Biopsy abdominal mass at Whitesburg ARH Hospital
240 Hospital Road, Whitesburg, KY · Arh · · NPI 1194723726
$2,041.80
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.
$3,403.00
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.
$555.37 with Passport Molina vs $3,062.70 with Aetna 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 | $555.37 | ↓ -73% |
| WellCare of Kentucky | Medicaid | $850.75 | ↓ -58% |
| Anthem | Medicare Advantage | $860.32 | ↓ -58% |
| Aetna | Medicare | $860.32 | ↓ -58% |
| Optum CCN Region 2 | Veterans Affairs Plan | $860.32 | ↓ -58% |
| United Healthcare | Medicare | $860.32 | ↓ -58% |
| Optum CCN Region 1 | Veterans Affairs Plan | $860.32 | ↓ -58% |
| Humana | Medicare | $860.32 | ↓ -58% |
| WellCare of Kentucky | Medicare | $860.32 | ↓ -58% |
| Aetna Better Health | Medicaid | $986.87 | ↓ -52% |
| Anthem | Medicaid | $986.87 | ↓ -52% |
| Humana | Medicaid | $1,016.48 | ↓ -50% |
| CareSoure Kentucky | Commercial | $2,041.80 | ↑ +0% |
| United Healthcare PPO | Commercial | $2,599.89 | ↑ +27% |
| UMR | Commercial | $2,599.89 | ↑ +27% |
| United Healthcare HMO | Commercial | $2,599.89 | ↑ +27% |
| Anthem HMO | Commercial | $2,826.53 | ↑ +38% |
| Anthem PPO | Commercial | $2,975.24 | ↑ +46% |
| Aetna POS | Commercial | $3,062.70 | ↑ +50% |
| Aetna PPO | Commercial | $3,062.70 | ↑ +50% |
Visitor-reported prices
Comments
Biopsy abdominal mass at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Lourdes Hospital | Paducah | $2,442.00 | not published |
| CHI Saint Joseph Health - Saint Joseph London | London | $942.41 | $377.14 – $2,403.31 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $891.32 | $542.33 – $2,019.29 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $1,045.34 | $521.25 – $2,019.29 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $2,259.30 | $939.33 – $4,845.75 |
| Adventhealth Manchester | Manchester | $1,870.93 | $1,549.68 – $1,549.68 |
| Baptist Health Corbin | Corbin | $6,058.70 | $8,078.26 – $16,156.52 |
| Baptist Health Lexington | Lexington | $6,058.70 | $1,612.96 – $8,078.26 |