Excision of penis lesion(s) 54060 at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$780.45
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.
$5,203.00
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.
$124.57 with BLUE CROSS vs $5,203.00 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 | $124.57 | ↓ -84% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $772.63 | ↓ -1% |
| SENTARA HEALTH | SENTARA HEALTH | $1,342.89 | ↑ +72% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,957.33 | ↑ +151% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,957.33 | ↑ +151% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,957.33 | ↑ +151% |
| HUMANA | HUMANA MEDICARE | $1,957.33 | ↑ +151% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,957.33 | ↑ +151% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,957.33 | ↑ +151% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,957.33 | ↑ +151% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,016.05 | ↑ +158% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $2,016.05 | ↑ +158% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $2,035.63 | ↑ +161% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,035.63 | ↑ +161% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $2,055.20 | ↑ +163% |
| NHC ADVANTAGE | NHC ADVANTAGE | $2,055.20 | ↑ +163% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $2,055.20 | ↑ +163% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $2,055.20 | ↑ +163% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $2,055.20 | ↑ +163% |
| WELLCARE | WELLCARE MEDICARE | $2,074.77 | ↑ +166% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,169.65 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,169.65 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,169.65 | ↑ +178% |
| AETNA | AETNA | $2,221.68 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $2,414.19 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $2,476.11 | ↑ +217% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,546.37 | ↑ +226% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,546.37 | ↑ +226% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,548.85 | ↑ +227% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,571.10 | ↑ +229% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,595.82 | ↑ +233% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $4,006.31 | ↑ +413% |
| AMBETTER | AMBETTER | $4,266.99 | ↑ +447% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $4,697.60 | ↑ +502% |
| BLUE CROSS | ANTHEM EXCHANGE | $4,880.73 | ↑ +525% |
| BLUE CROSS | ANTHEM HMO | $5,185.81 | ↑ +564% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $5,203.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $5,203.00 | ↑ +567% |
Visitor-reported prices
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Excision of penis lesion(s) 54060 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $765.90 | $124.57 – $2,853.85 |
| Greeneville Community Hospital | GREENEVILLE | $780.45 | $124.57 – $4,197.23 |
| Holston Valley Medical Center | KINGSPORT | $780.45 | $124.57 – $4,697.60 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $780.45 | $124.57 – $4,080.88 |
| Ascension Saint Thomas Midtown | Nashville | not published | $733.50 – $1,141.72 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $643.86 – $1,004.50 |
| Ascension Saint Thomas Highlands | Sparta | not published | $643.86 – $1,004.50 |
| Ascension Saint Thomas River Park | McMinnville | not published | $643.86 – $1,004.50 |