Debridement/bone/20 sq cm or less 11046 at Paintsville ARH Hospital
625 James S Trimble Blvd, Paintsville, KY · Arh · · NPI 1437813441
$1,017.00
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.
?
What you pay up front if you don't use insurance.
$1,695.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$33.23 with WellCare of Kentucky vs $1,481.94 with Anthem PPO — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 of Kentucky | Medicaid | $33.23 | ↓ -97% |
| WellCare of Kentucky | Medicare | $46.57 | ↓ -95% |
| Optum CCN Region 2 | Veterans Affairs Plan | $46.57 | ↓ -95% |
| United Healthcare | Medicare | $46.57 | ↓ -95% |
| Optum CCN Region 1 | Veterans Affairs Plan | $46.57 | ↓ -95% |
| Aetna | Medicare | $46.57 | ↓ -95% |
| Aetna Better Health | Medicaid | $51.68 | ↓ -95% |
| Passport Molina | Medicaid | $242.05 | ↓ -76% |
| Humana | Medicaid | $242.05 | ↓ -76% |
| United Healthcare | Medicaid | $242.05 | ↓ -76% |
| Anthem | Medicaid | $242.05 | ↓ -76% |
| United Healthcare PPO | Commercial | $891.57 | ↓ -12% |
| UMR | Commercial | $891.57 | ↓ -12% |
| United Healthcare HMO | Commercial | $891.57 | ↓ -12% |
| Aetna PPO | Commercial | $1,271.25 | ↑ +25% |
| Aetna POS | Commercial | $1,271.25 | ↑ +25% |
| Anthem HMO | Commercial | $1,407.87 | ↑ +38% |
| Anthem PPO | Commercial | $1,481.94 | ↑ +46% |
| Anthem | Medicare Advantage | not published by hospital | — |
| Humana | Medicare | not published by hospital | — |
Visitor-reported prices
Comments
Debridement/bone/20 sq cm or less 11046 at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Lourdes Hospital | Paducah | $1,453.80 | not published |
| CHI Saint Joseph Health - Saint Joseph London | London | $244.08 | $97.68 – $622.44 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $449.08 | $273.24 – $1,017.38 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $526.68 | $262.62 – $1,017.38 |
| Adventhealth Manchester | Manchester | $1,332.11 | not published |
| Whitesburg ARH Hospital | Whitesburg | $93.00 | $33.23 – $51.68 |
| Tug Valley ARH Regional Medical Center | Williamson | $542.40 | $33.23 – $76.84 |
| Hazard ARH Regional Medical Center | Hazard | $838.80 | not published |