Insertion catheter bladder temporary simple at Middlesboro ARH Hospital
3600 W Cumberland Avenue, Middlesboro, KY · Arh · · NPI 1891792495
$198.00
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.
$330.00
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.
$20.38 with Aetna Better Health vs $297.00 with Aetna POS — 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 Better Health | Medicaid | $20.38 | ↓ -90% |
| Humana | Choice Care | $20.38 | ↓ -90% |
| WellCare of Kentucky | Medicaid | $27.75 | ↓ -86% |
| Passport Molina | Medicaid | $60.59 | ↓ -69% |
| Anthem | Medicaid | $60.59 | ↓ -69% |
| CareSoure Kentucky | Commercial | $66.60 | ↓ -66% |
| Humana | Medicare | $88.36 | ↓ -55% |
| United Healthcare | Medicare | $88.36 | ↓ -55% |
| Anthem | Medicare Advantage | $88.36 | ↓ -55% |
| Aetna | Medicare | $88.36 | ↓ -55% |
| Optum CCN Region 1 | Veterans Affairs Plan | $88.36 | ↓ -55% |
| Optum CCN Region 2 | Veterans Affairs Plan | $88.36 | ↓ -55% |
| WellCare of Kentucky | Medicare | $88.36 | ↓ -55% |
| United Healthcare PPO | Commercial | $245.85 | ↑ +24% |
| United Healthcare HMO | Commercial | $245.85 | ↑ +24% |
| UMR | Commercial | $245.85 | ↑ +24% |
| Anthem HMO | Commercial | $274.10 | ↑ +38% |
| Anthem Traditional/PPO | Commercial | $288.52 | ↑ +46% |
| Aetna PPO | Commercial | $297.00 | ↑ +50% |
| Aetna POS | Commercial | $297.00 | ↑ +50% |
Visitor-reported prices
Comments
Insertion catheter bladder temporary simple at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $60.26 | $34.49 – $113.75 |
| Marcum Wallace Hospital | Irvine | $122.40 | not published |
| Lourdes Hospital | Paducah | $251.40 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $66.70 | $38.10 – $165.62 |
| CHI Saint Joseph Health - Saint Joseph London | London | $172.00 | $68.83 – $438.62 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $159.87 | $97.28 – $362.18 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $205.87 | $102.66 – $397.67 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $86.56 | $35.99 – $185.64 |