Injection radioactive tracer sentinel node (both sides) at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$482.85
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.
$3,219.00
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.
$277.00 with UNITED HEALTHCARE vs $1,610.00 with CIGNA HEALTHCARE — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $277.00 | ↓ -43% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $289.00 | ↓ -40% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $322.00 | ↓ -33% |
| SENTARA HEALTH | SENTARA MEDICARE | $379.24 | ↓ -21% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $379.24 | ↓ -21% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $379.24 | ↓ -21% |
| AETNA | AETNA HEALTHCARE MEDICARE | $379.24 | ↓ -21% |
| HUMANA | HUMANA MEDICARE | $379.24 | ↓ -21% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $379.24 | ↓ -21% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $379.24 | ↓ -21% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $390.62 | ↓ -19% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $390.62 | ↓ -19% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $394.41 | ↓ -18% |
| BLUE CROSS | BLUE CROSS MEDICARE | $394.41 | ↓ -18% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $398.21 | ↓ -18% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $398.21 | ↓ -18% |
| NHC ADVANTAGE | NHC ADVANTAGE | $398.21 | ↓ -18% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $398.21 | ↓ -18% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $398.21 | ↓ -18% |
| WELLCARE | WELLCARE MEDICARE | $402.00 | ↓ -17% |
| SENTARA HEALTH | SENTARA HEALTH | $415.54 | ↓ -14% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $476.15 | ↓ -1% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $476.15 | ↓ -1% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $476.61 | ↓ -1% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $480.77 | ↓ -0% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $485.39 | ↑ +1% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $528.00 | ↑ +9% |
| BLUE CROSS | TENNCARE BLUE CARE | $578.00 | ↑ +20% |
| BLUE CROSS | TENNCARE BLUE SELECT | $578.00 | ↑ +20% |
| AETNA | AETNA | $687.47 | ↑ +42% |
| BLUE CROSS | BLUE CROSS E NETWORK | $736.00 | ↑ +52% |
| BLUE CROSS | BLUE CROSS S NETWORK | $753.00 | ↑ +56% |
| BLUE CROSS | BLUE CROSS P NETWORK | $753.00 | ↑ +56% |
| MEDCOST | MEDCOST VHN | $766.20 | ↑ +59% |
| AMBETTER | AMBETTER | $826.75 | ↑ +71% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $910.18 | ↑ +89% |
| BLUE CROSS | ANTHEM EXCHANGE | $945.68 | ↑ +96% |
| BLUE CROSS | ANTHEM HMO | $1,004.79 | ↑ +108% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,182.12 | ↑ +145% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,239.70 | ↑ +157% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,463.00 | ↑ +203% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +215% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,610.00 | ↑ +233% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,610.00 | ↑ +233% |
| WELLCARE | WELLCARE MEDICAID | $1,610.00 | ↑ +233% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,610.00 | ↑ +233% |
Visitor-reported prices
Comments
Injection radioactive tracer sentinel node (both sides) at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $347.75 | $346.35 – $1,141.72 |
| CHI Memorial Hospital Hixson | Hixson | $290.97 | $196.60 – $688.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $184.00 | $319.22 – $733.84 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $415.81 | $206.43 – $688.10 |
| Johnson City Medical Center | JOHNSON CITY | $482.85 | $331.93 – $813.24 |
| Ascension Saint Thomas DeKalb | Smithville | $347.75 | $140.14 – $1,004.50 |
| Ascension Saint Thomas Highlands | Sparta | $347.75 | $140.14 – $1,004.50 |
| Ascension Saint Thomas River Park | McMinnville | $347.75 | $140.14 – $1,004.50 |