Hopd mntl hlt, 15-29 min at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$12.60
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.
$84.00
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.
$13.94 with SENTARA HEALTH vs $84.00 with SEVEN CORNERS, INC. — 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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $13.94 | ↑ +11% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $17.81 | ↑ +41% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $22.52 | ↑ +79% |
| CIGNA HEALTHCARE | CIGNA PPO | $22.52 | ↑ +79% |
| CIGNA HEALTHCARE | CIGNA HMO | $22.52 | ↑ +79% |
| AETNA | AETNA | $23.06 | ↑ +83% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $25.06 | ↑ +99% |
| MEDCOST | MEDCOST VHN | $25.70 | ↑ +104% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $35.54 | ↑ +182% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $35.54 | ↑ +182% |
| AETNA | AETNA HEALTHCARE MEDICARE | $35.54 | ↑ +182% |
| HUMANA | HUMANA MEDICARE | $35.54 | ↑ +182% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $35.54 | ↑ +182% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $35.54 | ↑ +182% |
| SENTARA HEALTH | SENTARA MEDICARE | $35.54 | ↑ +182% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $36.61 | ↑ +191% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $36.61 | ↑ +191% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $36.96 | ↑ +193% |
| BLUE CROSS | BLUE CROSS MEDICARE | $36.96 | ↑ +193% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $37.32 | ↑ +196% |
| NHC ADVANTAGE | NHC ADVANTAGE | $37.32 | ↑ +196% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $37.32 | ↑ +196% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $37.32 | ↑ +196% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $37.32 | ↑ +196% |
| WELLCARE | WELLCARE MEDICARE | $37.68 | ↑ +199% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $41.58 | ↑ +230% |
| BLUE CROSS | ANTHEM EXCHANGE | $54.00 | ↑ +329% |
| WELLCARE | WELLCARE MEDICAID | $54.00 | ↑ +329% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $54.00 | ↑ +329% |
| BLUE CROSS | ANTHEM HMO | $54.00 | ↑ +329% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $57.45 | ↑ +356% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $57.45 | ↑ +356% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $57.51 | ↑ +356% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $58.01 | ↑ +360% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $58.57 | ↑ +365% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $58.80 | ↑ +367% |
| AMBETTER | AMBETTER | $77.49 | ↑ +515% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $84.00 | ↑ +567% |
Visitor-reported prices
Comments
Hopd mntl hlt, 15-29 min at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $12.60 | $26.71 – $76.22 |
| Hancock County Hospital | SNEEDVILLE | $12.42 | $14.84 – $64.39 |
| Greeneville Community Hospital | GREENEVILLE | $12.60 | $10.68 – $76.22 |
| Franklin Woods Community Hospital | JOHNSON CITY | $12.60 | $25.41 – $74.16 |
| Holston Valley Medical Center | KINGSPORT | $12.60 | $17.81 – $84.00 |
| Indian Path Community Hospital | KINGSPORT | $12.60 | $26.71 – $81.59 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $12.60 | $14.84 – $74.11 |
| Johnson County Community Hospital | MOUNTAIN CITY | $12.42 | $26.71 – $63.78 |