Gamunex-c/gammaked 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.
$47.38 with Humana vs $1,759.31 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 | $47.38 | — |
| United | AllPayerAppendix | $80.98 | — |
| United | MGMCD | $136.84 | — |
| Anthem BCBS | MGMCD | $136.84 | — |
| Molina | MCD | $136.84 | — |
| Humana CareSource | MGMCD | $138.20 | — |
| Coventry Cares | MCD | $273.67 | — |
| Prime Health | WORKERSCOMP | $313.74 | — |
| Anthem | PathwayHMO | $519.00 | — |
| Anthem | Traditional/HMO/PPO | $610.68 | — |
| United | OptionsPPO | $633.35 | — |
| Aetna | Commercial | $834.70 | — |
| United | GlobalBenefitPlan | $879.66 | — |
| CDM Health | COMMHMO | $957.85 | — |
| Southern Kentucky Rehab | COMM | $1,466.09 | — |
| Up and Up | COMM | $1,563.83 | — |
| Occupational MC Alliance | COMM | $1,563.83 | — |
| Tim Davis and Associates | COMM | $1,563.83 | — |
| Fortified Provider Network | COMM | $1,759.31 | — |
| MultiPlan | COMM | $1,759.31 | — |
| Fortified Provider Network | WCOMP | $1,759.31 | — |
Visitor-reported prices
Comments
Gamunex-c/gammaked at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $5,048.89 | $147.03 – $2,594.24 |
| Marcum Wallace Hospital | Irvine | $16,837.08 | not published |
| Lourdes Hospital | Paducah | $17,491.86 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $3,838.40 | $57.79 – $2,594.24 |
| CHI Saint Joseph Health - Saint Joseph London | London | $3,737.38 | $57.79 – $2,594.24 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $4,207.02 | $57.79 – $2,594.24 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $5,274.74 | $57.79 – $2,594.24 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $4,443.79 | $57.79 – $2,594.24 |