99394 periodic comp preventive med 12 to 17 years est at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$60.75
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.
$405.00
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.
$44.21 with BLUE CROSS vs $405.00 with WELLCARE — 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE SELECT | $44.21 | ↓ -27% |
| BLUE CROSS | TENNCARE BLUE CARE | $44.21 | ↓ -27% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $50.24 | ↓ -17% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $62.03 | ↑ +2% |
| SENTARA HEALTH | SENTARA HEALTH | $104.53 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $124.34 | ↑ +105% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $130.82 | ↑ +115% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $130.82 | ↑ +115% |
| CIGNA HEALTHCARE | CIGNA PPO | $168.89 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $168.89 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $168.89 | ↑ +178% |
| AETNA | AETNA | $172.94 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $187.92 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $192.74 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $311.85 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $405.00 | ↑ +567% |
Visitor-reported prices
Comments
99394 periodic comp preventive med 12 to 17 years est at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $60.75 | $30.14 – $44.21 |
| Holston Valley Medical Center | KINGSPORT | $60.75 | $44.21 – $50.24 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $60.75 | $41.87 – $44.21 |
| Ascension Saint Thomas Midtown | Nashville | not published | $38.11 – $38.11 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $38.11 – $50.72 |
| Ascension Saint Thomas Highlands | Sparta | not published | $38.11 – $57.16 |
| Ascension Saint Thomas River Park | McMinnville | not published | $41.87 – $72.41 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $38.11 – $38.11 |