Biopsy of prostate at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$390.30
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.
$2,602.00
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.
$96.26 with BLUE CROSS vs $2,602.00 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 | BLUE CROSS BALLAD HEALTH EMPLOYEE | $96.26 | ↓ -75% |
| SENTARA HEALTH | SENTARA HEALTH | $671.58 | ↑ +72% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $877.38 | ↑ +125% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,085.03 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,085.03 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,085.03 | ↑ +178% |
| AETNA | AETNA | $1,111.05 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,207.33 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $1,238.29 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,003.54 | ↑ +413% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,213.26 | ↑ +467% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,213.26 | ↑ +467% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,215.41 | ↑ +468% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,234.75 | ↑ +473% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,256.24 | ↑ +478% |
| WELLCARE | WELLCARE MEDICAID | $2,602.00 | ↑ +567% |
Visitor-reported prices
Comments
Biopsy of prostate at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,282.16 | $1,185.00 – $1,534.53 |
| CHI Memorial Hospital Hixson | Hixson | $2,088.28 | $125.80 – $440.30 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $2,984.27 | $132.09 – $440.30 |
| Johnson City Medical Center | JOHNSON CITY | $390.30 | $96.26 – $2,264.15 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $845.97 | $1,185.00 – $1,636.56 |
| Hancock County Hospital | SNEEDVILLE | $382.95 | $96.26 – $2,480.51 |
| Greeneville Community Hospital | GREENEVILLE | $390.30 | $96.26 – $2,362.39 |
| Franklin Woods Community Hospital | JOHNSON CITY | $390.30 | $96.26 – $2,456.89 |