Nm imaging pulmonary ventilation/perfusion at GREENVIEW REGIONAL HOSPITAL
478 Lovers Ln, BOWLING GREEN, KY · Tristarhealth · · NPI 1871547703
$2,550.04
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.
$2,550.04
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.
$178.50 with Anthem BCBS vs $2,295.04 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 |
|---|---|---|---|
| Anthem BCBS | MGMCD | $178.50 | ↓ -93% |
| United | MGMCD | $178.50 | ↓ -93% |
| Molina | MCD | $178.50 | ↓ -93% |
| Humana CareSource | MGMCD | $180.29 | ↓ -93% |
| Southern Kentucky Rehab | COMM | $235.49 | ↓ -91% |
| Coventry Cares | MCD | $357.01 | ↓ -86% |
| Prime Health | WORKERSCOMP | $409.28 | ↓ -84% |
| Signature Advantage | MCRHMO | $484.51 | ↓ -81% |
| Humana | COMM | $670.66 | ↓ -74% |
| Anthem | PathwayHMO | $677.04 | ↓ -73% |
| Cigna | HMO | $759.91 | ↓ -70% |
| Cigna | PPO | $759.91 | ↓ -70% |
| Anthem | Traditional/HMO/PPO | $796.63 | ↓ -69% |
| United | OptionsPPO | $826.21 | ↓ -68% |
| United | AllPayerAppendix | $1,101.15 | ↓ -57% |
| United | GlobalBenefitPlan | $1,147.52 | ↓ -55% |
| CDM Health | COMMHMO | $1,249.52 | ↓ -51% |
| Humana | Tricare | $1,912.53 | ↓ -25% |
| Occupational MC Alliance | COMM | $2,040.03 | ↓ -20% |
| Tim Davis and Associates | COMM | $2,040.03 | ↓ -20% |
| Up and Up | COMM | $2,040.03 | ↓ -20% |
| Fortified Provider Network | WCOMP | $2,295.04 | ↓ -10% |
| MultiPlan | COMM | $2,295.04 | ↓ -10% |
| Fortified Provider Network | COMM | $2,295.04 | ↓ -10% |
| Aetna | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Nm imaging pulmonary ventilation/perfusion at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $795.39 | $455.24 – $1,501.50 |
| Lourdes Hospital | Paducah | $2,526.60 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $955.79 | $545.86 – $2,373.28 |
| CHI Saint Joseph Health - Saint Joseph London | London | $642.31 | $257.04 – $1,638.00 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $662.37 | $403.02 – $1,500.59 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $776.82 | $387.36 – $1,500.59 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $596.97 | $248.20 – $1,280.37 |
| Adventhealth Manchester | Manchester | $2,045.06 | $509.46 – $509.46 |