I&d abscss rtrphryngl/paraphryngl intraorl apprch at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$1,326.15
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.
$8,841.00
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.
$360.21 with BLUE CROSS vs $8,841.00 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 | $360.21 | ↓ -73% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $760.12 | ↓ -43% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,834.77 | ↑ +38% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,834.77 | ↑ +38% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,836.55 | ↑ +38% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,852.58 | ↑ +40% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,870.40 | ↑ +41% |
| SENTARA HEALTH | SENTARA HEALTH | $2,281.86 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,714.19 | ↑ +105% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,855.64 | ↑ +115% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,855.64 | ↑ +115% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,145.22 | ↑ +137% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,145.22 | ↑ +137% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,145.22 | ↑ +137% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,145.22 | ↑ +137% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,145.22 | ↑ +137% |
| HUMANA | HUMANA MEDICARE | $3,145.22 | ↑ +137% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,145.22 | ↑ +137% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,239.57 | ↑ +144% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,239.57 | ↑ +144% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,271.02 | ↑ +147% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,271.02 | ↑ +147% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3,302.48 | ↑ +149% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,302.48 | ↑ +149% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,302.48 | ↑ +149% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,302.48 | ↑ +149% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,302.48 | ↑ +149% |
| WELLCARE | WELLCARE MEDICARE | $3,333.93 | ↑ +151% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $3,686.70 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $3,686.70 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $3,686.70 | ↑ +178% |
| AETNA | AETNA | $3,775.11 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $4,102.22 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $4,207.43 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $6,807.57 | ↑ +413% |
| AMBETTER | AMBETTER | $6,856.57 | ↑ +417% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $7,548.52 | ↑ +469% |
| BLUE CROSS | ANTHEM EXCHANGE | $7,842.81 | ↑ +491% |
| BLUE CROSS | ANTHEM HMO | $8,333.03 | ↑ +528% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $8,841.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $8,841.00 | ↑ +567% |
Visitor-reported prices
Comments
I&d abscss rtrphryngl/paraphryngl intraorl apprch at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $1,326.15 | $360.21 – $6,744.48 |
| Hancock County Hospital | SNEEDVILLE | $1,301.34 | $360.21 – $3,093.34 |
| Greeneville Community Hospital | GREENEVILLE | $1,326.15 | $360.21 – $6,744.48 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,326.15 | $360.21 – $6,562.38 |
| Holston Valley Medical Center | KINGSPORT | $1,326.15 | $360.21 – $7,548.52 |
| Indian Path Community Hospital | KINGSPORT | $1,326.15 | $360.21 – $7,219.28 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $1,326.15 | $360.21 – $6,557.51 |
| Johnson County Community Hospital | MOUNTAIN CITY | $1,301.34 | $360.21 – $3,130.28 |