Bone biopsy open superficial at Tug Valley ARH Regional Medical Center
260 Hospital Drive South, Williamson, KY · Arh · · NPI 1649270257
$351.00
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.
$585.00
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.
$106.03 with The Health Plan vs $250.73 with Aetna Better Health — 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 |
|---|---|---|---|
| The Health Plan | Medicaid | $106.03 | ↓ -70% |
| The Health Plan | Medicare | $122.83 | ↓ -65% |
| Aetna | Medicare | $122.83 | ↓ -65% |
| United Healthcare | Medicare | $122.83 | ↓ -65% |
| Optum CCN Region 1 | Veterans Affairs Plan | $122.83 | ↓ -65% |
| Optum CCN Region 2 | Veterans Affairs Plan | $122.83 | ↓ -65% |
| WellCare of Kentucky | Medicare | $122.83 | ↓ -65% |
| WellCare of Kentucky | Medicaid | $144.88 | ↓ -59% |
| CareSoure Kentucky | Commercial | $202.67 | ↓ -42% |
| Aetna Better Health | Medicaid | $250.73 | ↓ -29% |
Visitor-reported prices
Comments
Bone biopsy open superficial at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hazard ARH Regional Medical Center | Hazard | $4,759.20 | $2,325.95 – $2,325.95 |
| Adventhealth Manchester | Manchester | not published | $2,725.47 – $2,725.47 |