Pr egd flexible transoral w/placement percutaneous gastrostomy tube at Lourdes Hospital
1530 Lone Oak Rd., Paducah, KY · Mercy · · NPI 1346244126
$3,688.74
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.
$6,147.90
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.
$1,907.54 with AETNA MEDICARE [1003] vs $1,945.69 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] | $1,907.54 | ↓ -48% |
| AETNA MEDICARE [1003] | AETNA MEDICARE-ADVANTAGE PPO [103002] | $1,907.54 | ↓ -48% |
| HUMANA MEDICARE [1010] | HUMANA GOLD PLUS HMO [101001] | $1,907.54 | ↓ -48% |
| UHC MEDICARE [1011] | UHC AARP MEDICARE ADVANTAGE [1011017] | $1,945.69 | ↓ -47% |
| UHC MEDICARE [1011] | UHC MEDICARE COMPLETE [44] | $1,945.69 | ↓ -47% |
| UHC MEDICARE [1011] | UNITEDHEALTHCARE DUAL COMPLETE [1011009] | $1,945.69 | ↓ -47% |
Visitor-reported prices
Comments
Pr egd flexible transoral w/placement percutaneous gastrostomy tube at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $2,098.87 | $1,201.27 – $3,962.14 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $1,443.94 | $824.65 – $3,585.40 |
| CHI Saint Joseph Health - Saint Joseph London | London | $1,627.89 | $651.46 – $4,151.42 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $1,582.60 | $962.94 – $3,585.40 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $1,984.26 | $925.51 – $3,585.40 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $1,847.32 | $768.05 – $3,962.14 |
| Whitesburg ARH Hospital | Whitesburg | $757.20 | $172.75 – $278.98 |
| Tug Valley ARH Regional Medical Center | Williamson | $757.20 | $151.06 – $285.04 |