#cf-97variants at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$1,540.05
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.
$10,267.00
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.
$278.30 with AMERIGROUP vs $10,267.00 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 | $278.30 | ↓ -82% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $333.96 | ↓ -78% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $379.67 | ↓ -75% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $379.67 | ↓ -75% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $380.04 | ↓ -75% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $383.35 | ↓ -75% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $387.04 | ↓ -75% |
| AETNA | AETNA HEALTHCARE MEDICARE | $556.60 | ↓ -64% |
| HUMANA | HUMANA MEDICARE | $556.60 | ↓ -64% |
| BLUE CROSS | ANTHEM EXCHANGE | $556.60 | ↓ -64% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $556.60 | ↓ -64% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $556.60 | ↓ -64% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $556.60 | ↓ -64% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $556.60 | ↓ -64% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $556.60 | ↓ -64% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $556.60 | ↓ -64% |
| SENTARA HEALTH | SENTARA MEDICARE | $556.60 | ↓ -64% |
| BLUE CROSS | ANTHEM HMO | $556.60 | ↓ -64% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $556.60 | ↓ -64% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $573.30 | ↓ -63% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $573.30 | ↓ -63% |
| BLUE CROSS | BLUE CROSS MEDICARE | $578.86 | ↓ -62% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $578.86 | ↓ -62% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $578.86 | ↓ -62% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $584.43 | ↓ -62% |
| NHC ADVANTAGE | NHC ADVANTAGE | $584.43 | ↓ -62% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $584.43 | ↓ -62% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $584.43 | ↓ -62% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $584.43 | ↓ -62% |
| WELLCARE | WELLCARE MEDICARE | $590.00 | ↓ -62% |
| BLUE CROSS | TENNCARE BLUE SELECT | $1,130.92 | ↓ -27% |
| BLUE CROSS | TENNCARE BLUE CARE | $1,130.92 | ↓ -27% |
| AMBETTER | AMBETTER | $1,213.39 | ↓ -21% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,227.03 | ↓ -20% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,335.84 | ↓ -13% |
| SENTARA HEALTH | SENTARA HEALTH | $2,649.91 | ↑ +72% |
| BLUE CROSS | BLUE CROSS E NETWORK | $3,876.00 | ↑ +152% |
| BLUE CROSS | BLUE CROSS P NETWORK | $3,960.00 | ↑ +157% |
| BLUE CROSS | BLUE CROSS S NETWORK | $3,960.00 | ↑ +157% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $4,281.34 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $4,281.34 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $4,281.34 | ↑ +178% |
| AETNA | AETNA | $4,384.01 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $4,886.07 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $7,186.90 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $7,905.59 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $10,267.00 | ↑ +567% |
Visitor-reported prices
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#cf-97variants at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $80.22 | $189.70 – $960.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $218.04 | $484.24 – $1,113.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $114.64 | $56.91 – $834.90 |
| Johnson City Medical Center | JOHNSON CITY | $1,540.05 | $278.30 – $1,213.39 |
| Ascension Saint Thomas DeKalb | Smithville | $470.72 | $500.94 – $2,556.00 |
| Ascension Saint Thomas Highlands | Sparta | $470.72 | $500.94 – $2,556.00 |
| Ascension Saint Thomas River Park | McMinnville | $470.72 | $500.94 – $2,556.00 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $470.72 | $500.94 – $2,556.00 |