Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug at CHI Saint Joseph Health - Saint Joseph Mount Sterling
225 FALCON DR, Mt. Sterling, KY · CommonSpirit Health · · NPI 1679679146
$286.23
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.
$781.00
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.
$121.19 with Wellcare vs $623.74 with CareSource — 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 |
|---|---|---|---|
| Wellcare | Medicaid|All Plans | $121.19 | ↓ -58% |
| Aetna | Medicaid|Better Health | $133.17 | ↓ -53% |
| Humana | Medicaid|All Plans | $134.51 | ↓ -53% |
| United | Medicaid|All Plans | $135.84 | ↓ -53% |
| Passport by Molina | Medicaid|All Plans | $135.84 | ↓ -53% |
| BCBS - Anthem | Medicaid|All Plans | $139.83 | ↓ -51% |
| Humana | Commercial|All Plans | $248.97 | ↓ -13% |
| United | Commercial|Options | $289.50 | ↑ +1% |
| United | Commercial|Non-Options | $289.50 | ↑ +1% |
| BCBS - Anthem | Medicare|All Plans | $311.87 | ↑ +9% |
| Wellcare | Medicare|All Plans | $311.87 | ↑ +9% |
| Humana | Medicare|All Plans | $311.87 | ↑ +9% |
| United | Medicare|All Plans | $318.11 | ↑ +11% |
| Aetna | Medicare|All Plans | $321.23 | ↑ +12% |
| Passport by Molina | Medicare|All Plans | $327.46 | ↑ +14% |
| Aetna | Commercial|HMO | $387.93 | ↑ +36% |
| Aetna | Commercial|PPO | $387.93 | ↑ +36% |
| Aetna | Commercial|All Other Plans | $387.93 | ↑ +36% |
| Multiplan | Commercial|All Plans | $526.89 | ↑ +84% |
| CareSource | Commercial|All Plans | $623.74 | ↑ +118% |
Visitor-reported prices
Comments
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $393.36 | $191.48 – $631.54 |
| CHI Saint Joseph Health - Saint Joseph London | London | $706.18 | $116.10 – $739.83 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $344.24 | $209.46 – $779.87 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $403.72 | $191.21 – $740.74 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $977.97 | $142.36 – $734.37 |
| Adventhealth Manchester | Manchester | $618.30 | $309.92 – $309.92 |