Colonoscopy (with biopsy) at Lourdes Hospital
1530 Lone Oak Rd., Paducah, KY · Mercy · · NPI 1346244126
$7,162.80
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.
$11,938.00
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.
$1,189.55 with AETNA MEDICARE [1003] vs $1,213.34 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] | $1,189.55 | ↓ -83% |
| AETNA MEDICARE [1003] | AETNA MEDICARE-ADVANTAGE PPO [103002] | $1,189.55 | ↓ -83% |
| HUMANA MEDICARE [1010] | HUMANA CHOICE-PPO MEDICARE [101003] | $1,189.55 | ↓ -83% |
| HUMANA MEDICARE [1010] | HUMANA GOLD PLUS HMO [101001] | $1,189.55 | ↓ -83% |
| UHC MEDICARE [1011] | UHC AARP MEDICARE ADVANTAGE [1011017] | $1,213.34 | ↓ -83% |
| UHC MEDICARE [1011] | UHC MEDICARE COMPLETE [44] | $1,213.34 | ↓ -83% |
| UHC MEDICARE [1011] | UNITEDHEALTHCARE DUAL COMPLETE [1011009] | $1,213.34 | ↓ -83% |
Visitor-reported prices
Comments
Colonoscopy (with biopsy) at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $1,334.33 | $763.70 – $2,518.88 |
| Marcum Wallace Hospital | Irvine | $4,714.98 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $1,315.30 | $751.18 – $3,265.99 |
| CHI Saint Joseph Health - Saint Joseph London | London | $1,143.31 | $457.54 – $2,915.64 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $1,433.58 | $872.27 – $3,247.79 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $1,681.30 | $838.36 – $3,247.79 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $1,631.37 | $678.26 – $3,498.95 |
| Whitesburg ARH Hospital | Whitesburg | $847.20 | $172.05 – $338.07 |