Abd/low ext cath 1st at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$813.30
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.
$5,422.00
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.
$163.00 with BLUE CROSS vs $5,422.00 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 | BLUE CROSS E NETWORK | $163.00 | ↓ -80% |
| BLUE CROSS | BLUE CROSS S NETWORK | $167.00 | ↓ -79% |
| BLUE CROSS | BLUE CROSS P NETWORK | $167.00 | ↓ -79% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $277.00 | ↓ -66% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $289.00 | ↓ -64% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $322.00 | ↓ -60% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $354.29 | ↓ -56% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $528.00 | ↓ -35% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $866.87 | ↑ +7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $866.87 | ↑ +7% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $867.71 | ↑ +7% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $875.29 | ↑ +8% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $883.70 | ↑ +9% |
| SENTARA HEALTH | SENTARA HEALTH | $1,399.42 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,260.97 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,260.97 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,260.97 | ↑ +178% |
| AETNA | AETNA | $2,315.19 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $2,515.81 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $2,580.33 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $4,174.94 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $5,422.00 | ↑ +567% |
Visitor-reported prices
Comments
Abd/low ext cath 1st at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $3,609.77 | $2,118.00 – $3,422.09 |
| CHI Memorial Hospital Hixson | Hixson | $1,511.68 | $1,021.40 – $5,206.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $434.93 | $98.00 – $241.79 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,160.27 | $1,072.47 – $5,206.00 |
| Johnson City Medical Center | JOHNSON CITY | $813.30 | $354.29 – $886.80 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $3,609.77 | $2,118.00 – $3,648.60 |
| Greeneville Community Hospital | GREENEVILLE | $813.30 | $354.29 – $925.28 |
| Franklin Woods Community Hospital | JOHNSON CITY | $813.30 | $354.29 – $962.29 |