Tc-99m mebrofenin at ARH Our Lady of the Way Hospital
11203 Main Street, Martin, KY · Arh · · NPI 1306339460
$121.80
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.
$203.00
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.
$40.60 with Humana vs $178.64 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 |
|---|---|---|---|
| Humana | Medicare | $40.60 | ↓ -67% |
| Humana | Medicaid | $40.60 | ↓ -67% |
| Anthem | Medicaid | $40.60 | ↓ -67% |
| Anthem | Medicare Advantage | $40.60 | ↓ -67% |
| Aetna Better Health | Medicaid | $40.60 | ↓ -67% |
| Optum CCN Region 1 | Veterans Affairs Plan | $40.60 | ↓ -67% |
| Optum CCN Region 2 | Veterans Affairs Plan | $40.60 | ↓ -67% |
| WellCare of Kentucky | Medicare | $40.60 | ↓ -67% |
| WellCare of Kentucky | Medicaid | $41.01 | ↓ -66% |
| Passport Molina | Medicaid | $41.41 | ↓ -66% |
| Aetna | Medicare | $52.78 | ↓ -57% |
| Anthem HMO | Commercial | $66.63 | ↓ -45% |
| Anthem Traditional/PPO | Commercial | $66.63 | ↓ -45% |
| CareSoure Kentucky | Commercial | $131.95 | ↑ +8% |
| Aetna POS | Commercial | $178.64 | ↑ +47% |
| Aetna PPO | Commercial | $178.64 | ↑ +47% |
Visitor-reported prices
Comments
Tc-99m mebrofenin at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Lourdes Hospital | Paducah | $172.56 | not published |
| Baptist Health Corbin | Corbin | $326.91 | $66.63 – $871.76 |
| GREENVIEW REGIONAL HOSPITAL | BOWLING GREEN | $555.77 | $187.21 – $187.21 |
| Whitesburg ARH Hospital | Whitesburg | $124.80 | $66.63 – $66.63 |
| Baptist Health Hardin | Elizabethtown | $326.91 | $66.63 – $871.76 |
| Tug Valley ARH Regional Medical Center | Williamson | $114.00 | $66.63 – $66.63 |
| Hazard ARH Regional Medical Center | Hazard | $96.60 | $66.63 – $66.63 |
| Middlesboro ARH Hospital | Middlesboro | $127.20 | $66.63 – $66.63 |