Pt re-evaluation patient/family at GREENVIEW REGIONAL HOSPITAL
478 Lovers Ln, BOWLING GREEN, KY · Tristarhealth · · NPI 1871547703
$360.06
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.
$360.06
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.
$25.20 with Anthem BCBS vs $324.05 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 | $25.20 | ↓ -93% |
| United | MGMCD | $25.20 | ↓ -93% |
| Molina | MCD | $25.20 | ↓ -93% |
| Humana CareSource | MGMCD | $25.46 | ↓ -93% |
| Coventry Cares | MCD | $50.41 | ↓ -86% |
| Anthem | MedicareSelect | $55.92 | ↓ -84% |
| VA CCN | FEDERAL | $55.92 | ↓ -84% |
| Wellcare | MCR | $55.92 | ↓ -84% |
| Humana | MedicareAdvantage | $55.92 | ↓ -84% |
| Anthem | MedicareHMO | $55.92 | ↓ -84% |
| Anthem | MedicarePPO | $55.92 | ↓ -84% |
| Aetna | MCR | $55.92 | ↓ -84% |
| Sarah Cannon Research | COMM | $55.92 | ↓ -84% |
| Devoted Health | MGMCR | $55.92 | ↓ -84% |
| United | MGMCR | $57.04 | ↓ -84% |
| Horizon Pace | MCR | $57.60 | ↓ -84% |
| Prime Health | WORKERSCOMP | $57.79 | ↓ -84% |
| Humana | Tricare | $61.87 | ↓ -83% |
| Signature Advantage | MCRHMO | $68.41 | ↓ -81% |
| Wellcare | MGMCD | $73.82 | ↓ -79% |
| Wellcare | CHIP | $73.82 | ↓ -79% |
| Humana | COMM | $94.70 | ↓ -74% |
| Anthem | PathwayHMO | $95.60 | ↓ -73% |
| Cigna | PPO | $107.30 | ↓ -70% |
| Cigna | HMO | $107.30 | ↓ -70% |
| Anthem | Traditional/HMO/PPO | $112.48 | ↓ -69% |
| United | OptionsPPO | $116.66 | ↓ -68% |
| United | GlobalBenefitPlan | $162.03 | ↓ -55% |
| CDM Health | COMMHMO | $176.43 | ↓ -51% |
| Southern Kentucky Rehab | COMM | $270.05 | ↓ -25% |
| Tim Davis and Associates | COMM | $288.05 | ↓ -20% |
| Up and Up | COMM | $288.05 | ↓ -20% |
| Occupational MC Alliance | COMM | $288.05 | ↓ -20% |
| Fortified Provider Network | WCOMP | $324.05 | ↓ -10% |
| Fortified Provider Network | COMM | $324.05 | ↓ -10% |
| MultiPlan | COMM | $324.05 | ↓ -10% |
| Aetna | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Pt re-evaluation patient/family at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $71.83 | $41.11 – $135.59 |
| Marcum Wallace Hospital | Irvine | $162.60 | not published |
| Lourdes Hospital | Paducah | $60.00 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $179.58 | $40.74 – $445.90 |
| CHI Saint Joseph Health - Saint Joseph London | London | $81.36 | $32.56 – $207.48 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $132.16 | $80.41 – $299.39 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $154.99 | $47.45 – $183.82 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $62.37 | $25.94 – $133.77 |