ER Visit (level 3) at Whitesburg ARH Hospital
240 Hospital Road, Whitesburg, KY · Arh · · NPI 1194723726
$277.80
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.
?
What you pay up front if you don't use insurance.
$463.00
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.
$75.56 with Passport Molina vs $416.70 with Aetna POS — 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 |
|---|---|---|---|
| Passport Molina | Medicaid | $75.56 | ↓ -73% |
| Anthem | Medicaid | $134.27 | ↓ -52% |
| Aetna Better Health | Medicaid | $134.27 | ↓ -52% |
| Humana | Medicaid | $138.30 | ↓ -50% |
| Optum CCN Region 2 | Veterans Affairs Plan | $147.02 | ↓ -47% |
| United Healthcare | Medicare | $147.02 | ↓ -47% |
| Anthem | Medicare Advantage | $147.02 | ↓ -47% |
| Aetna | Medicare | $147.02 | ↓ -47% |
| Optum CCN Region 1 | Veterans Affairs Plan | $147.02 | ↓ -47% |
| Humana | Medicare | $147.02 | ↓ -47% |
| WellCare of Kentucky | Medicare | $147.02 | ↓ -47% |
| WellCare of Kentucky | Medicaid | $240.00 | ↓ -14% |
| CareSoure Kentucky | Commercial | $277.80 | ↑ +0% |
| United Healthcare PPO | Commercial | $353.73 | ↑ +27% |
| UMR | Commercial | $353.73 | ↑ +27% |
| United Healthcare HMO | Commercial | $353.73 | ↑ +27% |
| Anthem HMO | Commercial | $384.57 | ↑ +38% |
| Anthem PPO | Commercial | $404.80 | ↑ +46% |
| Aetna PPO | Commercial | $416.70 | ↑ +50% |
| Aetna POS | Commercial | $416.70 | ↑ +50% |
Visitor-reported prices
Comments
ER Visit (level 3) at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $308.52 | $176.58 – $582.40 |
| Marcum Wallace Hospital | Irvine | $887.40 | not published |
| Lourdes Hospital | Paducah | $1,058.40 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $277.06 | $158.24 – $687.96 |
| CHI Saint Joseph Health - Saint Joseph London | London | $593.78 | $237.62 – $1,514.24 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $590.87 | $359.52 – $1,338.61 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $692.97 | $345.54 – $1,338.61 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $573.21 | $238.32 – $1,229.41 |