Inj, acetaminophen (hikma) at ARH Our Lady of the Way Hospital
11203 Main Street, Martin, KY · Arh · · NPI 1306339460
$49.20
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.
$82.00
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.
$0.06 with Anthem Traditional/PPO vs $72.16 with Aetna PPO — 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 Traditional/PPO | Commercial | $0.06 | ↓ -100% |
| Anthem HMO | Commercial | $0.06 | ↓ -100% |
| Anthem | Medicaid | $16.40 | ↓ -67% |
| Anthem | Medicare Advantage | $16.40 | ↓ -67% |
| Aetna Better Health | Medicaid | $16.40 | ↓ -67% |
| Optum CCN Region 1 | Veterans Affairs Plan | $16.40 | ↓ -67% |
| Humana | Medicaid | $16.40 | ↓ -67% |
| Humana | Medicare | $16.40 | ↓ -67% |
| Optum CCN Region 2 | Veterans Affairs Plan | $16.40 | ↓ -67% |
| WellCare of Kentucky | Medicare | $16.40 | ↓ -67% |
| WellCare of Kentucky | Medicaid | $16.56 | ↓ -66% |
| Passport Molina | Medicaid | $16.73 | ↓ -66% |
| Aetna | Medicare | $21.32 | ↓ -57% |
| CareSoure Kentucky | Commercial | $53.30 | ↑ +8% |
| Aetna POS | Commercial | $72.16 | ↑ +47% |
| Aetna PPO | Commercial | $72.16 | ↑ +47% |
Visitor-reported prices
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Inj, acetaminophen (hikma) at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Manchester | Manchester | $49.55 | not published |
| Tug Valley ARH Regional Medical Center | Williamson | $49.20 | $0.06 – $0.06 |
| Paintsville ARH Hospital | Paintsville | $49.20 | $0.06 – $0.06 |
| GREENVIEW REGIONAL HOSPITAL | BOWLING GREEN | not published | $0.03 – $0.08 |