New Patient Office Visit (level 3) at Paintsville ARH Hospital
625 James S Trimble Blvd, Paintsville, KY · Arh · · NPI 1437813441
$514.20
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.
$857.00
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.
$15.28 with Passport Molina vs $93.55 with Anthem PPO — 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 |
|---|---|---|---|
| Passport Molina | Medicaid | $15.28 | ↓ -97% |
| Humana | Medicaid | $15.28 | ↓ -97% |
| Aetna Better Health | Medicaid | $15.28 | ↓ -97% |
| United Healthcare | Medicaid | $15.28 | ↓ -97% |
| Anthem | Medicaid | $15.28 | ↓ -97% |
| United Healthcare PPO | Commercial | $56.28 | ↓ -89% |
| United Healthcare HMO | Commercial | $56.28 | ↓ -89% |
| UMR | Commercial | $56.28 | ↓ -89% |
| WellCare of Kentucky | Medicaid | $60.57 | ↓ -88% |
| Optum CCN Region 1 | Veterans Affairs Plan | $69.96 | ↓ -86% |
| United Healthcare | Medicare | $69.96 | ↓ -86% |
| Aetna | Medicare | $69.96 | ↓ -86% |
| Optum CCN Region 2 | Veterans Affairs Plan | $69.96 | ↓ -86% |
| WellCare of Kentucky | Medicare | $69.96 | ↓ -86% |
| Aetna PPO | Commercial | $80.25 | ↓ -84% |
| Aetna POS | Commercial | $80.25 | ↓ -84% |
| Anthem HMO | Commercial | $88.87 | ↓ -83% |
| Anthem PPO | Commercial | $93.55 | ↓ -82% |
| Anthem | Medicare Advantage | not published by hospital | — |
| Humana | Medicare | not published by hospital | — |
Visitor-reported prices
Comments
New Patient Office Visit (level 3) at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $181.74 | $104.02 – $343.07 |
| Marcum Wallace Hospital | Irvine | $235.20 | not published |
| Lourdes Hospital | Paducah | $556.20 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $120.21 | $68.66 – $298.48 |
| CHI Saint Joseph Health - Saint Joseph London | London | $94.92 | $37.99 – $242.06 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $161.48 | $98.25 – $365.82 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $189.38 | $94.43 – $365.82 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $230.81 | $95.97 – $495.04 |