Surgical pathology level 2 gross & microscopic examination at GREENVIEW REGIONAL HOSPITAL
478 Lovers Ln, BOWLING GREEN, KY · Tristarhealth · · NPI 1871547703
$1,142.22
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.
$1,142.22
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.
$24.67 with United vs $1,028.00 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 |
|---|---|---|---|
| United | AllPayerAppendix | $24.67 | ↓ -98% |
| Anthem BCBS | MGMCD | $34.49 | ↓ -97% |
| Coventry Cares | MCD | $34.49 | ↓ -97% |
| Molina | MCD | $34.49 | ↓ -97% |
| United | MGMCD | $34.49 | ↓ -97% |
| Humana CareSource | MGMCD | $34.83 | ↓ -97% |
| Prime Health | WORKERSCOMP | $183.33 | ↓ -84% |
| Signature Advantage | MCRHMO | $217.02 | ↓ -81% |
| Humana | COMM | $300.40 | ↓ -74% |
| Anthem | PathwayHMO | $303.26 | ↓ -73% |
| Cigna | HMO | $340.38 | ↓ -70% |
| Cigna | PPO | $340.38 | ↓ -70% |
| Anthem | Traditional/HMO/PPO | $356.83 | ↓ -69% |
| United | OptionsPPO | $370.08 | ↓ -68% |
| United | GlobalBenefitPlan | $514.00 | ↓ -55% |
| CDM Health | COMMHMO | $559.69 | ↓ -51% |
| Humana | Tricare | $856.66 | ↓ -25% |
| Southern Kentucky Rehab | COMM | $856.66 | ↓ -25% |
| Occupational MC Alliance | COMM | $913.78 | ↓ -20% |
| Up and Up | COMM | $913.78 | ↓ -20% |
| Tim Davis and Associates | COMM | $913.78 | ↓ -20% |
| Fortified Provider Network | COMM | $1,028.00 | ↓ -10% |
| Fortified Provider Network | WCOMP | $1,028.00 | ↓ -10% |
| MultiPlan | COMM | $1,028.00 | ↓ -10% |
| Aetna | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 2 gross & microscopic examination at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $160.53 | $25.77 – $303.03 |
| Marcum Wallace Hospital | Irvine | $130.20 | not published |
| Lourdes Hospital | Paducah | $189.00 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $31.89 | $25.77 – $79.17 |
| CHI Saint Joseph Health - Saint Joseph London | London | $112.41 | $25.77 – $286.65 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $120.51 | $25.77 – $273.00 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $141.33 | $25.77 – $273.00 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $53.89 | $22.41 – $115.57 |