Pretreat rbc w chem/drugs reference at CHI Saint Joseph Health - Saint Joseph Mount Sterling

225 FALCON DR, Mt. Sterling, KY · CommonSpirit Health · · NPI 1679679146

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$19.43

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$53.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$9.72 with BCBS - Anthem vs $111.70 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 →

Payer
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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
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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 $9.72 ↓ -50%
BCBS - Anthem Commercial|HMO PPO $9.72 ↓ -50%
Wellcare Medicaid|All Plans $11.10 ↓ -43%
Aetna Medicaid|Better Health $12.19 ↓ -37%
Humana Medicaid|All Plans $12.32 ↓ -37%
Passport by Molina Medicaid|All Plans $12.44 ↓ -36%
United Medicaid|All Plans $12.44 ↓ -36%
BCBS - Anthem Medicaid|All Plans $12.80 ↓ -34%
Humana Commercial|All Plans $22.79 ↑ +17%
Aetna Commercial|HMO $35.51 ↑ +83%
Aetna Commercial|All Other Plans $35.51 ↑ +83%
Aetna Commercial|PPO $35.51 ↑ +83%
Multiplan Commercial|All Plans $48.23 ↑ +148%
BCBS - Anthem Medicare|All Plans $55.85 ↑ +187%
Wellcare Medicare|All Plans $55.85 ↑ +187%
Humana Medicare|All Plans $55.85 ↑ +187%
United Medicare|All Plans $56.97 ↑ +193%
Aetna Medicare|All Plans $57.53 ↑ +196%
United Commercial|Options $58.28 ↑ +200%
United Commercial|Non-Options $58.28 ↑ +200%
Passport by Molina Medicare|All Plans $58.64 ↑ +202%
CareSource Commercial|All Plans $111.70 ↑ +475%

Visitor-reported prices

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Pretreat rbc w chem/drugs reference at other Kentucky hospitals

Hospital City Cash price Negotiated range
CHI Saint Joseph Health - Saint Joseph Berea Berea $25.55 $9.72 – $48.23
CHI Saint Joseph Health - Saint Joseph London London $18.56 $7.43 – $47.32
CHI Saint Joseph Health - Saint Joseph East Lexington $20.89 $9.72 – $47.32
CHI Saint Joseph Health - Saint Joseph Hospital Lexington $26.19 $9.72 – $47.32
CHI Saint Joseph Health - Flaget Memorial Hospital Bardstown $49.22 $9.72 – $105.56
Adventhealth Manchester Manchester $146.65 $55.35 – $55.35

All Kentucky hospitals for this procedure →