Complx repair sal addl 5 cm/> 13122 at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$387.00
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.
$2,580.00
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.
$82.30 with BLUE CROSS vs $2,580.00 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 | $82.30 | ↓ -79% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $162.00 | ↓ -58% |
| BEACON HEALTH | BEACON HEALTH VALUE OPTIONS BH | $187.00 | ↓ -52% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $471.00 | ↑ +22% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $491.00 | ↑ +27% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $556.57 | ↑ +44% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $556.57 | ↑ +44% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $557.11 | ↑ +44% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $561.97 | ↑ +45% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $567.38 | ↑ +47% |
| SENTARA HEALTH | SENTARA HEALTH | $665.90 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $847.00 | ↑ +119% |
| AETNA | AETNA | $1,101.66 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $1,227.82 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,986.60 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $2,580.00 | ↑ +567% |
Visitor-reported prices
Comments
Complx repair sal addl 5 cm/> 13122 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $99.82 | $67.04 – $98.00 |
| Johnson City Medical Center | JOHNSON CITY | $387.00 | $82.30 – $569.37 |
| Hancock County Hospital | SNEEDVILLE | $379.96 | $82.30 – $623.77 |
| Greeneville Community Hospital | GREENEVILLE | $387.00 | $82.30 – $594.07 |
| Franklin Woods Community Hospital | JOHNSON CITY | $387.00 | $82.30 – $617.83 |
| Holston Valley Medical Center | KINGSPORT | $387.00 | $82.30 – $567.38 |
| 62-0123940 BMH Collierville | Collierville | $91.14 | $67.04 – $1,791.17 |
| Indian Path Community Hospital | KINGSPORT | $387.00 | $82.30 – $543.67 |