Pretreat rbc w chem/drugs reference at GREENVIEW REGIONAL HOSPITAL
478 Lovers Ln, BOWLING GREEN, KY · Tristarhealth · · NPI 1871547703
$112.45
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.
$112.45
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.
$7.87 with Anthem BCBS vs $101.20 with MultiPlan — 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 | $7.87 | ↓ -93% |
| Molina | MCD | $7.87 | ↓ -93% |
| United | MGMCD | $7.87 | ↓ -93% |
| Humana CareSource | MGMCD | $7.95 | ↓ -93% |
| Coventry Cares | MCD | $15.74 | ↓ -86% |
| Prime Health | WORKERSCOMP | $18.05 | ↓ -84% |
| Signature Advantage | MCRHMO | $21.37 | ↓ -81% |
| Humana | COMM | $29.57 | ↓ -74% |
| Anthem | PathwayHMO | $29.86 | ↓ -73% |
| Cigna | PPO | $33.51 | ↓ -70% |
| Cigna | HMO | $33.51 | ↓ -70% |
| United | AllPayerAppendix | $33.84 | ↓ -70% |
| Anthem | Traditional/HMO/PPO | $35.13 | ↓ -69% |
| United | OptionsPPO | $36.43 | ↓ -68% |
| United | GlobalBenefitPlan | $50.60 | ↓ -55% |
| CDM Health | COMMHMO | $55.10 | ↓ -51% |
| Humana | Tricare | $84.34 | ↓ -25% |
| Southern Kentucky Rehab | COMM | $84.34 | ↓ -25% |
| Occupational MC Alliance | COMM | $89.96 | ↓ -20% |
| Up and Up | COMM | $89.96 | ↓ -20% |
| Tim Davis and Associates | COMM | $89.96 | ↓ -20% |
| Fortified Provider Network | COMM | $101.20 | ↓ -10% |
| Fortified Provider Network | WCOMP | $101.20 | ↓ -10% |
| MultiPlan | COMM | $101.20 | ↓ -10% |
| Aetna | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Pretreat rbc w chem/drugs reference at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $25.55 | $9.72 – $48.23 |
| Marcum Wallace Hospital | Irvine | $288.00 | not published |
| Lourdes Hospital | Paducah | $288.00 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $19.43 | $9.72 – $48.23 |
| CHI Saint Joseph Health - Saint Joseph London | London | $18.56 | $7.43 – $47.32 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $20.89 | $9.72 – $47.32 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $26.19 | $9.72 – $47.32 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $49.22 | $9.72 – $105.56 |