Complx repair fccmnaxghf 13132 at Whitesburg ARH Hospital
240 Hospital Road, Whitesburg, KY · Arh · · NPI 1194723726
$846.00
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.
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What you pay up front if you don't use insurance.
$1,410.00
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.
$195.52 with WellCare of Kentucky vs $1,269.00 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 |
|---|---|---|---|
| WellCare of Kentucky | Medicaid | $195.52 | ↓ -77% |
| Passport Molina | Medicaid | $230.11 | ↓ -73% |
| Optum CCN Region 2 | Veterans Affairs Plan | $242.22 | ↓ -71% |
| United Healthcare | Medicare | $242.22 | ↓ -71% |
| Aetna | Medicare | $242.22 | ↓ -71% |
| Optum CCN Region 1 | Veterans Affairs Plan | $242.22 | ↓ -71% |
| WellCare of Kentucky | Medicare | $242.22 | ↓ -71% |
| CareSoure Kentucky | Commercial | $242.22 | ↓ -71% |
| Aetna Better Health | Medicaid | $287.06 | ↓ -66% |
| Anthem | Medicare Advantage | $325.03 | ↓ -62% |
| Humana | Medicare | $325.03 | ↓ -62% |
| Anthem | Medicaid | $408.90 | ↓ -52% |
| Humana | Medicaid | $421.17 | ↓ -50% |
| United Healthcare PPO | Commercial | $1,077.24 | ↑ +27% |
| UMR | Commercial | $1,077.24 | ↑ +27% |
| United Healthcare HMO | Commercial | $1,077.24 | ↑ +27% |
| Anthem HMO | Commercial | $1,171.15 | ↑ +38% |
| Anthem PPO | Commercial | $1,232.76 | ↑ +46% |
| Aetna POS | Commercial | $1,269.00 | ↑ +50% |
| Aetna PPO | Commercial | $1,269.00 | ↑ +50% |
Visitor-reported prices
Comments
Complx repair fccmnaxghf 13132 at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $673.43 | $385.44 – $1,271.27 |
| Marcum Wallace Hospital | Irvine | $1,019.40 | not published |
| Lourdes Hospital | Paducah | $8,721.48 | $404.11 – $412.19 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $496.59 | $283.61 – $1,233.05 |
| CHI Saint Joseph Health - Saint Joseph London | London | $487.44 | $195.07 – $1,243.06 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $312.11 | $189.90 – $707.07 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $366.04 | $182.52 – $707.07 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $702.19 | $291.95 – $1,506.05 |