X-ray surgical specimen at GREENVIEW REGIONAL HOSPITAL
478 Lovers Ln, BOWLING GREEN, KY · Tristarhealth · · NPI 1871547703
$1,298.72
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.
$1,298.72
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.
$24.41 with Southern Kentucky Rehab vs $1,168.85 with Fortified Provider Network — 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 |
|---|---|---|---|
| Southern Kentucky Rehab | COMM | $24.41 | ↓ -98% |
| Anthem BCBS | MGMCD | $90.91 | ↓ -93% |
| Molina | MCD | $90.91 | ↓ -93% |
| United | MGMCD | $90.91 | ↓ -93% |
| Humana CareSource | MGMCD | $91.82 | ↓ -93% |
| Coventry Cares | MCD | $181.82 | ↓ -86% |
| Prime Health | WORKERSCOMP | $208.44 | ↓ -84% |
| Signature Advantage | MCRHMO | $246.76 | ↓ -81% |
| Humana | COMM | $341.56 | ↓ -74% |
| Anthem | PathwayHMO | $344.81 | ↓ -73% |
| Cigna | HMO | $387.02 | ↓ -70% |
| Cigna | PPO | $387.02 | ↓ -70% |
| Anthem | Traditional/HMO/PPO | $405.72 | ↓ -69% |
| United | OptionsPPO | $420.79 | ↓ -68% |
| United | GlobalBenefitPlan | $584.42 | ↓ -55% |
| CDM Health | COMMHMO | $636.37 | ↓ -51% |
| Humana | Tricare | $974.04 | ↓ -25% |
| Up and Up | COMM | $1,038.98 | ↓ -20% |
| Occupational MC Alliance | COMM | $1,038.98 | ↓ -20% |
| Tim Davis and Associates | COMM | $1,038.98 | ↓ -20% |
| United | AllPayerAppendix | $1,086.50 | ↓ -16% |
| MultiPlan | COMM | $1,168.85 | ↓ -10% |
| Fortified Provider Network | WCOMP | $1,168.85 | ↓ -10% |
| Fortified Provider Network | COMM | $1,168.85 | ↓ -10% |
| Aetna | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
X-ray surgical specimen at other Kentucky hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Lourdes Hospital | Paducah | $568.80 | not published |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling | $71.10 | $40.61 – $176.54 |
| CHI Saint Joseph Health - Saint Joseph London | London | $155.23 | $24.38 – $395.85 |
| CHI Saint Joseph Health - Saint Joseph East | Lexington | $264.31 | $24.38 – $598.78 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington | $309.98 | $24.38 – $598.78 |
| CHI Saint Joseph Health - Flaget Memorial Hospital | Bardstown | $279.18 | $24.38 – $598.78 |
| Adventhealth Manchester | Manchester | $1,599.54 | $512.70 – $512.70 |
| Baptist Health Corbin | Corbin | $2,078.35 | $2,771.13 – $5,542.26 |