Drain thigh/knee lesion 27301 at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$1,309.95
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.
?
What you pay up front if you don't use insurance.
$8,733.00
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.
$162.00 with UNITED HEALTHCARE vs $8,733.00 with WELLCARE — 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 | $162.00 | ↓ -88% |
| BEACON HEALTH | BEACON HEALTH VALUE OPTIONS BH | $187.00 | ↓ -86% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $471.00 | ↓ -64% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $491.00 | ↓ -63% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $549.85 | ↓ -58% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $847.00 | ↓ -35% |
| SENTARA HEALTH | SENTARA HEALTH | $2,253.99 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,353.56 | ↑ +80% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,353.56 | ↑ +80% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,355.85 | ↑ +80% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,376.41 | ↑ +81% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,399.26 | ↑ +83% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2,755.56 | ↑ +110% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2,755.56 | ↑ +110% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2,755.56 | ↑ +110% |
| HUMANA | HUMANA MEDICARE | $2,755.56 | ↑ +110% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2,755.56 | ↑ +110% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $2,755.56 | ↑ +110% |
| SENTARA HEALTH | SENTARA MEDICARE | $2,755.56 | ↑ +110% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $2,838.23 | ↑ +117% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,838.23 | ↑ +117% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,865.79 | ↑ +119% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $2,865.79 | ↑ +119% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $2,893.34 | ↑ +121% |
| NHC ADVANTAGE | NHC ADVANTAGE | $2,893.34 | ↑ +121% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $2,893.34 | ↑ +121% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $2,893.34 | ↑ +121% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $2,893.34 | ↑ +121% |
| WELLCARE | WELLCARE MEDICARE | $2,920.90 | ↑ +123% |
| AETNA | AETNA | $3,728.99 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $4,156.03 | ↑ +217% |
| AMBETTER | AMBETTER | $6,007.13 | ↑ +359% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $6,613.35 | ↑ +405% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $6,724.41 | ↑ +413% |
| BLUE CROSS | ANTHEM EXCHANGE | $6,871.18 | ↑ +425% |
| BLUE CROSS | ANTHEM HMO | $7,300.67 | ↑ +457% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $8,589.14 | ↑ +556% |
| WELLCARE | WELLCARE MEDICAID | $8,733.00 | ↑ +567% |
Visitor-reported prices
Comments
Drain thigh/knee lesion 27301 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $2,914.42 | $1,969.20 – $6,399.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $658.26 | $2,273.66 – $5,226.80 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $4,164.86 | $2,067.66 – $6,399.90 |
| Greeneville Community Hospital | GREENEVILLE | $1,309.95 | $549.85 – $5,908.92 |
| Holston Valley Medical Center | KINGSPORT | $1,309.95 | $549.85 – $6,613.35 |
| 62-0123940 BMH Collierville | Collierville | $796.32 | $1,275.14 – $5,241.56 |
| 62-1138045 BMH Union City | Union City | $566.00 | $2,273.66 – $5,226.80 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $1,309.95 | $549.85 – $5,745.12 |