Assay of PSA complexed at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$19.65
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.
$131.00
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.
$9.20 with AMERIGROUP vs $131.00 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 | $9.20 | ↓ -53% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $12.85 | ↓ -35% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $12.85 | ↓ -35% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $12.87 | ↓ -35% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $12.98 | ↓ -34% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $13.10 | ↓ -33% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $15.64 | ↓ -20% |
| AETNA | AETNA HEALTHCARE MEDICARE | $18.39 | ↓ -6% |
| HUMANA | HUMANA MEDICARE | $18.39 | ↓ -6% |
| BLUE CROSS | ANTHEM EXCHANGE | $18.39 | ↓ -6% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $18.39 | ↓ -6% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $18.39 | ↓ -6% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $18.39 | ↓ -6% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $18.39 | ↓ -6% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $18.39 | ↓ -6% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $18.39 | ↓ -6% |
| SENTARA HEALTH | SENTARA MEDICARE | $18.39 | ↓ -6% |
| BLUE CROSS | ANTHEM HMO | $18.39 | ↓ -6% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $18.39 | ↓ -6% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $18.94 | ↓ -4% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $18.94 | ↓ -4% |
| BLUE CROSS | BLUE CROSS MEDICARE | $19.13 | ↓ -3% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $19.13 | ↓ -3% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $19.13 | ↓ -3% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $19.31 | ↓ -2% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $19.31 | ↓ -2% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $19.31 | ↓ -2% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $19.31 | ↓ -2% |
| NHC ADVANTAGE | NHC ADVANTAGE | $19.31 | ↓ -2% |
| WELLCARE | WELLCARE MEDICARE | $19.49 | ↓ -1% |
| BLUE CROSS | TENNCARE BLUE CARE | $23.95 | ↑ +22% |
| BLUE CROSS | TENNCARE BLUE SELECT | $23.95 | ↑ +22% |
| SENTARA HEALTH | SENTARA HEALTH | $33.81 | ↑ +72% |
| AMBETTER | AMBETTER | $40.09 | ↑ +104% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $40.42 | ↑ +106% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $44.14 | ↑ +125% |
| AETNA | AETNA | $55.94 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $62.34 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $67.53 | ↑ +244% |
| CIGNA HEALTHCARE | CIGNA PPO | $74.03 | ↑ +277% |
| CIGNA HEALTHCARE | CIGNA HMO | $74.03 | ↑ +277% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $74.03 | ↑ +277% |
| BLUE CROSS | BLUE CROSS E NETWORK | $81.04 | ↑ +312% |
| BLUE CROSS | BLUE CROSS P NETWORK | $82.80 | ↑ +321% |
| BLUE CROSS | BLUE CROSS S NETWORK | $82.80 | ↑ +321% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $100.87 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $131.00 | ↑ +567% |
Visitor-reported prices
Comments
Assay of PSA complexed at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $19.65 | $9.20 – $40.09 |
| Hancock County Hospital | SNEEDVILLE | $19.32 | $13.03 – $40.42 |
| Greeneville Community Hospital | GREENEVILLE | $19.65 | $8.28 – $40.09 |
| Franklin Woods Community Hospital | JOHNSON CITY | $19.65 | $9.20 – $40.09 |
| Holston Valley Medical Center | KINGSPORT | $19.65 | $9.20 – $44.14 |
| Indian Path Community Hospital | KINGSPORT | $19.65 | $9.20 – $44.14 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $19.65 | $9.20 – $40.09 |
| Johnson County Community Hospital | MOUNTAIN CITY | $19.32 | $13.72 – $40.42 |