Exc malig feenl 1.1-2 11642 at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$294.75
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.
$1,965.00
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.
$213.89 with BLUE CROSS vs $1,965.00 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $213.89 | ↓ -27% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $495.95 | ↑ +68% |
| SENTARA HEALTH | SENTARA HEALTH | $507.17 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $556.57 | ↑ +89% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $556.57 | ↑ +89% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $557.11 | ↑ +89% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $561.97 | ↑ +91% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $567.38 | ↑ +92% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $671.77 | ↑ +128% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $671.77 | ↑ +128% |
| AETNA | AETNA HEALTHCARE MEDICARE | $671.77 | ↑ +128% |
| HUMANA | HUMANA MEDICARE | $671.77 | ↑ +128% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $671.77 | ↑ +128% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $671.77 | ↑ +128% |
| SENTARA HEALTH | SENTARA MEDICARE | $671.77 | ↑ +128% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $691.92 | ↑ +135% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $691.92 | ↑ +135% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $698.64 | ↑ +137% |
| BLUE CROSS | BLUE CROSS MEDICARE | $698.64 | ↑ +137% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $705.36 | ↑ +139% |
| NHC ADVANTAGE | NHC ADVANTAGE | $705.36 | ↑ +139% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $705.36 | ↑ +139% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $705.36 | ↑ +139% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $705.36 | ↑ +139% |
| WELLCARE | WELLCARE MEDICARE | $712.08 | ↑ +142% |
| CIGNA HEALTHCARE | CIGNA PPO | $819.41 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $819.41 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $819.41 | ↑ +178% |
| AETNA | AETNA | $839.06 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $911.76 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $935.14 | ↑ +217% |
| AMBETTER | AMBETTER | $1,464.46 | ↑ +397% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,513.05 | ↑ +413% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,612.25 | ↑ +447% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,675.10 | ↑ +468% |
| BLUE CROSS | ANTHEM HMO | $1,779.80 | ↑ +504% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,965.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,965.00 | ↑ +567% |
Visitor-reported prices
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Exc malig feenl 1.1-2 11642 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $1,051.40 | $710.40 – $2,486.40 |
| 62-1166050 BMH Carroll County | Huntingdon | $506.23 | $558.94 – $1,284.92 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,502.50 | $745.92 – $2,486.40 |
| Johnson City Medical Center | JOHNSON CITY | $294.75 | $213.89 – $1,440.52 |
| Hancock County Hospital | SNEEDVILLE | $289.11 | $213.89 – $805.81 |
| Greeneville Community Hospital | GREENEVILLE | $294.75 | $213.89 – $1,440.52 |
| Franklin Woods Community Hospital | JOHNSON CITY | $294.75 | $213.89 – $1,401.63 |
| Holston Valley Medical Center | KINGSPORT | $294.75 | $213.89 – $1,612.25 |