Dilate biliary duct/ampulla at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$841.05
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.
?
What you pay up front if you don't use insurance.
$5,607.00
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.
$163.00 with BLUE CROSS vs $7,484.46 with MOLINA HEALTHCARE — 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS E NETWORK | $163.00 | ↓ -81% |
| BLUE CROSS | BLUE CROSS S NETWORK | $167.00 | ↓ -80% |
| BLUE CROSS | BLUE CROSS P NETWORK | $167.00 | ↓ -80% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $277.00 | ↓ -67% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $289.00 | ↓ -66% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $322.00 | ↓ -62% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $528.00 | ↓ -37% |
| BLUE CROSS | TENNCARE BLUE CARE | $775.00 | ↓ -8% |
| BLUE CROSS | TENNCARE BLUE SELECT | $775.00 | ↓ -8% |
| SENTARA HEALTH | SENTARA HEALTH | $1,447.17 | ↑ +72% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +81% |
| AETNA | AETNA | $2,394.19 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $2,668.37 | ↑ +217% |
| CIGNA HEALTHCARE | CIGNA HMO | $4,239.00 | ↑ +404% |
| CIGNA HEALTHCARE | CIGNA PPO | $4,239.00 | ↑ +404% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $4,239.00 | ↑ +404% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $4,317.39 | ↑ +413% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $5,607.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $5,607.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $7,341.91 | ↑ +773% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $7,349.03 | ↑ +774% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $7,413.19 | ↑ +781% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $7,484.46 | ↑ +790% |
Visitor-reported prices
Comments
Dilate biliary duct/ampulla at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,345.59 | $2,118.00 – $2,225.50 |
| CHI Memorial Hospital Hixson | Hixson | $185.30 | $125.20 – $438.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $264.80 | $131.46 – $438.20 |
| Johnson City Medical Center | JOHNSON CITY | $841.05 | $5,607.00 – $7,510.70 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,345.59 | $2,118.00 – $2,225.50 |
| Greeneville Community Hospital | GREENEVILLE | $841.05 | $7,836.60 – $7,836.60 |
| Franklin Woods Community Hospital | JOHNSON CITY | $841.05 | $7,836.60 – $8,150.06 |
| Holston Valley Medical Center | KINGSPORT | $841.05 | $5,607.00 – $7,484.46 |