Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm at CHI Saint Joseph Health - Saint Joseph Mount Sterling
225 FALCON DR, Mt. Sterling, KY · CommonSpirit Health · · NPI 1679679146
$28.59
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.
$78.00
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.
$13.61 with Wellcare vs $59.15 with Multiplan — 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 | $13.61 | ↓ -52% |
| Aetna | Medicaid|Better Health | $14.95 | ↓ -48% |
| Humana | Medicaid|All Plans | $15.10 | ↓ -47% |
| Passport by Molina | Medicaid|All Plans | $15.25 | ↓ -47% |
| United | Medicaid|All Plans | $15.25 | ↓ -47% |
| BCBS - Anthem | Medicaid|All Plans | $15.70 | ↓ -45% |
| Humana | Commercial|All Plans | $31.85 | ↑ +11% |
| United | Commercial|Non-Options | $32.50 | ↑ +14% |
| United | Commercial|Options | $32.50 | ↑ +14% |
| Aetna | Commercial|PPO | $43.55 | ↑ +52% |
| Aetna | Commercial|All Other Plans | $43.55 | ↑ +52% |
| Aetna | Commercial|HMO | $43.55 | ↑ +52% |
| BCBS - Anthem | Commercial|Pathway | $57.14 | ↑ +100% |
| BCBS - Anthem | Commercial|HMO PPO | $57.14 | ↑ +100% |
| Multiplan | Commercial|All Plans | $59.15 | ↑ +107% |
Visitor-reported prices
Comments
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $37.61 | $17.94 – $59.15 |
| CHI Saint Joseph Health - Saint Joseph London | London | $27.84 | $9.29 – $59.15 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $31.34 | $15.89 – $59.15 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $36.75 | $15.27 – $59.15 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $33.10 | $11.47 – $59.15 |