Excision benign lesion trunk/arms/legs > 4.0 cm at Whitesburg ARH Hospital
240 Hospital Road, Whitesburg, KY · Arh · · NPI 1194723726
$434.40
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.
$724.00
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.
$108.50 with WellCare of Kentucky vs $331.58 with UMR — 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 |
|---|---|---|---|
| WellCare of Kentucky | Medicaid | $108.50 | ↓ -75% |
| Aetna Better Health | Medicaid | $125.86 | ↓ -71% |
| Optum CCN Region 1 | Veterans Affairs Plan | $216.86 | ↓ -50% |
| Optum CCN Region 2 | Veterans Affairs Plan | $216.86 | ↓ -50% |
| WellCare of Kentucky | Medicare | $216.86 | ↓ -50% |
| CareSoure Kentucky | Commercial | $216.86 | ↓ -50% |
| Aetna | Medicare | $216.86 | ↓ -50% |
| United Healthcare | Medicare | $216.86 | ↓ -50% |
| UMR | Commercial | $331.58 | ↓ -24% |
Visitor-reported prices
Comments
Excision benign lesion trunk/arms/legs > 4.0 cm at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Marcum Wallace Hospital | Irvine | $2,760.60 | not published |
| Lourdes Hospital | Paducah | $10,895.45 | $1,641.81 – $1,674.65 |
| Tug Valley ARH Regional Medical Center | Williamson | $434.40 | $137.96 – $936.76 |
| Hazard ARH Regional Medical Center | Hazard | $260.40 | $137.96 – $1,316.75 |
| Adventhealth Manchester | Manchester | not published | $1,549.68 – $1,549.68 |