Biopsy needle lymph node superficial at Lourdes Hospital
1530 Lone Oak Rd., Paducah, KY · Mercy · · NPI 1346244126
$6,333.00
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.
$10,555.00
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.
$1,641.81 with AETNA MEDICARE [1003] vs $1,674.65 with UHC MEDICARE [1011] — 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 |
|---|---|---|---|
| AETNA MEDICARE [1003] | AETNA MEDICARE ADVANTAGE HMO [103003] | $1,641.81 | ↓ -74% |
| AETNA MEDICARE [1003] | AETNA MEDICARE-ADVANTAGE PPO [103002] | $1,641.81 | ↓ -74% |
| HUMANA MEDICARE [1010] | HUMANA CHOICE-PPO MEDICARE [101003] | $1,641.81 | ↓ -74% |
| HUMANA MEDICARE [1010] | HUMANA GOLD PLUS HMO [101001] | $1,641.81 | ↓ -74% |
| UHC MEDICARE [1011] | UHC AARP MEDICARE ADVANTAGE [1011017] | $1,674.65 | ↓ -74% |
| UHC MEDICARE [1011] | UHC MEDICARE COMPLETE [44] | $1,674.65 | ↓ -74% |
| UHC MEDICARE [1011] | UNITEDHEALTHCARE DUAL COMPLETE [1011009] | $1,674.65 | ↓ -74% |
Visitor-reported prices
Comments
Biopsy needle lymph node superficial at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $760.45 | $434.30 – $1,888.25 |
| CHI Saint Joseph Health - Saint Joseph London | London | $398.95 | $159.66 – $1,017.38 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $980.09 | $596.34 – $2,220.40 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $482.87 | $240.78 – $932.75 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $2,745.53 | $1,141.49 – $5,888.61 |
| Adventhealth Manchester | Manchester | $3,551.89 | $1,549.68 – $1,549.68 |
| Hazard ARH Regional Medical Center | Hazard | $3,237.00 | $1,316.75 – $1,316.75 |
| Middlesboro ARH Hospital | Middlesboro | $1,944.00 | $1,110.62 – $1,110.62 |