Surgical pathology level 5 gross & microscopic examination at GREENVIEW REGIONAL HOSPITAL
478 Lovers Ln, BOWLING GREEN, KY · Tristarhealth · · NPI 1871547703
$4,807.33
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.
$4,807.33
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.
$152.38 with Anthem BCBS vs $4,326.60 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 | $152.38 | ↓ -97% |
| Coventry Cares | MCD | $152.38 | ↓ -97% |
| Molina | MCD | $152.38 | ↓ -97% |
| United | MGMCD | $152.38 | ↓ -97% |
| Humana CareSource | MGMCD | $153.90 | ↓ -97% |
| United | AllPayerAppendix | $291.26 | ↓ -94% |
| Prime Health | WORKERSCOMP | $771.58 | ↓ -84% |
| Signature Advantage | MCRHMO | $913.39 | ↓ -81% |
| Humana | COMM | $1,264.33 | ↓ -74% |
| Anthem | PathwayHMO | $1,276.35 | ↓ -73% |
| Cigna | HMO | $1,432.58 | ↓ -70% |
| Cigna | PPO | $1,432.58 | ↓ -70% |
| Anthem | Traditional/HMO/PPO | $1,501.81 | ↓ -69% |
| United | OptionsPPO | $1,557.57 | ↓ -68% |
| United | GlobalBenefitPlan | $2,163.30 | ↓ -55% |
| CDM Health | COMMHMO | $2,355.59 | ↓ -51% |
| Humana | Tricare | $3,605.50 | ↓ -25% |
| Southern Kentucky Rehab | COMM | $3,605.50 | ↓ -25% |
| Occupational MC Alliance | COMM | $3,845.86 | ↓ -20% |
| Up and Up | COMM | $3,845.86 | ↓ -20% |
| Tim Davis and Associates | COMM | $3,845.86 | ↓ -20% |
| Fortified Provider Network | COMM | $4,326.60 | ↓ -10% |
| Fortified Provider Network | WCOMP | $4,326.60 | ↓ -10% |
| MultiPlan | COMM | $4,326.60 | ↓ -10% |
| Aetna | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Saint Joseph Health - Saint Joseph Berea | Berea | $477.24 | $81.27 – $900.90 |
| Marcum Wallace Hospital | Irvine | $451.80 | not published |
| Lourdes Hospital | Paducah | $577.20 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $172.98 | $81.27 – $429.52 |
| CHI Saint Joseph Health - Saint Joseph London | London | $319.37 | $81.27 – $814.45 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $360.71 | $81.27 – $817.18 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $452.25 | $81.27 – $817.18 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $228.27 | $81.27 – $489.58 |