Exc snhfg mal+mrg 3.1-4 11624 at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$817.95
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.
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What you pay up front if you don't use insurance.
$5,453.00
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.
$255.08 with BLUE CROSS vs $5,453.00 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 | $255.08 | ↓ -69% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $804.85 | ↓ -2% |
| SENTARA HEALTH | SENTARA HEALTH | $1,407.42 | ↑ +72% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,566.79 | ↑ +92% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,566.79 | ↑ +92% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,566.79 | ↑ +92% |
| HUMANA | HUMANA MEDICARE | $1,566.79 | ↑ +92% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,566.79 | ↑ +92% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,566.79 | ↑ +92% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,566.79 | ↑ +92% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,599.71 | ↑ +96% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,599.71 | ↑ +96% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,601.27 | ↑ +96% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,613.79 | ↑ +97% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,613.79 | ↑ +97% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,615.24 | ↑ +97% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,629.46 | ↑ +99% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,629.46 | ↑ +99% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,630.78 | ↑ +99% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,645.13 | ↑ +101% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,645.13 | ↑ +101% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,645.13 | ↑ +101% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $1,645.13 | ↑ +101% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,645.13 | ↑ +101% |
| WELLCARE | WELLCARE MEDICARE | $1,660.80 | ↑ +103% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,273.90 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,273.90 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,273.90 | ↑ +178% |
| AETNA | AETNA | $2,328.43 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $2,530.19 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $2,595.08 | ↑ +217% |
| AMBETTER | AMBETTER | $3,415.60 | ↑ +318% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,760.30 | ↑ +360% |
| BLUE CROSS | ANTHEM EXCHANGE | $3,906.90 | ↑ +378% |
| BLUE CROSS | ANTHEM HMO | $4,151.11 | ↑ +408% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $4,198.81 | ↑ +413% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $4,883.72 | ↑ +497% |
| WELLCARE | WELLCARE MEDICAID | $5,453.00 | ↑ +567% |
Visitor-reported prices
Comments
Exc snhfg mal+mrg 3.1-4 11624 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $1,337.04 | $903.40 – $3,161.90 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,910.70 | $948.57 – $3,161.90 |
| Hancock County Hospital | SNEEDVILLE | $802.70 | $255.08 – $1,896.23 |
| Greeneville Community Hospital | GREENEVILLE | $817.95 | $255.08 – $3,359.76 |
| Holston Valley Medical Center | KINGSPORT | $817.95 | $255.08 – $3,760.30 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $817.95 | $255.08 – $3,266.63 |
| Ascension Saint Thomas Midtown | Nashville | not published | $1,185.00 – $1,534.53 |
| 62-1166050 BMH Carroll County | Huntingdon | not published | $1,287.14 – $2,958.94 |