Ghs corneal fb without slit lamp bilat at CHI Saint Joseph Health - Saint Joseph Mount Sterling
225 FALCON DR, Mt. Sterling, KY · CommonSpirit Health · · NPI 1679679146
$252.14
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.
$688.00
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.
$144.00 with Wellcare vs $750.38 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 | $144.00 | ↓ -43% |
| Aetna | Medicaid|Better Health | $158.24 | ↓ -37% |
| Humana | Medicaid|All Plans | $159.83 | ↓ -37% |
| United | Medicaid|All Plans | $161.41 | ↓ -36% |
| Passport by Molina | Medicaid|All Plans | $161.41 | ↓ -36% |
| BCBS - Anthem | Medicaid|All Plans | $166.16 | ↓ -34% |
| Humana | Commercial|All Plans | $295.84 | ↑ +17% |
| United | Commercial|Options | $350.88 | ↑ +39% |
| United | Commercial|Non-Options | $350.88 | ↑ +39% |
| BCBS - Anthem | Medicare|All Plans | $375.19 | ↑ +49% |
| Wellcare | Medicare|All Plans | $375.19 | ↑ +49% |
| Humana | Medicare|All Plans | $375.19 | ↑ +49% |
| United | Medicare|All Plans | $382.69 | ↑ +52% |
| Aetna | Medicare|All Plans | $386.45 | ↑ +53% |
| Passport by Molina | Medicare|All Plans | $393.95 | ↑ +56% |
| Aetna | Commercial|HMO | $460.96 | ↑ +83% |
| Aetna | Commercial|PPO | $460.96 | ↑ +83% |
| Aetna | Commercial|All Other Plans | $460.96 | ↑ +83% |
| Multiplan | Commercial|All Plans | $626.08 | ↑ +148% |
| CareSource | Commercial|All Plans | $750.38 | ↑ +198% |
Visitor-reported prices
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Ghs corneal fb without slit lamp bilat at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $191.38 | $109.54 – $361.27 |
| CHI Saint Joseph Health - Saint Joseph London | London | $164.15 | $65.69 – $418.60 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $279.57 | $170.11 – $633.36 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $350.52 | $163.50 – $633.36 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $224.03 | $93.14 – $480.48 |
| Adventhealth Manchester | Manchester | $1,557.44 | $419.16 – $419.16 |