Exc ben+marg excep skin tag tal 0.6-1cm 11401 at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$183.75
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.
$1,225.00
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.
$37.67 with BLUE CROSS vs $1,225.00 with CIGNA 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 | $37.67 | ↓ -79% |
| BLUE CROSS | TENNCARE BLUE CARE | $37.67 | ↓ -79% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $277.00 | ↑ +51% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $289.00 | ↑ +57% |
| SENTARA HEALTH | SENTARA HEALTH | $316.17 | ↑ +72% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $322.00 | ↑ +75% |
| AETNA | AETNA HEALTHCARE MEDICARE | $385.64 | ↑ +110% |
| SENTARA HEALTH | SENTARA MEDICARE | $385.64 | ↑ +110% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $385.64 | ↑ +110% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $385.64 | ↑ +110% |
| HUMANA | HUMANA MEDICARE | $385.64 | ↑ +110% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $385.64 | ↑ +110% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $385.64 | ↑ +110% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $397.21 | ↑ +116% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $397.21 | ↑ +116% |
| BLUE CROSS | BLUE CROSS MEDICARE | $401.07 | ↑ +118% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $401.07 | ↑ +118% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $404.92 | ↑ +120% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $404.92 | ↑ +120% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $404.92 | ↑ +120% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $404.92 | ↑ +120% |
| NHC ADVANTAGE | NHC ADVANTAGE | $404.92 | ↑ +120% |
| WELLCARE | WELLCARE MEDICARE | $408.78 | ↑ +122% |
| AETNA | AETNA | $523.08 | ↑ +185% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $528.00 | ↑ +187% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $556.57 | ↑ +203% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $556.57 | ↑ +203% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $557.11 | ↑ +203% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $561.97 | ↑ +206% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $567.38 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $582.98 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $704.00 | ↑ +283% |
| BLUE CROSS | BLUE CROSS E NETWORK | $736.00 | ↑ +301% |
| BLUE CROSS | BLUE CROSS P NETWORK | $753.00 | ↑ +310% |
| BLUE CROSS | BLUE CROSS S NETWORK | $753.00 | ↑ +310% |
| AMBETTER | AMBETTER | $840.70 | ↑ +358% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $925.54 | ↑ +404% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $943.25 | ↑ +413% |
| BLUE CROSS | ANTHEM EXCHANGE | $961.61 | ↑ +423% |
| BLUE CROSS | ANTHEM HMO | $1,021.72 | ↑ +456% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,202.04 | ↑ +554% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,225.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,225.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,225.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,225.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,225.00 | ↑ +567% |
Visitor-reported prices
Comments
Exc ben+marg excep skin tag tal 0.6-1cm 11401 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $721.95 | $48.33 – $1,707.30 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,031.70 | $48.33 – $1,707.30 |
| Johnson City Medical Center | JOHNSON CITY | $183.75 | $37.67 – $826.95 |
| Hancock County Hospital | SNEEDVILLE | $180.32 | $37.67 – $623.77 |
| Greeneville Community Hospital | GREENEVILLE | $183.75 | $37.67 – $826.95 |
| Franklin Woods Community Hospital | JOHNSON CITY | $183.75 | $45.78 – $804.63 |
| Holston Valley Medical Center | KINGSPORT | $183.75 | $37.67 – $925.54 |
| 62-0123940 BMH Collierville | Collierville | $248.01 | $55.02 – $731.70 |