Inj, vancomycin hcl (xellia) at CHI Saint Joseph Health - Saint Joseph Mount Sterling
225 FALCON DR, Mt. Sterling, KY · CommonSpirit Health · · NPI 1679679146
$44.56
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.
$121.57
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.
$20.21 with Wellcare vs $87.85 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 | $20.21 | ↓ -55% |
| Aetna | Medicaid|Better Health | $22.21 | ↓ -50% |
| Humana | Medicaid|All Plans | $22.43 | ↓ -50% |
| Passport by Molina | Medicaid|All Plans | $22.65 | ↓ -49% |
| United | Medicaid|All Plans | $22.65 | ↓ -49% |
| BCBS - Anthem | Medicaid|All Plans | $23.32 | ↓ -48% |
| Humana | Commercial|All Plans | $47.30 | ↑ +6% |
| United | Commercial|Non-Options | $48.27 | ↑ +8% |
| United | Commercial|Options | $48.27 | ↑ +8% |
| Aetna | Commercial|PPO | $64.68 | ↑ +45% |
| Aetna | Commercial|All Other Plans | $64.68 | ↑ +45% |
| Aetna | Commercial|HMO | $64.68 | ↑ +45% |
| BCBS - Anthem | Commercial|Pathway | $69.51 | ↑ +56% |
| BCBS - Anthem | Commercial|HMO PPO | $79.16 | ↑ +78% |
| Multiplan | Commercial|All Plans | $87.85 | ↑ +97% |
Visitor-reported prices
Comments
Inj, vancomycin hcl (xellia) at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $58.61 | $26.64 – $87.85 |
| CHI Saint Joseph Health - Saint Joseph London | London | $43.39 | $13.79 – $87.85 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $48.84 | $23.60 – $87.85 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $61.23 | $22.68 – $87.85 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $51.58 | $17.03 – $87.85 |
| Adventhealth Manchester | Manchester | $141.01 | not published |