Heparin assay at GREENVIEW REGIONAL HOSPITAL
478 Lovers Ln, BOWLING GREEN, KY · Tristarhealth · · NPI 1871547703
$785.23
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.
$785.23
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.
$12.64 with Humana vs $706.71 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 | $12.64 | ↓ -98% |
| Wellcare | MCR | $13.09 | ↓ -98% |
| VA CCN | FEDERAL | $13.09 | ↓ -98% |
| Humana | MedicareAdvantage | $13.09 | ↓ -98% |
| Anthem | MedicareHMO | $13.09 | ↓ -98% |
| Anthem | MedicarePPO | $13.09 | ↓ -98% |
| Anthem | MedicareSelect | $13.09 | ↓ -98% |
| Aetna | MCR | $13.09 | ↓ -98% |
| Molina | MCD | $13.09 | ↓ -98% |
| United | AllPayerAppendix | $13.09 | ↓ -98% |
| United | MGMCD | $13.09 | ↓ -98% |
| Anthem BCBS | MGMCD | $13.09 | ↓ -98% |
| Sarah Cannon Research | COMM | $13.09 | ↓ -98% |
| Coventry Cares | MCD | $13.09 | ↓ -98% |
| Devoted Health | MGMCR | $13.09 | ↓ -98% |
| Humana CareSource | MGMCD | $13.22 | ↓ -98% |
| United | MGMCR | $13.35 | ↓ -98% |
| Horizon Pace | MCR | $13.48 | ↓ -98% |
| Wellcare | MGMCD | $17.28 | ↓ -98% |
| Wellcare | CHIP | $17.28 | ↓ -98% |
| Prime Health | WORKERSCOMP | $126.03 | ↓ -84% |
| Signature Advantage | MCRHMO | $149.19 | ↓ -81% |
| Humana | COMM | $206.52 | ↓ -74% |
| Anthem | PathwayHMO | $208.48 | ↓ -73% |
| Cigna | PPO | $234.00 | ↓ -70% |
| Cigna | HMO | $234.00 | ↓ -70% |
| Anthem | Traditional/HMO/PPO | $245.31 | ↓ -69% |
| United | OptionsPPO | $254.41 | ↓ -68% |
| United | GlobalBenefitPlan | $353.35 | ↓ -55% |
| CDM Health | COMMHMO | $384.76 | ↓ -51% |
| Southern Kentucky Rehab | COMM | $588.92 | ↓ -25% |
| Up and Up | COMM | $628.18 | ↓ -20% |
| Occupational MC Alliance | COMM | $628.18 | ↓ -20% |
| Tim Davis and Associates | COMM | $628.18 | ↓ -20% |
| Fortified Provider Network | WCOMP | $706.71 | ↓ -10% |
| MultiPlan | COMM | $706.71 | ↓ -10% |
| Fortified Provider Network | COMM | $706.71 | ↓ -10% |
| Aetna | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Heparin assay at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $36.64 | $11.12 – $69.16 |
| Marcum Wallace Hospital | Irvine | $128.40 | not published |
| Lourdes Hospital | Paducah | $207.00 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $156.13 | $11.12 – $387.66 |
| CHI Saint Joseph Health - Saint Joseph London | London | $81.72 | $11.12 – $208.39 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $124.12 | $11.12 – $281.19 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $145.57 | $11.12 – $281.19 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $88.26 | $11.12 – $189.28 |