Destruction mal lsn t/a/l >4cm at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$134.55
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.
?
What you pay up front if you don't use insurance.
$897.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$169.88 with UNITED HEALTHCARE vs $897.00 with BLUE CROSS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $169.88 | ↑ +26% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $178.76 | ↑ +33% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $225.10 | ↑ +67% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $225.10 | ↑ +67% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $225.33 | ↑ +67% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $227.29 | ↑ +69% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $229.48 | ↑ +71% |
| SENTARA HEALTH | SENTARA HEALTH | $231.52 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $374.05 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $374.05 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $374.05 | ↑ +178% |
| AETNA | AETNA | $383.02 | ↑ +185% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $385.64 | ↑ +187% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $385.64 | ↑ +187% |
| AETNA | AETNA HEALTHCARE MEDICARE | $385.64 | ↑ +187% |
| HUMANA | HUMANA MEDICARE | $385.64 | ↑ +187% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $385.64 | ↑ +187% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $385.64 | ↑ +187% |
| SENTARA HEALTH | SENTARA MEDICARE | $385.64 | ↑ +187% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $397.21 | ↑ +195% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $397.21 | ↑ +195% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $401.07 | ↑ +198% |
| BLUE CROSS | BLUE CROSS MEDICARE | $401.07 | ↑ +198% |
| NHC ADVANTAGE | NHC ADVANTAGE | $404.92 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $404.92 | ↑ +201% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $404.92 | ↑ +201% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $404.92 | ↑ +201% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $404.92 | ↑ +201% |
| WELLCARE | WELLCARE MEDICARE | $408.78 | ↑ +204% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $416.21 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $426.88 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $690.69 | ↑ +413% |
| AMBETTER | AMBETTER | $840.70 | ↑ +525% |
| BLUE CROSS | ANTHEM EXCHANGE | $897.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $897.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $897.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $897.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $897.00 | ↑ +567% |
Visitor-reported prices
Comments
Destruction mal lsn t/a/l >4cm at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $132.02 | $141.57 – $437.19 |
| Greeneville Community Hospital | GREENEVILLE | $134.55 | $101.93 – $826.95 |
| Holston Valley Medical Center | KINGSPORT | $134.55 | $169.88 – $897.00 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $134.55 | $141.57 – $804.03 |
| Ascension Saint Thomas Midtown | Nashville | not published | $344.37 – $1,534.53 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $141.57 – $1,004.50 |
| Ascension Saint Thomas Highlands | Sparta | not published | $141.57 – $1,004.50 |
| Ascension Saint Thomas River Park | McMinnville | not published | $141.57 – $1,004.50 |