_fragile x methylation-sendout at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$96.75
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.
$645.00
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.
$22.45 with AMERIGROUP vs $645.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $22.45 | ↓ -77% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $26.93 | ↓ -72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $44.89 | ↓ -54% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $44.89 | ↓ -54% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $44.89 | ↓ -54% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $44.89 | ↓ -54% |
| SENTARA HEALTH | SENTARA MEDICARE | $44.89 | ↓ -54% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $44.89 | ↓ -54% |
| BLUE CROSS | ANTHEM HMO | $44.89 | ↓ -54% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $44.89 | ↓ -54% |
| AETNA | AETNA HEALTHCARE MEDICARE | $44.89 | ↓ -54% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $44.89 | ↓ -54% |
| HUMANA | HUMANA MEDICARE | $44.89 | ↓ -54% |
| BLUE CROSS | ANTHEM EXCHANGE | $44.89 | ↓ -54% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $46.24 | ↓ -52% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $46.24 | ↓ -52% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $46.32 | ↓ -52% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $46.32 | ↓ -52% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $46.36 | ↓ -52% |
| BLUE CROSS | BLUE CROSS MEDICARE | $46.69 | ↓ -52% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $46.69 | ↓ -52% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $46.69 | ↓ -52% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $46.77 | ↓ -52% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $47.13 | ↓ -51% |
| NHC ADVANTAGE | NHC ADVANTAGE | $47.13 | ↓ -51% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $47.13 | ↓ -51% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $47.13 | ↓ -51% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $47.13 | ↓ -51% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $47.22 | ↓ -51% |
| WELLCARE | WELLCARE MEDICARE | $47.58 | ↓ -51% |
| AMBETTER | AMBETTER | $97.86 | ↑ +1% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $98.88 | ↑ +2% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $107.74 | ↑ +11% |
| BLUE CROSS | TENNCARE BLUE SELECT | $115.92 | ↑ +20% |
| BLUE CROSS | TENNCARE BLUE CARE | $115.92 | ↑ +20% |
| SENTARA HEALTH | SENTARA HEALTH | $166.47 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA PPO | $268.97 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $268.97 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $268.97 | ↑ +178% |
| AETNA | AETNA | $275.42 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $306.96 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $397.29 | ↑ +311% |
| BLUE CROSS | BLUE CROSS S NETWORK | $405.90 | ↑ +320% |
| BLUE CROSS | BLUE CROSS P NETWORK | $405.90 | ↑ +320% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $451.50 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $496.65 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $645.00 | ↑ +567% |
Visitor-reported prices
Comments
_fragile x methylation-sendout at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $53.28 | $29.30 – $148.73 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $76.14 | $29.30 – $148.73 |
| Johnson City Medical Center | JOHNSON CITY | $96.75 | $22.45 – $97.86 |
| Hancock County Hospital | SNEEDVILLE | $94.99 | $22.45 – $98.88 |
| Greeneville Community Hospital | GREENEVILLE | $96.75 | $16.16 – $97.86 |
| Franklin Woods Community Hospital | JOHNSON CITY | $96.75 | $22.45 – $97.86 |
| Holston Valley Medical Center | KINGSPORT | $96.75 | $22.45 – $107.74 |
| 62-0123940 BMH Collierville | Collierville | $181.02 | $42.65 – $89.78 |