Ot evaluation moderate complexity patient/family at GREENVIEW REGIONAL HOSPITAL
478 Lovers Ln, BOWLING GREEN, KY · Tristarhealth · · NPI 1871547703
$521.81
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.
?
What you pay up front if you don't use insurance.
$521.81
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.
?
The hospital's undiscounted list price — almost no one pays this.
$36.53 with Anthem BCBS vs $469.63 with MultiPlan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $36.53 | ↓ -93% |
| United | MGMCD | $36.53 | ↓ -93% |
| Molina | MCD | $36.53 | ↓ -93% |
| Humana CareSource | MGMCD | $36.89 | ↓ -93% |
| Coventry Cares | MCD | $73.05 | ↓ -86% |
| Anthem | MedicareSelect | $83.69 | ↓ -84% |
| VA CCN | FEDERAL | $83.69 | ↓ -84% |
| Wellcare | MCR | $83.69 | ↓ -84% |
| Humana | MedicareAdvantage | $83.69 | ↓ -84% |
| Anthem | MedicareHMO | $83.69 | ↓ -84% |
| Anthem | MedicarePPO | $83.69 | ↓ -84% |
| Aetna | MCR | $83.69 | ↓ -84% |
| Sarah Cannon Research | COMM | $83.69 | ↓ -84% |
| Devoted Health | MGMCR | $83.69 | ↓ -84% |
| Prime Health | WORKERSCOMP | $83.75 | ↓ -84% |
| United | MGMCR | $85.36 | ↓ -84% |
| Horizon Pace | MCR | $86.20 | ↓ -83% |
| Humana | Tricare | $92.51 | ↓ -82% |
| Signature Advantage | MCRHMO | $99.14 | ↓ -81% |
| Wellcare | MGMCD | $110.47 | ↓ -79% |
| Wellcare | CHIP | $110.47 | ↓ -79% |
| Humana | COMM | $137.24 | ↓ -74% |
| Anthem | PathwayHMO | $138.54 | ↓ -73% |
| Cigna | PPO | $155.50 | ↓ -70% |
| Cigna | HMO | $155.50 | ↓ -70% |
| Anthem | Traditional/HMO/PPO | $163.01 | ↓ -69% |
| United | OptionsPPO | $169.07 | ↓ -68% |
| United | GlobalBenefitPlan | $234.81 | ↓ -55% |
| CDM Health | COMMHMO | $255.69 | ↓ -51% |
| Southern Kentucky Rehab | COMM | $391.36 | ↓ -25% |
| Tim Davis and Associates | COMM | $417.45 | ↓ -20% |
| Up and Up | COMM | $417.45 | ↓ -20% |
| Occupational MC Alliance | COMM | $417.45 | ↓ -20% |
| Fortified Provider Network | WCOMP | $469.63 | ↓ -10% |
| Fortified Provider Network | COMM | $469.63 | ↓ -10% |
| MultiPlan | COMM | $469.63 | ↓ -10% |
| Aetna | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Ot evaluation moderate complexity patient/family at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $150.41 | $86.09 – $283.92 |
| Marcum Wallace Hospital | Irvine | $336.60 | not published |
| Lourdes Hospital | Paducah | $336.60 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $159.06 | $82.85 – $394.94 |
| CHI Saint Joseph Health - Saint Joseph London | London | $126.32 | $50.56 – $322.14 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $157.06 | $95.57 – $355.81 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $184.20 | $91.85 – $355.81 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $95.04 | $39.52 – $203.84 |