Hopd mntl hlt, 30-60 min at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$32.10
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.
$214.00
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.
$35.36 with SENTARA HEALTH vs $214.00 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 | $35.36 | ↑ +10% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $45.51 | ↑ +42% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $57.13 | ↑ +78% |
| CIGNA HEALTHCARE | CIGNA PPO | $57.13 | ↑ +78% |
| CIGNA HEALTHCARE | CIGNA HMO | $57.13 | ↑ +78% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $57.45 | ↑ +79% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $57.45 | ↑ +79% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $57.51 | ↑ +79% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $58.01 | ↑ +81% |
| AETNA | AETNA | $58.50 | ↑ +82% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $58.57 | ↑ +82% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $63.57 | ↑ +98% |
| MEDCOST | MEDCOST VHN | $65.20 | ↑ +103% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $96.37 | ↑ +200% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $96.37 | ↑ +200% |
| AETNA | AETNA HEALTHCARE MEDICARE | $96.37 | ↑ +200% |
| HUMANA | HUMANA MEDICARE | $96.37 | ↑ +200% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $96.37 | ↑ +200% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $96.37 | ↑ +200% |
| SENTARA HEALTH | SENTARA MEDICARE | $96.37 | ↑ +200% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $99.26 | ↑ +209% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $99.26 | ↑ +209% |
| BLUE CROSS | BLUE CROSS MEDICARE | $100.22 | ↑ +212% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $100.22 | ↑ +212% |
| NHC ADVANTAGE | NHC ADVANTAGE | $101.19 | ↑ +215% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $101.19 | ↑ +215% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $101.19 | ↑ +215% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $101.19 | ↑ +215% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $101.19 | ↑ +215% |
| WELLCARE | WELLCARE MEDICARE | $102.16 | ↑ +218% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $105.49 | ↑ +229% |
| WELLCARE | WELLCARE MEDICAID | $137.00 | ↑ +327% |
| BLUE CROSS | ANTHEM HMO | $137.00 | ↑ +327% |
| BLUE CROSS | ANTHEM EXCHANGE | $137.00 | ↑ +327% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $137.00 | ↑ +327% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $149.80 | ↑ +367% |
| AMBETTER | AMBETTER | $210.09 | ↑ +554% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $214.00 | ↑ +567% |
Visitor-reported prices
Comments
Hopd mntl hlt, 30-60 min at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $32.10 | $56.51 – $206.66 |
| Hancock County Hospital | SNEEDVILLE | $31.51 | $37.93 – $101.20 |
| Greeneville Community Hospital | GREENEVILLE | $32.10 | $27.31 – $206.66 |
| Franklin Woods Community Hospital | JOHNSON CITY | $32.10 | $60.10 – $201.08 |
| Holston Valley Medical Center | KINGSPORT | $32.10 | $45.51 – $214.00 |
| Indian Path Community Hospital | KINGSPORT | $32.10 | $53.96 – $214.00 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $32.10 | $37.93 – $200.93 |
| Johnson County Community Hospital | MOUNTAIN CITY | $31.51 | $61.32 – $102.10 |