Assay of adp & amp at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$45.15
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.
$301.00
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.
$12.90 with AMERIGROUP vs $301.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $12.90 | ↓ -71% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $14.11 | ↓ -69% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $14.11 | ↓ -69% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $14.12 | ↓ -69% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $14.25 | ↓ -68% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $14.39 | ↓ -68% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $21.92 | ↓ -51% |
| AETNA | AETNA HEALTHCARE MEDICARE | $25.80 | ↓ -43% |
| HUMANA | HUMANA MEDICARE | $25.80 | ↓ -43% |
| BLUE CROSS | ANTHEM EXCHANGE | $25.80 | ↓ -43% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $25.80 | ↓ -43% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $25.80 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $25.80 | ↓ -43% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $25.80 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $25.80 | ↓ -43% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $25.80 | ↓ -43% |
| SENTARA HEALTH | SENTARA MEDICARE | $25.80 | ↓ -43% |
| BLUE CROSS | ANTHEM HMO | $25.80 | ↓ -43% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $25.80 | ↓ -43% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $26.57 | ↓ -41% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $26.57 | ↓ -41% |
| BLUE CROSS | BLUE CROSS MEDICARE | $26.83 | ↓ -41% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $26.83 | ↓ -41% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $26.83 | ↓ -41% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $27.09 | ↓ -40% |
| NHC ADVANTAGE | NHC ADVANTAGE | $27.09 | ↓ -40% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $27.09 | ↓ -40% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $27.09 | ↓ -40% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $27.09 | ↓ -40% |
| WELLCARE | WELLCARE MEDICARE | $27.35 | ↓ -39% |
| AMBETTER | AMBETTER | $56.24 | ↑ +25% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $57.02 | ↑ +26% |
| BLUE CROSS | TENNCARE BLUE CARE | $58.74 | ↑ +30% |
| BLUE CROSS | TENNCARE BLUE SELECT | $58.74 | ↑ +30% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $61.92 | ↑ +37% |
| SENTARA HEALTH | SENTARA HEALTH | $77.69 | ↑ +72% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $84.01 | ↑ +86% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $103.79 | ↑ +130% |
| CIGNA HEALTHCARE | CIGNA PPO | $103.79 | ↑ +130% |
| CIGNA HEALTHCARE | CIGNA HMO | $103.79 | ↑ +130% |
| BLUE CROSS | BLUE CROSS E NETWORK | $113.66 | ↑ +152% |
| BLUE CROSS | BLUE CROSS P NETWORK | $116.13 | ↑ +157% |
| BLUE CROSS | BLUE CROSS S NETWORK | $116.13 | ↑ +157% |
| AETNA | AETNA | $128.53 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $143.25 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $231.77 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $301.00 | ↑ +567% |
Visitor-reported prices
Comments
Assay of adp & amp at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $44.39 | $15.51 – $57.02 |
| Greeneville Community Hospital | GREENEVILLE | $45.15 | $11.61 – $56.24 |
| Holston Valley Medical Center | KINGSPORT | $45.15 | $12.90 – $61.92 |
| 62-0123940 BMH Collierville | Collierville | $102.06 | $24.51 – $51.60 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $45.15 | $12.90 – $56.24 |
| SKYLINE MADISON CAMPUS | NASHVILLE | $1,042.93 | $11.61 – $77.40 |
| Ascension Saint Thomas Midtown | Nashville | not published | $9.29 – $99.32 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $18.09 – $99.32 |