Abdominal paracentesis w/image guidance at Tug Valley ARH Regional Medical Center

260 Hospital Drive South, Williamson, KY · Arh · · NPI 1649270257

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 16, 2026

$1,863.00

Cash price

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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.

$3,105.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$79.53 with The Health Plan vs $2,794.50 with Aetna POS — 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 →

Payer
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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
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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
The Health Plan Medicaid $79.53 ↓ -96%
WellCare of Kentucky Medicaid $86.96 ↓ -95%
The Health Plan Medicare $90.41 ↓ -95%
Optum CCN Region 2 Veterans Affairs Plan $90.41 ↓ -95%
WellCare of Kentucky Medicare $90.41 ↓ -95%
Aetna Medicare $90.41 ↓ -95%
United Healthcare Medicare $90.41 ↓ -95%
Aetna Better Health Medicaid $145.38 ↓ -92%
CareSoure Kentucky Commercial $149.18 ↓ -92%
Passport Molina Medicaid $475.07 ↓ -74%
Anthem Medicaid $475.07 ↓ -74%
Humana Medicaid $475.07 ↓ -74%
Optum CCN Region 1 Veterans Affairs Plan $542.06 ↓ -71%
Anthem Medicare Advantage $542.06 ↓ -71%
Humana Medicare $542.06 ↓ -71%
United Healthcare PPO Commercial $2,226.29 ↑ +20%
United Healthcare HMO Commercial $2,226.29 ↑ +20%
UMR Commercial $2,226.29 ↑ +20%
Anthem HMO Commercial $2,579.01 ↑ +38%
Anthem PPO Commercial $2,714.70 ↑ +46%
Aetna PPO Commercial $2,794.50 ↑ +50%
Aetna POS Commercial $2,794.50 ↑ +50%

Visitor-reported prices

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Abdominal paracentesis w/image guidance at other Kentucky hospitals

Hospital City Cash price Negotiated range
CHI Saint Joseph Health - Saint Joseph Berea Berea $301.29 $172.44 – $568.75
Marcum Wallace Hospital Irvine $817.20 not published
Lourdes Hospital Paducah $5,220.60 not published
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling $676.89 $386.58 – $1,680.77
CHI Saint Joseph Health - Saint Joseph London London $660.86 $264.47 – $1,685.32
CHI Saint Joseph Health - Saint Joseph East Lexington $419.76 $255.40 – $950.95
CHI Saint Joseph Health - Saint Joseph Hospital Lexington $785.15 $366.21 – $1,418.69
CHI Saint Joseph Health - Flaget Memorial Hospital Bardstown $892.69 $371.15 – $1,914.64

All Kentucky hospitals for this procedure →