Unlisted ultrasound procedure at GREENVIEW REGIONAL HOSPITAL
478 Lovers Ln, BOWLING GREEN, KY · Tristarhealth · · NPI 1871547703
$1,131.64
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.
$1,131.64
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.
$79.21 with Anthem BCBS vs $1,018.48 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 | $79.21 | ↓ -93% |
| Molina | MCD | $79.21 | ↓ -93% |
| United | MGMCD | $79.21 | ↓ -93% |
| Humana CareSource | MGMCD | $80.01 | ↓ -93% |
| Coventry Cares | MCD | $158.43 | ↓ -86% |
| Prime Health | WORKERSCOMP | $181.63 | ↓ -84% |
| United | AllPayerAppendix | $182.03 | ↓ -84% |
| Signature Advantage | MCRHMO | $215.01 | ↓ -81% |
| Anthem | PathwayHMO | $300.45 | ↓ -73% |
| Cigna | PPO | $337.23 | ↓ -70% |
| Cigna | HMO | $337.23 | ↓ -70% |
| Anthem | Traditional/HMO/PPO | $353.52 | ↓ -69% |
| United | OptionsPPO | $366.65 | ↓ -68% |
| United | GlobalBenefitPlan | $509.24 | ↓ -55% |
| CDM Health | COMMHMO | $554.50 | ↓ -51% |
| Humana | Tricare | $848.73 | ↓ -25% |
| Southern Kentucky Rehab | COMM | $848.73 | ↓ -25% |
| Occupational MC Alliance | COMM | $905.31 | ↓ -20% |
| Up and Up | COMM | $905.31 | ↓ -20% |
| Tim Davis and Associates | COMM | $905.31 | ↓ -20% |
| Fortified Provider Network | COMM | $1,018.48 | ↓ -10% |
| Fortified Provider Network | WCOMP | $1,018.48 | ↓ -10% |
| MultiPlan | COMM | $1,018.48 | ↓ -10% |
| Aetna | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted ultrasound procedure at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Marcum Wallace Hospital | Irvine | $468.00 | not published |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $166.70 | $101.43 – $377.65 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $195.50 | $97.49 – $377.65 |
| Baptist Health Corbin | Corbin | $1,336.12 | $784.00 – $2,513.76 |
| Baptist Health Lexington | Lexington | $1,336.12 | $84.99 – $1,256.88 |
| Baptist Health Hardin | Elizabethtown | $1,336.12 | $1,256.88 – $2,513.76 |
| Baptist Health La Grange | La Grange | $1,336.12 | $287.04 – $2,513.76 |
| Baptist Health Paducah | Paducah | $1,336.12 | $86.51 – $1,256.88 |