Cell function assay w/stim 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.
$131.24 with Humana vs $179.34 with Wellcare — 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 | Tricare | $131.24 | — |
| Wellcare | MCR | $135.86 | — |
| VA CCN | FEDERAL | $135.86 | — |
| United | AllPayerAppendix | $135.86 | — |
| United | MGMCD | $135.86 | — |
| Anthem BCBS | MGMCD | $135.86 | — |
| Sarah Cannon Research | COMM | $135.86 | — |
| Coventry Cares | MCD | $135.86 | — |
| Devoted Health | MGMCR | $135.86 | — |
| Humana | MedicareAdvantage | $135.86 | — |
| Anthem | MedicareHMO | $135.86 | — |
| Anthem | MedicarePPO | $135.86 | — |
| Anthem | MedicareSelect | $135.86 | — |
| Aetna | MCR | $135.86 | — |
| Molina | MCD | $135.86 | — |
| Humana CareSource | MGMCD | $137.22 | — |
| United | MGMCR | $138.58 | — |
| Horizon Pace | MCR | $139.94 | — |
| Wellcare | MGMCD | $179.34 | — |
| Wellcare | CHIP | $179.34 | — |
| Aetna | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Cell function assay w/stim at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $409.27 | $115.46 – $772.59 |
| Marcum Wallace Hospital | Irvine | $208.80 | not published |
| Lourdes Hospital | Paducah | $752.40 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $330.94 | $115.46 – $821.73 |
| CHI Saint Joseph Health - Saint Joseph London | London | $135.25 | $115.46 – $344.89 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $325.76 | $115.46 – $738.01 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $408.44 | $115.46 – $738.01 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $224.87 | $115.46 – $482.30 |