Debridement subcutaneous tissue <= 20 sq cm at Tug Valley ARH Regional Medical Center
260 Hospital Drive South, Williamson, KY · Arh · · NPI 1649270257
$542.40
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.
$904.00
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.
$37.18 with Humana vs $813.60 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 |
|---|---|---|---|
| Humana | Medicaid | $37.18 | ↓ -93% |
| Aetna Better Health | Medicaid | $37.18 | ↓ -93% |
| The Health Plan | Medicaid | $45.55 | ↓ -92% |
| WellCare of Kentucky | Medicaid | $48.18 | ↓ -91% |
| Aetna | Medicare | $53.60 | ↓ -90% |
| WellCare of Kentucky | Medicare | $53.60 | ↓ -90% |
| Optum CCN Region 2 | Veterans Affairs Plan | $53.60 | ↓ -90% |
| United Healthcare | Medicare | $53.60 | ↓ -90% |
| The Health Plan | Medicare | $53.60 | ↓ -90% |
| Optum CCN Region 1 | Veterans Affairs Plan | $53.60 | ↓ -90% |
| CareSoure Kentucky | Commercial | $88.44 | ↓ -84% |
| Passport Molina | Medicaid | $138.31 | ↓ -75% |
| Anthem | Medicaid | $138.31 | ↓ -75% |
| UMR | Commercial | $174.23 | ↓ -68% |
| Humana | Medicare | $230.99 | ↓ -57% |
| Anthem | Medicare Advantage | $230.99 | ↓ -57% |
| United Healthcare HMO | Commercial | $648.17 | ↑ +20% |
| United Healthcare PPO | Commercial | $648.17 | ↑ +20% |
| Anthem HMO | Commercial | $750.86 | ↑ +38% |
| Anthem PPO | Commercial | $790.37 | ↑ +46% |
| Aetna PPO | Commercial | $813.60 | ↑ +50% |
| Aetna POS | Commercial | $813.60 | ↑ +50% |
Visitor-reported prices
Comments
Debridement subcutaneous tissue <= 20 sq cm at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $383.72 | $219.62 – $724.36 |
| Marcum Wallace Hospital | Irvine | $648.00 | not published |
| Lourdes Hospital | Paducah | $2,871.00 | $404.11 – $412.19 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $387.01 | $221.03 – $960.96 |
| CHI Saint Joseph Health - Saint Joseph London | London | $420.71 | $168.37 – $1,072.89 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $473.98 | $288.40 – $1,073.80 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $731.60 | $364.80 – $1,413.23 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $544.78 | $226.50 – $1,168.44 |