Ghs simple repair 7.6 - 12.5 cm - 12004 at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$124.20
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.
$828.00
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.
$138.76 with BLUE CROSS vs $828.00 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 | $138.76 | ↑ +12% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $162.00 | ↑ +30% |
| BEACON HEALTH | BEACON HEALTH VALUE OPTIONS BH | $187.00 | ↑ +51% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $190.33 | ↑ +53% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $190.33 | ↑ +53% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $190.33 | ↑ +53% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $190.33 | ↑ +53% |
| AETNA | AETNA HEALTHCARE MEDICARE | $190.33 | ↑ +53% |
| SENTARA HEALTH | SENTARA MEDICARE | $190.33 | ↑ +53% |
| HUMANA | HUMANA MEDICARE | $190.33 | ↑ +53% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $196.04 | ↑ +58% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $196.04 | ↑ +58% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $197.95 | ↑ +59% |
| BLUE CROSS | BLUE CROSS MEDICARE | $197.95 | ↑ +59% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $199.85 | ↑ +61% |
| NHC ADVANTAGE | NHC ADVANTAGE | $199.85 | ↑ +61% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $199.85 | ↑ +61% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $199.85 | ↑ +61% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $199.85 | ↑ +61% |
| WELLCARE | WELLCARE MEDICARE | $201.75 | ↑ +62% |
| SENTARA HEALTH | SENTARA HEALTH | $213.71 | ↑ +72% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $245.09 | ↑ +97% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $245.09 | ↑ +97% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $245.33 | ↑ +98% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $247.47 | ↑ +99% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $249.85 | ↑ +101% |
| AETNA | AETNA | $353.56 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $394.05 | ↑ +217% |
| AMBETTER | AMBETTER | $414.92 | ↑ +234% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $456.80 | ↑ +268% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $471.00 | ↑ +279% |
| BLUE CROSS | ANTHEM EXCHANGE | $474.61 | ↑ +282% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $491.00 | ↑ +295% |
| BLUE CROSS | ANTHEM HMO | $504.27 | ↑ +306% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $593.27 | ↑ +378% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $637.56 | ↑ +413% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $828.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $828.00 | ↑ +567% |
Visitor-reported prices
Comments
Ghs simple repair 7.6 - 12.5 cm - 12004 at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $248.64 | $168.00 – $588.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $55.20 | $157.85 – $362.88 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $355.32 | $176.40 – $588.00 |
| Johnson City Medical Center | JOHNSON CITY | $124.20 | $138.76 – $408.14 |
| Hancock County Hospital | SNEEDVILLE | $121.90 | $138.76 – $274.68 |
| Greeneville Community Hospital | GREENEVILLE | $124.20 | $138.76 – $408.14 |
| Franklin Woods Community Hospital | JOHNSON CITY | $124.20 | $138.76 – $397.12 |
| Holston Valley Medical Center | KINGSPORT | $124.20 | $138.76 – $456.80 |