Ihc/icc per specimen initial single antibody stain at CHI Saint Joseph Health - Saint Joseph Mount Sterling
225 FALCON DR, Mt. Sterling, KY · CommonSpirit Health · · NPI 1679679146
$129.01
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.
$352.00
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.
$33.77 with BCBS - Anthem vs $322.24 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 |
|---|---|---|---|
| BCBS - Anthem | Commercial|Pathway | $33.77 | ↓ -74% |
| BCBS - Anthem | Commercial|HMO PPO | $33.77 | ↓ -74% |
| Passport by Molina | Medicaid|All Plans | $71.97 | ↓ -44% |
| Aetna | Medicaid|Better Health | $71.97 | ↓ -44% |
| Humana | Medicaid|All Plans | $71.97 | ↓ -44% |
| Wellcare | Medicaid|All Plans | $73.41 | ↓ -43% |
| United | Medicaid|All Plans | $73.41 | ↓ -43% |
| BCBS - Anthem | Medicaid|All Plans | $75.57 | ↓ -41% |
| Humana | Commercial|All Plans | $151.36 | ↑ +17% |
| BCBS - Anthem | Medicare|All Plans | $161.12 | ↑ +25% |
| Wellcare | Medicare|All Plans | $161.12 | ↑ +25% |
| Humana | Medicare|All Plans | $161.12 | ↑ +25% |
| United | Commercial|Options | $162.74 | ↑ +26% |
| United | Commercial|Non-Options | $162.74 | ↑ +26% |
| United | Medicare|All Plans | $164.34 | ↑ +27% |
| Aetna | Medicare|All Plans | $165.95 | ↑ +29% |
| Passport by Molina | Medicare|All Plans | $169.18 | ↑ +31% |
| Aetna | Commercial|HMO | $235.84 | ↑ +83% |
| Aetna | Commercial|PPO | $235.84 | ↑ +83% |
| Aetna | Commercial|All Other Plans | $235.84 | ↑ +83% |
| Multiplan | Commercial|All Plans | $320.32 | ↑ +148% |
| CareSource | Commercial|All Plans | $322.24 | ↑ +150% |
Visitor-reported prices
Comments
Ihc/icc per specimen initial single antibody stain at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $301.29 | $33.77 – $568.75 |
| CHI Saint Joseph Health - Saint Joseph London | London | $200.90 | $33.77 – $221.13 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $248.64 | $33.77 – $535.08 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $291.61 | $33.77 – $535.08 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $238.88 | $33.77 – $231.14 |
| Adventhealth Manchester | Manchester | $900.77 | $71.97 – $159.86 |