Bypass temp external fem-fem at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$495.30
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.
$3,302.00
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.
$162.00 with UNITED HEALTHCARE vs $3,302.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $162.00 | ↓ -67% |
| BEACON HEALTH | BEACON HEALTH VALUE OPTIONS BH | $187.00 | ↓ -62% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $471.00 | ↓ -5% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $491.00 | ↓ -1% |
| SENTARA HEALTH | SENTARA MEDICARE | $595.09 | ↑ +20% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $595.09 | ↑ +20% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $595.09 | ↑ +20% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $595.09 | ↑ +20% |
| HUMANA | HUMANA MEDICARE | $595.09 | ↑ +20% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $595.09 | ↑ +20% |
| AETNA | AETNA HEALTHCARE MEDICARE | $595.09 | ↑ +20% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $612.94 | ↑ +24% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $612.94 | ↑ +24% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $618.90 | ↑ +25% |
| BLUE CROSS | BLUE CROSS MEDICARE | $618.90 | ↑ +25% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $624.85 | ↑ +26% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $624.85 | ↑ +26% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $624.85 | ↑ +26% |
| NHC ADVANTAGE | NHC ADVANTAGE | $624.85 | ↑ +26% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $624.85 | ↑ +26% |
| WELLCARE | WELLCARE MEDICARE | $630.80 | ↑ +27% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $847.00 | ↑ +71% |
| SENTARA HEALTH | SENTARA HEALTH | $852.25 | ↑ +72% |
| AMBETTER | AMBETTER | $1,297.30 | ↑ +162% |
| AETNA | AETNA | $1,409.95 | ↑ +185% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,428.22 | ↑ +188% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,483.91 | ↑ +200% |
| MEDCOST | MEDCOST VHN | $1,571.42 | ↑ +217% |
| BLUE CROSS | ANTHEM HMO | $1,576.66 | ↑ +218% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,854.92 | ↑ +275% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,542.54 | ↑ +413% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,744.20 | ↑ +454% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,744.20 | ↑ +454% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,746.86 | ↑ +455% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,770.84 | ↑ +459% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,797.48 | ↑ +465% |
| WELLCARE | WELLCARE MEDICAID | $3,302.00 | ↑ +567% |
Visitor-reported prices
Comments
Bypass temp external fem-fem at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $769.90 | $520.20 – $1,820.70 |
| 62-1166050 BMH Carroll County | Huntingdon | $955.42 | $491.16 – $1,129.10 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,100.23 | $546.21 – $1,820.70 |
| Johnson City Medical Center | JOHNSON CITY | $495.30 | $585.36 – $2,699.32 |
| Hancock County Hospital | SNEEDVILLE | $486.22 | $1,307.86 – $3,075.56 |
| Greeneville Community Hospital | GREENEVILLE | $495.30 | $520.33 – $2,929.10 |
| Franklin Woods Community Hospital | JOHNSON CITY | $495.30 | $569.56 – $2,929.10 |
| Holston Valley Medical Center | KINGSPORT | $495.30 | $595.09 – $2,746.86 |