Anal/urinary muscle study at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$118.20
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.
$788.00
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.
$14.69 with BLUE CROSS vs $788.00 with UNITED HEALTHCARE — 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 | $14.69 | ↓ -88% |
| BLUE CROSS | TENNCARE BLUE CARE | $14.69 | ↓ -88% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $128.27 | ↑ +9% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $146.33 | ↑ +24% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $172.98 | ↑ +46% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $172.98 | ↑ +46% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $173.15 | ↑ +46% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $174.66 | ↑ +48% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $176.34 | ↑ +49% |
| SENTARA HEALTH | SENTARA HEALTH | $203.38 | ↑ +72% |
| HUMANA | HUMANA MEDICARE | $237.02 | ↑ +101% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $237.02 | ↑ +101% |
| SENTARA HEALTH | SENTARA MEDICARE | $237.02 | ↑ +101% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $237.02 | ↑ +101% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $237.02 | ↑ +101% |
| AETNA | AETNA HEALTHCARE MEDICARE | $237.02 | ↑ +101% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $237.02 | ↑ +101% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $244.13 | ↑ +107% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $244.13 | ↑ +107% |
| BLUE CROSS | BLUE CROSS MEDICARE | $246.50 | ↑ +109% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $246.50 | ↑ +109% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $248.87 | ↑ +111% |
| NHC ADVANTAGE | NHC ADVANTAGE | $248.87 | ↑ +111% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $248.87 | ↑ +111% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $248.87 | ↑ +111% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $248.87 | ↑ +111% |
| WELLCARE | WELLCARE MEDICARE | $251.24 | ↑ +113% |
| CIGNA HEALTHCARE | CIGNA PPO | $328.60 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $328.60 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $328.60 | ↑ +178% |
| AETNA | AETNA | $336.48 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $365.63 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $375.01 | ↑ +217% |
| AMBETTER | AMBETTER | $516.70 | ↑ +337% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $568.85 | ↑ +381% |
| BLUE CROSS | ANTHEM EXCHANGE | $591.02 | ↑ +400% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $606.76 | ↑ +413% |
| BLUE CROSS | ANTHEM HMO | $627.96 | ↑ +431% |
| BLUE CROSS | BLUE CROSS E NETWORK | $686.66 | ↑ +481% |
| BLUE CROSS | BLUE CROSS P NETWORK | $700.83 | ↑ +493% |
| BLUE CROSS | BLUE CROSS S NETWORK | $700.83 | ↑ +493% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $738.79 | ↑ +525% |
| WELLCARE | WELLCARE MEDICAID | $788.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $788.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $788.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $788.00 | ↑ +567% |
Visitor-reported prices
Comments
Anal/urinary muscle study at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $118.20 | $14.69 – $508.25 |
| Holston Valley Medical Center | KINGSPORT | $118.20 | $14.69 – $568.85 |
| 62-0123940 BMH Collierville | Collierville | $106.26 | $21.45 – $445.42 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $118.20 | $14.69 – $494.16 |
| Ascension Saint Thomas Midtown | Nashville | not published | $41.94 – $998.50 |
| CHI Memorial Hospital Hixson | Hixson | not published | $18.84 – $18.84 |
| CHI Memorial Hospital Chattanooga | Chattanooga | not published | $18.84 – $18.84 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $41.94 – $1,004.50 |