Coombs direct 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.
$5.39 with VA CCN vs $592.90 with MultiPlan — 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 |
|---|---|---|---|
| VA CCN | FEDERAL | $5.39 | — |
| Wellcare | MCR | $5.39 | — |
| Humana | MedicareAdvantage | $5.39 | — |
| Anthem | MedicareHMO | $5.39 | — |
| Anthem | MedicarePPO | $5.39 | — |
| Anthem | MedicareSelect | $5.39 | — |
| Aetna | MCR | $5.39 | — |
| Molina | MCD | $5.39 | — |
| United | AllPayerAppendix | $5.39 | — |
| United | MGMCD | $5.39 | — |
| Anthem BCBS | MGMCD | $5.39 | — |
| Sarah Cannon Research | COMM | $5.39 | — |
| Coventry Cares | MCD | $5.39 | — |
| Devoted Health | MGMCR | $5.39 | — |
| Humana CareSource | MGMCD | $5.44 | — |
| United | MGMCR | $5.50 | — |
| Horizon Pace | MCR | $5.55 | — |
| Wellcare | MGMCD | $7.11 | — |
| Wellcare | CHIP | $7.11 | — |
| Prime Health | WORKERSCOMP | $105.73 | — |
| Signature Advantage | MCRHMO | $125.17 | — |
| Humana | COMM | $173.26 | — |
| Anthem | PathwayHMO | $174.91 | — |
| Cigna | PPO | $196.32 | — |
| Cigna | HMO | $196.32 | — |
| Anthem | Traditional/HMO/PPO | $205.80 | — |
| United | OptionsPPO | $213.44 | — |
| United | GlobalBenefitPlan | $296.45 | — |
| CDM Health | COMMHMO | $322.80 | — |
| Southern Kentucky Rehab | COMM | $494.08 | — |
| Humana | Tricare | $494.08 | — |
| Up and Up | COMM | $527.02 | — |
| Occupational MC Alliance | COMM | $527.02 | — |
| Tim Davis and Associates | COMM | $527.02 | — |
| Fortified Provider Network | WCOMP | $592.90 | — |
| Fortified Provider Network | COMM | $592.90 | — |
| MultiPlan | COMM | $592.90 | — |
| Aetna | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Coombs direct at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $33.75 | $4.57 – $63.70 |
| Marcum Wallace Hospital | Irvine | $64.20 | not published |
| Lourdes Hospital | Paducah | $54.00 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $29.32 | $4.57 – $72.80 |
| CHI Saint Joseph Health - Saint Joseph London | London | $40.33 | $4.57 – $102.83 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $42.58 | $4.57 – $96.46 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $53.39 | $4.57 – $96.46 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $33.95 | $4.57 – $72.80 |