Observation direct referral from physician office for admission at Baptist Health Paducah
2501 Kentucky Ave, Paducah, KY · Baptisthealth · · NPI 1730264128
$198.56
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.
$264.74
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.
$21.18 with WELLCARE MCAID - ALL PLANS vs $1,184.00 with ALLIANCE COAL - ALL PLANS — 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 MCAID - ALL PLANS | WELLCARE MCAID - ALL PLANS | $21.18 | ↓ -89% |
| AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $21.18 | ↓ -89% |
| HUMANA MCAID | HUMANA MCAID | $21.18 | ↓ -89% |
| UHC MCAID | UHC MCAID | $21.18 | ↓ -89% |
| MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $21.18 | ↓ -89% |
| ANTHEM BHS1 | ANTHEM BHS1 | $65.21 | ↓ -67% |
| ANTHEM PATH HMO | ANTHEM PATH HMO | $72.49 | ↓ -63% |
| MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $84.72 | ↓ -57% |
| ADVANCED MED -ALL PLANS | ADVANCED MED -ALL PLANS | $95.31 | ↓ -52% |
| CENTER CARE - ALL PLANS | CENTER CARE - ALL PLANS | $97.32 | ↓ -51% |
| AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $98.48 | ↓ -50% |
| PHCS-ALL PLANS | PHCS-ALL PLANS | $98.48 | ↓ -50% |
| ANTHEM PATH HPN | ANTHEM PATH HPN | $101.92 | ↓ -49% |
| HEALTHLINK-ALL PLANS | HEALTHLINK-ALL PLANS | $106.98 | ↓ -46% |
| ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $113.26 | ↓ -43% |
| ANTHEM BLUE ACCESS PPO | ANTHEM BLUE ACCESS PPO | $113.26 | ↓ -43% |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $115.96 | ↓ -42% |
| ANTHEM BLUE TRAD - ALL OTHER PLANS | ANTHEM BLUE TRAD - ALL OTHER PLANS | $117.92 | ↓ -41% |
| SIHO-ALL PLANS | SIHO-ALL PLANS | $185.32 | ↓ -7% |
| UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $221.32 | ↑ +11% |
| PASSPORT MCR/MCAID | PASSPORT MCR/MCAID | $264.74 | ↑ +33% |
| AETNA MCR ADV | AETNA MCR ADV | $264.74 | ↑ +33% |
| PASSPORT MCR ADV - ALL OTHER PLANS | PASSPORT MCR ADV - ALL OTHER PLANS | $264.74 | ↑ +33% |
| SIGNATURE ADV - ALL PLANS | SIGNATURE ADV - ALL PLANS | $592.00 | ↑ +198% |
| ANTHEM MCR ADV | ANTHEM MCR ADV | $594.96 | ↑ +200% |
| HUMANA MCR ADV - ALL OTHER PLANS | HUMANA MCR ADV - ALL OTHER PLANS | $621.60 | ↑ +213% |
| CARESOURCE-ALL PLANS | CARESOURCE-ALL PLANS | $1,065.60 | ↑ +437% |
| AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | AMBETTER/WCARE DIRECT IND - ALL OTHER PLANS | $1,140.20 | ↑ +474% |
| ALLIANCE COAL - ALL PLANS | ALLIANCE COAL - ALL PLANS | $1,184.00 | ↑ +496% |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Lourdes Hospital | Paducah | $439.20 | not published |
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $290.20 | $166.10 – $547.82 |
| Marcum Wallace Hospital | Irvine | $952.20 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $216.23 | $123.49 – $536.90 |
| CHI Saint Joseph Health - Saint Joseph London | London | $208.75 | $83.54 – $532.35 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $241.81 | $147.13 – $547.82 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $283.60 | $141.41 – $547.82 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $257.97 | $107.26 – $553.28 |