Biopsy bone trocar/needle superficial at Tug Valley ARH Regional Medical Center
260 Hospital Drive South, Williamson, KY · Arh · · NPI 1649270257
$231.60
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.
$386.00
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.
$33.51 with Humana vs $936.76 with Humana — 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 |
|---|---|---|---|
| Humana | Medicaid | $33.51 | ↓ -86% |
| Aetna Better Health | Medicaid | $33.51 | ↓ -86% |
| WellCare of Kentucky | Medicaid | $50.37 | ↓ -78% |
| The Health Plan | Medicaid | $65.11 | ↓ -72% |
| WellCare of Kentucky | Medicare | $74.48 | ↓ -68% |
| Optum CCN Region 2 | Veterans Affairs Plan | $74.48 | ↓ -68% |
| United Healthcare | Medicare | $74.48 | ↓ -68% |
| The Health Plan | Medicare | $74.48 | ↓ -68% |
| Aetna | Medicare | $74.48 | ↓ -68% |
| CareSoure Kentucky | Commercial | $122.89 | ↓ -47% |
| UMR | Commercial | $157.02 | ↓ -32% |
| Optum CCN Region 1 | Veterans Affairs Plan | $936.76 | ↑ +304% |
| Humana | Medicare | $936.76 | ↑ +304% |
Visitor-reported prices
Comments
Biopsy bone trocar/needle superficial at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $260.80 | $149.27 – $492.31 |
| Lourdes Hospital | Paducah | $1,995.60 | not published |
| CHI Saint Joseph Health - Saint Joseph London | London | $319.02 | $127.67 – $813.54 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $838.70 | $510.31 – $1,900.08 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $983.63 | $490.48 – $1,900.08 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $1,667.00 | $693.08 – $3,575.39 |
| Adventhealth Manchester | Manchester | $5,463.64 | $1,549.68 – $1,549.68 |
| Hazard ARH Regional Medical Center | Hazard | $1,901.40 | $74.48 – $1,316.75 |