Autologous blood process at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$80.55
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.
$537.00
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.
$21.23 with BLUE CROSS vs $537.00 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 | $21.23 | ↓ -74% |
| BLUE CROSS | TENNCARE BLUE CARE | $21.23 | ↓ -74% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $28.24 | ↓ -65% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $105.32 | ↑ +31% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $110.91 | ↑ +38% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $110.91 | ↑ +38% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $111.02 | ↑ +38% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $111.98 | ↑ +39% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $113.06 | ↑ +40% |
| SENTARA HEALTH | SENTARA HEALTH | $138.60 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $143.50 | ↑ +78% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $143.50 | ↑ +78% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $149.24 | ↑ +85% |
| HUMANA | HUMANA MEDICARE | $161.62 | ↑ +101% |
| AETNA | AETNA HEALTHCARE MEDICARE | $161.62 | ↑ +101% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $161.62 | ↑ +101% |
| SENTARA HEALTH | SENTARA MEDICARE | $161.62 | ↑ +101% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $161.62 | ↑ +101% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $161.62 | ↑ +101% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $161.62 | ↑ +101% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $166.47 | ↑ +107% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $166.47 | ↑ +107% |
| BLUE CROSS | BLUE CROSS MEDICARE | $168.09 | ↑ +109% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $168.09 | ↑ +109% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $169.70 | ↑ +111% |
| NHC ADVANTAGE | NHC ADVANTAGE | $169.70 | ↑ +111% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $169.70 | ↑ +111% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $169.70 | ↑ +111% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $169.70 | ↑ +111% |
| WELLCARE | WELLCARE MEDICARE | $171.32 | ↑ +113% |
| CIGNA HEALTHCARE | CIGNA PPO | $189.48 | ↑ +135% |
| CIGNA HEALTHCARE | CIGNA HMO | $189.48 | ↑ +135% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $189.48 | ↑ +135% |
| BLUE CROSS | BLUE CROSS E NETWORK | $202.62 | ↑ +152% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $206.43 | ↑ +156% |
| BLUE CROSS | BLUE CROSS P NETWORK | $207.01 | ↑ +157% |
| BLUE CROSS | BLUE CROSS S NETWORK | $207.01 | ↑ +157% |
| AETNA | AETNA | $229.30 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $255.56 | ↑ +217% |
| AMBETTER | AMBETTER | $352.34 | ↑ +337% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $387.89 | ↑ +382% |
| BLUE CROSS | ANTHEM EXCHANGE | $403.02 | ↑ +400% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $413.49 | ↑ +413% |
| BLUE CROSS | ANTHEM HMO | $428.21 | ↑ +432% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $503.79 | ↑ +525% |
| WELLCARE | WELLCARE MEDICAID | $537.00 | ↑ +567% |
Visitor-reported prices
Comments
Autologous blood process at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $91.76 | $27.24 – $217.00 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $131.13 | $27.24 – $217.00 |
| Johnson City Medical Center | JOHNSON CITY | $80.55 | $21.23 – $346.58 |
| Ascension Saint Thomas DeKalb | Smithville | $394.55 | $18.30 – $329.59 |
| Ascension Saint Thomas Highlands | Sparta | $394.55 | $18.30 – $329.59 |
| Ascension Saint Thomas River Park | McMinnville | $394.55 | $23.30 – $329.59 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $394.55 | $18.30 – $329.59 |
| Greeneville Community Hospital | GREENEVILLE | $80.55 | $16.95 – $346.58 |