Bronch/asp/tracheobronch tree/subs 31646 at CHI Saint Joseph Health - Saint Joseph Mount Sterling
225 FALCON DR, Mt. Sterling, KY · CommonSpirit Health · · NPI 1679679146
$362.82
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.
?
What you pay up front if you don't use insurance.
$990.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$207.21 with Wellcare vs $1,834.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $207.21 | ↓ -43% |
| Aetna | Medicaid|Better Health | $227.70 | ↓ -37% |
| Humana | Medicaid|All Plans | $229.98 | ↓ -37% |
| United | Medicaid|All Plans | $232.26 | ↓ -36% |
| Passport by Molina | Medicaid|All Plans | $232.26 | ↓ -36% |
| BCBS - Anthem | Medicaid|All Plans | $239.09 | ↓ -34% |
| BCBS - Anthem | Medicare|All Plans | $365.10 | ↑ +1% |
| Wellcare | Medicare|All Plans | $365.10 | ↑ +1% |
| Humana | Medicare|All Plans | $365.10 | ↑ +1% |
| United | Medicare|All Plans | $372.40 | ↑ +3% |
| Aetna | Medicare|All Plans | $376.05 | ↑ +4% |
| Passport by Molina | Medicare|All Plans | $383.36 | ↑ +6% |
| Humana | Commercial|All Plans | $396.00 | ↑ +9% |
| United | Commercial|Non-Options | $504.90 | ↑ +39% |
| United | Commercial|Options | $504.90 | ↑ +39% |
| Aetna | Commercial|All Other Plans | $663.30 | ↑ +83% |
| Aetna | Commercial|HMO | $663.30 | ↑ +83% |
| Aetna | Commercial|PPO | $663.30 | ↑ +83% |
| CareSource | Commercial|All Plans | $730.20 | ↑ +101% |
| Multiplan | Commercial|All Plans | $900.90 | ↑ +148% |
| BCBS - Anthem | Commercial|Pathway | $1,551.00 | ↑ +327% |
| BCBS - Anthem | Commercial|HMO PPO | $1,834.00 | ↑ +405% |
Visitor-reported prices
Comments
Bronch/asp/tracheobronch tree/subs 31646 at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $477.24 | $273.15 – $900.90 |
| CHI Saint Joseph Health - Saint Joseph London | London | $346.49 | $138.66 – $883.61 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $394.05 | $239.76 – $892.71 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $494.05 | $230.44 – $892.71 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $420.04 | $174.64 – $900.90 |