Control oropharyngeal hemorr/simp 42960 at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$211.95
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.
$1,413.00
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 $1,870.40 with MOLINA HEALTHCARE — 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 | ↓ -24% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $171.14 | ↓ -19% |
| BEACON HEALTH | BEACON HEALTH VALUE OPTIONS BH | $187.00 | ↓ -12% |
| SENTARA HEALTH | SENTARA HEALTH | $364.70 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $471.00 | ↑ +122% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $491.00 | ↑ +132% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $511.63 | ↑ +141% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $511.63 | ↑ +141% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $511.63 | ↑ +141% |
| SENTARA HEALTH | SENTARA MEDICARE | $511.63 | ↑ +141% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $511.63 | ↑ +141% |
| AETNA | AETNA HEALTHCARE MEDICARE | $511.63 | ↑ +141% |
| HUMANA | HUMANA MEDICARE | $511.63 | ↑ +141% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $526.98 | ↑ +149% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $526.98 | ↑ +149% |
| BLUE CROSS | BLUE CROSS MEDICARE | $532.10 | ↑ +151% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $532.10 | ↑ +151% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $537.22 | ↑ +153% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $537.22 | ↑ +153% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $537.22 | ↑ +153% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $537.22 | ↑ +153% |
| NHC ADVANTAGE | NHC ADVANTAGE | $537.22 | ↑ +153% |
| WELLCARE | WELLCARE MEDICARE | $542.33 | ↑ +156% |
| AETNA | AETNA | $603.35 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $672.45 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $847.00 | ↑ +300% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,088.01 | ↑ +413% |
| AMBETTER | AMBETTER | $1,115.36 | ↑ +426% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,227.92 | ↑ +479% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,275.80 | ↑ +502% |
| BLUE CROSS | ANTHEM HMO | $1,355.55 | ↑ +540% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,413.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,413.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,413.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,834.77 | ↑ +766% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,836.55 | ↑ +767% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,852.58 | ↑ +774% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,870.40 | ↑ +782% |
Visitor-reported prices
Comments
Control oropharyngeal hemorr/simp 42960 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $162.15 | $404.56 – $930.02 |
| Johnson City Medical Center | JOHNSON CITY | $211.95 | $171.14 – $1,804.76 |
| Hancock County Hospital | SNEEDVILLE | $207.92 | $171.14 – $2,056.32 |
| Greeneville Community Hospital | GREENEVILLE | $211.95 | $171.14 – $1,958.40 |
| Franklin Woods Community Hospital | JOHNSON CITY | $211.95 | $171.14 – $1,958.40 |
| Holston Valley Medical Center | KINGSPORT | $211.95 | $171.14 – $1,836.55 |
| 62-0123940 BMH Collierville | Collierville | $164.85 | $443.00 – $932.64 |
| Indian Path Community Hospital | KINGSPORT | $211.95 | $171.14 – $1,723.32 |