Bx of breast open 19101 at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$1,397.10
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.
$9,314.00
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.
$775.00 with BLUE CROSS vs $9,314.00 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 CARE | $775.00 | ↓ -45% |
| BLUE CROSS | TENNCARE BLUE SELECT | $775.00 | ↓ -45% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $948.00 | ↓ -32% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,491.00 | ↑ +7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,711.32 | ↑ +22% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,711.32 | ↑ +22% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,712.99 | ↑ +23% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,727.94 | ↑ +24% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,744.55 | ↑ +25% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,956.00 | ↑ +40% |
| SENTARA HEALTH | SENTARA HEALTH | $2,403.94 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,436.00 | ↑ +74% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,547.00 | ↑ +82% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,588.00 | ↑ +85% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,588.00 | ↑ +85% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,588.00 | ↑ +85% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,714.38 | ↑ +166% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,714.38 | ↑ +166% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,714.38 | ↑ +166% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,714.38 | ↑ +166% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,714.38 | ↑ +166% |
| HUMANA | HUMANA MEDICARE | $3,714.38 | ↑ +166% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,714.38 | ↑ +166% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,825.81 | ↑ +174% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,825.81 | ↑ +174% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,862.96 | ↑ +176% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,862.96 | ↑ +176% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3,900.10 | ↑ +179% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,900.10 | ↑ +179% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,900.10 | ↑ +179% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,900.10 | ↑ +179% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,900.10 | ↑ +179% |
| WELLCARE | WELLCARE MEDICARE | $3,937.25 | ↑ +182% |
| AETNA | AETNA | $3,977.08 | ↑ +185% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $4,296.00 | ↑ +207% |
| BLUE CROSS | BLUE CROSS E NETWORK | $4,391.00 | ↑ +214% |
| MEDCOST | MEDCOST VHN | $4,432.53 | ↑ +217% |
| BLUE CROSS | BLUE CROSS S NETWORK | $4,491.00 | ↑ +221% |
| BLUE CROSS | BLUE CROSS P NETWORK | $4,491.00 | ↑ +221% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $7,171.78 | ↑ +413% |
| AMBETTER | AMBETTER | $8,097.35 | ↑ +480% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $8,914.52 | ↑ +538% |
| BLUE CROSS | ANTHEM EXCHANGE | $9,262.05 | ↑ +563% |
| BLUE CROSS | ANTHEM HMO | $9,314.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $9,314.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $9,314.00 | ↑ +567% |
Visitor-reported prices
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Bx of breast open 19101 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $3,583.97 | $2,421.60 – $8,475.60 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $5,121.69 | $2,542.68 – $8,475.60 |
| Ascension Saint Thomas DeKalb | Smithville | $2,665.62 | $1,083.82 – $1,246.50 |
| Ascension Saint Thomas Highlands | Sparta | $2,665.62 | $1,083.82 – $1,246.50 |
| Ascension Saint Thomas River Park | McMinnville | $2,538.66 | $1,083.82 – $1,246.50 |
| Greeneville Community Hospital | GREENEVILLE | $1,397.10 | $1,826.63 – $7,964.98 |
| Holston Valley Medical Center | KINGSPORT | $1,397.10 | $1,661.48 – $8,914.52 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $1,397.10 | $1,881.43 – $7,744.17 |