Ndl insj without njx 1 or 2 musc at CHI Saint Joseph Health - Saint Joseph Mount Sterling
225 FALCON DR, Mt. Sterling, KY · CommonSpirit Health · · NPI 1679679146
$27.12
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.
$74.00
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.
$15.49 with Wellcare vs $67.34 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 | $15.49 | ↓ -43% |
| Aetna | Medicaid|Better Health | $17.02 | ↓ -37% |
| Humana | Medicaid|All Plans | $17.20 | ↓ -37% |
| United | Medicaid|All Plans | $17.37 | ↓ -36% |
| Passport by Molina | Medicaid|All Plans | $17.37 | ↓ -36% |
| BCBS - Anthem | Medicaid|All Plans | $17.88 | ↓ -34% |
| BCBS - Anthem | Medicare|All Plans | $23.03 | ↓ -15% |
| Wellcare | Medicare|All Plans | $23.03 | ↓ -15% |
| Humana | Medicare|All Plans | $23.03 | ↓ -15% |
| United | Medicare|All Plans | $23.49 | ↓ -13% |
| Aetna | Medicare|All Plans | $23.72 | ↓ -13% |
| Passport by Molina | Medicare|All Plans | $24.18 | ↓ -11% |
| Humana | Commercial|All Plans | $31.82 | ↑ +17% |
| United | Commercial|Non-Options | $37.74 | ↑ +39% |
| United | Commercial|Options | $37.74 | ↑ +39% |
| CareSource | Commercial|All Plans | $46.06 | ↑ +70% |
| Aetna | Commercial|HMO | $49.58 | ↑ +83% |
| Aetna | Commercial|PPO | $49.58 | ↑ +83% |
| Aetna | Commercial|All Other Plans | $49.58 | ↑ +83% |
| Multiplan | Commercial|All Plans | $67.34 | ↑ +148% |
Visitor-reported prices
Comments
Ndl insj without njx 1 or 2 musc at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $31.82 | $18.21 – $60.06 |
| CHI Saint Joseph Health - Saint Joseph London | London | $23.20 | $9.29 – $59.15 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $29.73 | $18.09 – $67.34 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $34.87 | $17.39 – $67.34 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $31.40 | $13.06 – $67.34 |
| Adventhealth Manchester | Manchester | $278.25 | $27.14 – $27.14 |