Established Patient Office Visit (level 3) at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$36.30
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.
$242.00
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.
$43.27 with UNITED HEALTHCARE vs $242.00 with WELLCARE — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $43.27 | ↑ +19% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $43.80 | ↑ +21% |
| BLUE CROSS | TENNCARE BLUE SELECT | $43.94 | ↑ +21% |
| BLUE CROSS | TENNCARE BLUE CARE | $43.94 | ↑ +21% |
| SENTARA HEALTH | SENTARA HEALTH | $62.46 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $74.29 | ↑ +105% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $78.17 | ↑ +115% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $78.17 | ↑ +115% |
| BLUE CROSS | ANTHEM EXCHANGE | $89.36 | ↑ +146% |
| BLUE CROSS | ANTHEM HMO | $89.36 | ↑ +146% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $89.36 | ↑ +146% |
| CIGNA HEALTHCARE | CIGNA HMO | $100.91 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $100.91 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $100.91 | ↑ +178% |
| AETNA | AETNA | $103.33 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $112.29 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $115.17 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $186.34 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $242.00 | ↑ +567% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 3) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $71.04 | $48.00 – $168.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $112.01 | $37.88 – $53.73 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $101.52 | $50.40 – $168.00 |
| Johnson City Medical Center | JOHNSON CITY | $36.30 | $43.80 – $64.91 |
| Hancock County Hospital | SNEEDVILLE | $35.42 | $36.06 – $43.80 |
| Greeneville Community Hospital | GREENEVILLE | $36.30 | $25.96 – $43.80 |
| Franklin Woods Community Hospital | JOHNSON CITY | $36.30 | $43.80 – $64.91 |
| Holston Valley Medical Center | KINGSPORT | $36.30 | $43.27 – $43.80 |