Tx closed tib fx proximal w/w/o manip w/skel trac at Paintsville ARH Hospital
625 James S Trimble Blvd, Paintsville, KY · Arh · · NPI 1437813441
$3,931.20
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.
$6,552.00
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.
$935.63 with Humana vs $5,728.41 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 |
|---|---|---|---|
| Humana | Medicaid | $935.63 | ↓ -76% |
| United Healthcare | Medicaid | $935.63 | ↓ -76% |
| Aetna Better Health | Medicaid | $935.63 | ↓ -76% |
| Passport Molina | Medicaid | $935.63 | ↓ -76% |
| Anthem | Medicaid | $935.63 | ↓ -76% |
| Optum CCN Region 1 | Veterans Affairs Plan | $2,042.59 | ↓ -48% |
| United Healthcare | Medicare | $2,042.59 | ↓ -48% |
| Anthem | Medicare Advantage | $2,042.59 | ↓ -48% |
| Aetna | Medicare | $2,042.59 | ↓ -48% |
| Humana | Medicare | $2,042.59 | ↓ -48% |
| Optum CCN Region 2 | Veterans Affairs Plan | $2,042.59 | ↓ -48% |
| WellCare of Kentucky | Medicare | $2,042.59 | ↓ -48% |
| WellCare of Kentucky | Medicaid | $2,246.85 | ↓ -43% |
| United Healthcare HMO | Commercial | $3,446.35 | ↓ -12% |
| United Healthcare PPO | Commercial | $3,446.35 | ↓ -12% |
| UMR | Commercial | $3,446.35 | ↓ -12% |
| Aetna POS | Commercial | $4,914.00 | ↑ +25% |
| Aetna PPO | Commercial | $4,914.00 | ↑ +25% |
| Anthem HMO | Commercial | $5,442.09 | ↑ +38% |
| Anthem PPO | Commercial | $5,728.41 | ↑ +46% |
Visitor-reported prices
Comments
Tx closed tib fx proximal w/w/o manip w/skel trac at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Marcum Wallace Hospital | Irvine | $6,344.40 | not published |
| Lourdes Hospital | Paducah | $2,350.80 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $288.06 | $164.51 – $715.26 |
| CHI Saint Joseph Health - Saint Joseph London | London | $1,199.69 | $480.10 – $3,059.42 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $1,355.26 | $824.61 – $3,070.34 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $1,699.21 | $792.56 – $3,070.34 |
| Hazard ARH Regional Medical Center | Hazard | $3,783.60 | $2,636.85 – $2,636.85 |
| Adventhealth Manchester | Manchester | not published | $3,070.09 – $3,070.09 |