Leuprolide 30 mg (4 month) intramuscular syringe kit 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

$4,711.80

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.

Full explanation →

What you pay up front if you don't use insurance.

$7,853.00

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.

$176.20 with The Health Plan vs $7,067.70 with Aetna PPO — 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 $176.20 ↓ -96%
United Healthcare Medicare $176.45 ↓ -96%
The Health Plan Medicare $176.45 ↓ -96%
Humana Medicare $176.45 ↓ -96%
Anthem Medicare Advantage $176.45 ↓ -96%
Aetna Medicare $176.45 ↓ -96%
Optum CCN Region 1 Veterans Affairs Plan $176.45 ↓ -96%
Optum CCN Region 2 Veterans Affairs Plan $176.45 ↓ -96%
WellCare of Kentucky Medicare $176.45 ↓ -96%
Anthem PPO Commercial $183.28 ↓ -96%
Anthem HMO Commercial $183.28 ↓ -96%
Aetna Better Health Medicaid $1,201.51 ↓ -74%
Passport Molina Medicaid $1,201.51 ↓ -74%
Anthem Medicaid $1,201.51 ↓ -74%
Humana Medicaid $1,201.51 ↓ -74%
WellCare of Kentucky Medicaid $1,806.19 ↓ -62%
CareSoure Kentucky Commercial $4,711.80 ↑ +0%
United Healthcare PPO Commercial $5,630.60 ↑ +19%
UMR Commercial $5,630.60 ↑ +19%
United Healthcare HMO Commercial $5,630.60 ↑ +19%
Aetna POS Commercial $7,067.70 ↑ +50%
Aetna PPO Commercial $7,067.70 ↑ +50%

Visitor-reported prices

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Leuprolide 30 mg (4 month) intramuscular syringe kit at other Kentucky hospitals

Hospital City Cash price Negotiated range
CHI Saint Joseph Health - Saint Joseph Berea Berea $17,267.31 $253.68 – $846.78
Lourdes Hospital Paducah $4,343.40 not published
CHI Saint Joseph Health - Saint Joseph Mount Sterling Mt. Sterling $13,127.43 $194.76 – $846.78
CHI Saint Joseph Health - Saint Joseph London London $12,781.94 $132.88 – $846.78
CHI Saint Joseph Health - Saint Joseph East Lexington $14,388.10 $213.20 – $846.78
CHI Saint Joseph Health - Saint Joseph Hospital Lexington $18,039.74 $213.20 – $846.78
CHI Saint Joseph Health - Flaget Memorial Hospital Bardstown $15,197.86 $164.15 – $846.78
Hazard ARH Regional Medical Center Hazard $32,536.80 $176.45 – $183.28

All Kentucky hospitals for this procedure →