Repair complex wound scalp/arms/legs 2.6 - 7.5 cm at CHI Saint Joseph Health - Saint Joseph Mount Sterling
225 FALCON DR, Mt. Sterling, KY · CommonSpirit Health · · NPI 1679679146
$440.88
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.
$1,203.00
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.
$251.79 with Wellcare vs $3,087.00 with BCBS - Anthem — 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 | $251.79 | ↓ -43% |
| Aetna | Medicaid|Better Health | $276.69 | ↓ -37% |
| Humana | Medicaid|All Plans | $279.46 | ↓ -37% |
| United | Medicaid|All Plans | $282.23 | ↓ -36% |
| Passport by Molina | Medicaid|All Plans | $282.23 | ↓ -36% |
| BCBS - Anthem | Medicaid|All Plans | $290.53 | ↓ -34% |
| Humana | Commercial|All Plans | $517.29 | ↑ +17% |
| BCBS - Anthem | Medicare|All Plans | $575.55 | ↑ +31% |
| Wellcare | Medicare|All Plans | $575.55 | ↑ +31% |
| Humana | Medicare|All Plans | $575.55 | ↑ +31% |
| United | Medicare|All Plans | $587.06 | ↑ +33% |
| Aetna | Medicare|All Plans | $592.82 | ↑ +34% |
| Passport by Molina | Medicare|All Plans | $604.33 | ↑ +37% |
| United | Commercial|Options | $613.53 | ↑ +39% |
| United | Commercial|Non-Options | $613.53 | ↑ +39% |
| Aetna | Commercial|All Other Plans | $806.01 | ↑ +83% |
| Aetna | Commercial|HMO | $806.01 | ↑ +83% |
| Aetna | Commercial|PPO | $806.01 | ↑ +83% |
| Multiplan | Commercial|All Plans | $1,094.73 | ↑ +148% |
| CareSource | Commercial|All Plans | $1,151.10 | ↑ +161% |
| BCBS - Anthem | Commercial|Pathway | $2,613.00 | ↑ +493% |
| BCBS - Anthem | Commercial|HMO PPO | $3,087.00 | ↑ +600% |
Visitor-reported prices
Comments
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $673.43 | $385.44 – $1,271.27 |
| CHI Saint Joseph Health - Saint Joseph London | London | $697.26 | $279.04 – $1,778.14 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $416.14 | $253.20 – $942.76 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $488.05 | $243.36 – $942.76 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $975.00 | $405.37 – $2,091.18 |
| Adventhealth Manchester | Manchester | $3,552.77 | $381.43 – $381.43 |