Application of forearm cast 29075 at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$130.20
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.
$868.00
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.
$26.68 with BLUE CROSS vs $868.00 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 | $26.68 | ↓ -80% |
| BLUE CROSS | TENNCARE BLUE CARE | $26.68 | ↓ -80% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $64.86 | ↓ -50% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $162.00 | ↑ +24% |
| BEACON HEALTH | BEACON HEALTH VALUE OPTIONS BH | $187.00 | ↑ +44% |
| SENTARA HEALTH | SENTARA HEALTH | $224.03 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $255.12 | ↑ +96% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $255.12 | ↑ +96% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $255.37 | ↑ +96% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $257.60 | ↑ +98% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $260.07 | ↑ +100% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $265.33 | ↑ +104% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $265.33 | ↑ +104% |
| AETNA | AETNA HEALTHCARE MEDICARE | $265.33 | ↑ +104% |
| HUMANA | HUMANA MEDICARE | $265.33 | ↑ +104% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $265.33 | ↑ +104% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $265.33 | ↑ +104% |
| SENTARA HEALTH | SENTARA MEDICARE | $265.33 | ↑ +104% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $273.29 | ↑ +110% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $273.29 | ↑ +110% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $275.94 | ↑ +112% |
| BLUE CROSS | BLUE CROSS MEDICARE | $275.94 | ↑ +112% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $278.60 | ↑ +114% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $278.60 | ↑ +114% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $278.60 | ↑ +114% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $278.60 | ↑ +114% |
| NHC ADVANTAGE | NHC ADVANTAGE | $278.60 | ↑ +114% |
| WELLCARE | WELLCARE MEDICARE | $281.25 | ↑ +116% |
| AETNA | AETNA | $370.64 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $413.08 | ↑ +217% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $471.00 | ↑ +262% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $491.00 | ↑ +277% |
| AMBETTER | AMBETTER | $578.42 | ↑ +344% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $636.79 | ↑ +389% |
| BLUE CROSS | ANTHEM EXCHANGE | $661.63 | ↑ +408% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $668.36 | ↑ +413% |
| BLUE CROSS | ANTHEM HMO | $702.98 | ↑ +440% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $827.05 | ↑ +535% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $847.00 | ↑ +551% |
| WELLCARE | WELLCARE MEDICAID | $868.00 | ↑ +567% |
Visitor-reported prices
Comments
Application of forearm cast 29075 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $75.44 | $210.98 – $485.02 |
| Johnson City Medical Center | JOHNSON CITY | $130.20 | $64.86 – $568.96 |
| Hancock County Hospital | SNEEDVILLE | $127.65 | $26.68 – $285.93 |
| Greeneville Community Hospital | GREENEVILLE | $130.20 | $26.68 – $568.96 |
| Franklin Woods Community Hospital | JOHNSON CITY | $130.20 | $64.86 – $553.60 |
| Holston Valley Medical Center | KINGSPORT | $130.20 | $26.68 – $636.79 |
| 62-0123940 BMH Collierville | Collierville | $68.88 | $38.98 – $486.38 |
| Indian Path Community Hospital | KINGSPORT | $130.20 | $64.86 – $609.02 |