Culture screening strep group a 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.
$6.41 with Humana vs $876.48 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 |
|---|---|---|---|
| Humana | Tricare | $6.41 | — |
| Devoted Health | MGMCR | $6.63 | — |
| VA CCN | FEDERAL | $6.63 | — |
| Wellcare | MCR | $6.63 | — |
| Humana | MedicareAdvantage | $6.63 | — |
| Anthem | MedicareHMO | $6.63 | — |
| Anthem | MedicarePPO | $6.63 | — |
| Anthem | MedicareSelect | $6.63 | — |
| Aetna | MCR | $6.63 | — |
| Molina | MCD | $6.63 | — |
| United | AllPayerAppendix | $6.63 | — |
| United | MGMCD | $6.63 | — |
| Anthem BCBS | MGMCD | $6.63 | — |
| Sarah Cannon Research | COMM | $6.63 | — |
| Coventry Cares | MCD | $6.63 | — |
| Humana CareSource | MGMCD | $6.70 | — |
| United | MGMCR | $6.76 | — |
| Horizon Pace | MCR | $6.83 | — |
| Wellcare | CHIP | $8.75 | — |
| Wellcare | MGMCD | $8.75 | — |
| Prime Health | WORKERSCOMP | $156.31 | — |
| Signature Advantage | MCRHMO | $185.04 | — |
| Humana | COMM | $256.13 | — |
| Anthem | PathwayHMO | $258.56 | — |
| Cigna | PPO | $290.21 | — |
| Cigna | HMO | $290.21 | — |
| Anthem | Traditional/HMO/PPO | $304.24 | — |
| United | OptionsPPO | $315.53 | — |
| United | GlobalBenefitPlan | $438.24 | — |
| CDM Health | COMMHMO | $477.20 | — |
| Southern Kentucky Rehab | COMM | $730.40 | — |
| Up and Up | COMM | $779.10 | — |
| Tim Davis and Associates | COMM | $779.10 | — |
| Occupational MC Alliance | COMM | $779.10 | — |
| Fortified Provider Network | WCOMP | $876.48 | — |
| MultiPlan | COMM | $876.48 | — |
| Fortified Provider Network | COMM | $876.48 | — |
| Aetna | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Culture screening strep group a at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $63.64 | $5.63 – $120.12 |
| Marcum Wallace Hospital | Irvine | $94.80 | not published |
| Lourdes Hospital | Paducah | $74.40 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $56.08 | $5.63 – $139.23 |
| CHI Saint Joseph Health - Saint Joseph London | London | $50.32 | $5.63 – $128.31 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $157.46 | $5.63 – $356.72 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $197.42 | $5.63 – $356.72 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $59.83 | $5.63 – $128.31 |