Cyclophosphamide 25 mg capsule at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$1.26
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.
$8.43
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.
$0.49 with SENTARA HEALTH vs $4.14 with AMBETTER — 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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $0.49 | ↓ -61% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $0.58 | ↓ -54% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $0.61 | ↓ -52% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $0.61 | ↓ -52% |
| CIGNA HEALTHCARE | CIGNA PPO | $0.79 | ↓ -37% |
| CIGNA HEALTHCARE | CIGNA HMO | $0.79 | ↓ -37% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $0.79 | ↓ -37% |
| AETNA | AETNA | $0.81 | ↓ -36% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $0.88 | ↓ -30% |
| MEDCOST | MEDCOST VHN | $0.90 | ↓ -29% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1.46 | ↑ +16% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1.53 | ↑ +21% |
| AMERIGROUP | AMERIGROUP | $1.77 | ↑ +40% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1.90 | ↑ +51% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1.90 | ↑ +51% |
| WELLCARE | WELLCARE MEDICAID | $1.90 | ↑ +51% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1.90 | ↑ +51% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1.90 | ↑ +51% |
| HUMANA | HUMANA MEDICARE | $1.90 | ↑ +51% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1.90 | ↑ +51% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1.90 | ↑ +51% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1.90 | ↑ +51% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1.90 | ↑ +51% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1.90 | ↑ +51% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1.90 | ↑ +51% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1.90 | ↑ +51% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $1.90 | ↑ +51% |
| SENTARA HEALTH | SENTARA MEDICARE | $1.90 | ↑ +51% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1.90 | ↑ +51% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1.90 | ↑ +51% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1.98 | ↑ +57% |
| WELLCARE | WELLCARE MEDICARE | $2.01 | ↑ +60% |
| AMBETTER | AMBETTER | $4.14 | ↑ +229% |
Visitor-reported prices
Comments
Cyclophosphamide 25 mg capsule at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $2.67 | $0.95 – $5.49 |
| 62-1166050 BMH Carroll County | Huntingdon | $3.66 | $0.75 – $0.88 |
| Johnson City Medical Center | JOHNSON CITY | $2.32 | $1.32 – $7.37 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $2.67 | $0.95 – $5.49 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1.26 | $0.71 – $4.14 |
| Holston Valley Medical Center | KINGSPORT | $2.32 | $0.58 – $4.14 |
| 62-0123940 BMH Collierville | Collierville | $3.34 | $0.88 – $0.88 |
| 62-1138045 BMH Union City | Union City | $3.18 | $0.75 – $0.88 |