Alteplase 100 mg infusion from pyxis vial at GREENVIEW REGIONAL HOSPITAL
478 Lovers Ln, BOWLING GREEN, KY · Tristarhealth · · NPI 1871547703
not published by hospital
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.
not published by hospital
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.
$36.07 with Anthem BCBS vs $463.74 with Fortified Provider Network — 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 |
|---|---|---|---|
| Anthem BCBS | MGMCD | $36.07 | — |
| United | MGMCD | $36.07 | — |
| Molina | MCD | $36.07 | — |
| Humana CareSource | MGMCD | $36.43 | — |
| Coventry Cares | MCD | $72.14 | — |
| Prime Health | WORKERSCOMP | $82.70 | — |
| Humana | Tricare | $89.63 | — |
| Anthem | PathwayHMO | $136.80 | — |
| United | AllPayerAppendix | $154.82 | — |
| Anthem | Traditional/HMO/PPO | $160.97 | — |
| United | OptionsPPO | $166.95 | — |
| Aetna | Commercial | $220.02 | — |
| United | GlobalBenefitPlan | $231.87 | — |
| CDM Health | COMMHMO | $252.48 | — |
| Southern Kentucky Rehab | COMM | $386.45 | — |
| Up and Up | COMM | $412.22 | — |
| Occupational MC Alliance | COMM | $412.22 | — |
| Tim Davis and Associates | COMM | $412.22 | — |
| Fortified Provider Network | COMM | $463.74 | — |
| MultiPlan | COMM | $463.74 | — |
| Fortified Provider Network | WCOMP | $463.74 | — |
Visitor-reported prices
Comments
Alteplase 100 mg infusion from pyxis vial at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $25,204.05 | $274.44 – $1,145.69 |
| Marcum Wallace Hospital | Irvine | $39,707.28 | not published |
| Lourdes Hospital | Paducah | $43,297.80 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $19,161.31 | $107.88 – $1,145.69 |
| CHI Saint Joseph Health - Saint Joseph London | London | $18,657.02 | $107.88 – $1,145.69 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $21,001.43 | $107.88 – $1,145.69 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $26,331.51 | $107.88 – $1,145.69 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $22,183.39 | $107.88 – $1,145.69 |