | AETNA MCAID | $159.99 | ↓ -87% |
| WELLCARE MCAID - ALL PLANS | WELLCARE MCAID - ALL PLANS | $159.99 | ↓ -87% |
| UHC MCAID | UHC MCAID | $159.99 | ↓ -87% |
| HUMANA MCAID - ALL OTHER PLANS | HUMANA MCAID - ALL OTHER PLANS | $159.99 | ↓ -87% |
| SIG ADVANTAGE - ALL PLANS | SIG ADVANTAGE - ALL PLANS | $163.80 | ↓ -87% |
| ANTHEM MCR ADV | ANTHEM MCR ADV | $164.62 | ↓ -87% |
| HUMANA MCR ADV | HUMANA MCR ADV | $171.99 | ↓ -86% |
| AETNA NEW BUS - ALL OTHER PLANS | AETNA NEW BUS - ALL OTHER PLANS | $182.91 | ↓ -85% |
| UHC ALL PAYER OLD | UHC ALL PAYER OLD | $199.69 | ↓ -84% |
| AETNA COMM | AETNA COMM | $242.59 | ↓ -80% |
| SIHO EXCLUS NTWRK | SIHO EXCLUS NTWRK | $251.71 | ↓ -80% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $272.93 | ↓ -78% |
| SIHO DUAL NTWRK | SIHO DUAL NTWRK | $279.68 | ↓ -77% |
| CARESOURCE-ALL PLANS | CARESOURCE-ALL PLANS | $294.85 | ↓ -76% |
| AMBETTER/WCARE IND MRKT | AMBETTER/WCARE IND MRKT | $315.49 | ↓ -74% |
| AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | $315.49 | ↓ -74% |
| ALLIANCE COAL - ALL PLANS | ALLIANCE COAL - ALL PLANS | $327.61 | ↓ -74% |
| SIHO PPO - ALL OTHER PLANS | SIHO PPO - ALL OTHER PLANS | $391.55 | ↓ -68% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $391.55 | ↓ -68% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $475.46 | ↓ -62% |
| CENTER CARE-ALL PLANS | CENTER CARE-ALL PLANS | $499.96 | ↓ -60% |
| AETNA MCR ADV | AETNA MCR ADV | $559.36 | ↓ -55% |
| PASSPORT MCR/MCD ADV | PASSPORT MCR/MCD ADV | $559.36 | ↓ -55% |
| PASSPORT MCR ADV - ALL OTHER PLANS | PASSPORT MCR ADV - ALL OTHER PLANS | $559.36 | ↓ -55% |
| ANTHEM MCR SELECT | ANTHEM MCR SELECT | $559.36 | ↓ -55% |
Visitor-reported prices
Comments
M/phmtrc alys ishquant/semiq at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Marcum Wallace Hospital | Irvine | $435.60 | not published |
| Lourdes Hospital | Paducah | $509.40 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $245.18 | $77.90 – $608.79 |
| CHI Saint Joseph Health - Saint Joseph London | London | $121.69 | $77.90 – $310.31 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $608.94 | $77.90 – $1,379.56 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $714.17 | $77.90 – $1,379.56 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $694.98 | $77.90 – $1,490.58 |
| Baptist Health Corbin | Corbin | $1,237.18 | $77.90 – $1,118.72 |