Electrophysiology evaluation at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$513.90
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.
$3,426.00
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.
$75.13 with BLUE CROSS vs $8,964.87 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE SELECT | $75.13 | ↓ -85% |
| BLUE CROSS | TENNCARE BLUE CARE | $75.13 | ↓ -85% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $296.70 | ↓ -42% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $416.59 | ↓ -19% |
| SENTARA HEALTH | SENTARA HEALTH | $884.25 | ↑ +72% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,155.02 | ↑ +125% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,155.02 | ↑ +125% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,155.02 | ↑ +125% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,155.02 | ↑ +125% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,155.02 | ↑ +125% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,155.02 | ↑ +125% |
| HUMANA | HUMANA MEDICARE | $1,155.02 | ↑ +125% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,189.67 | ↑ +131% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,189.67 | ↑ +131% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,201.22 | ↑ +134% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,201.22 | ↑ +134% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $1,212.77 | ↑ +136% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,212.77 | ↑ +136% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,212.77 | ↑ +136% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,212.77 | ↑ +136% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,212.77 | ↑ +136% |
| WELLCARE | WELLCARE MEDICARE | $1,224.32 | ↑ +138% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,428.64 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,428.64 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,428.64 | ↑ +178% |
| AETNA | AETNA | $1,462.90 | ↑ +185% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,571.00 | ↑ +206% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,589.66 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $1,630.43 | ↑ +217% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,642.00 | ↑ +220% |
| AMBETTER | AMBETTER | $2,517.94 | ↑ +390% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,638.02 | ↑ +413% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,772.05 | ↑ +439% |
| BLUE CROSS | ANTHEM EXCHANGE | $2,880.12 | ↑ +460% |
| BLUE CROSS | ANTHEM HMO | $3,060.15 | ↑ +495% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,097.00 | ↑ +503% |
| WELLCARE | WELLCARE MEDICAID | $3,426.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $3,426.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $3,426.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $8,794.11 | ↑ +1611% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $8,802.65 | ↑ +1613% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $8,879.49 | ↑ +1628% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $8,964.87 | ↑ +1644% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,029.87 | $64.77 – $12,715.00 |
| CHI Memorial Hospital Hixson | Hixson | $2,411.81 | $96.40 – $5,703.60 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $3,446.61 | $96.40 – $5,703.60 |
| Johnson City Medical Center | JOHNSON CITY | $513.90 | $75.13 – $8,650.28 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,029.87 | $64.77 – $12,715.00 |
| Greeneville Community Hospital | GREENEVILLE | $513.90 | $75.13 – $9,386.65 |
| Franklin Woods Community Hospital | JOHNSON CITY | $513.90 | $91.33 – $9,386.65 |
| Holston Valley Medical Center | KINGSPORT | $513.90 | $75.13 – $8,802.65 |