Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$27.75
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.
$185.00
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.
$20.89 with UNITED HEALTHCARE vs $185.00 with UNITED 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 | TENNCARE UNITED HEALTHCARE | $20.89 | ↓ -25% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $21.16 | ↓ -24% |
| BLUE CROSS | TENNCARE BLUE SELECT | $21.39 | ↓ -23% |
| BLUE CROSS | TENNCARE BLUE CARE | $21.39 | ↓ -23% |
| AETNA | AETNA HEALTHCARE MEDICARE | $44.42 | ↑ +60% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $44.42 | ↑ +60% |
| HUMANA | HUMANA MEDICARE | $44.42 | ↑ +60% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $44.42 | ↑ +60% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $44.42 | ↑ +60% |
| SENTARA HEALTH | SENTARA MEDICARE | $44.42 | ↑ +60% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $44.42 | ↑ +60% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $45.75 | ↑ +65% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $45.75 | ↑ +65% |
| BLUE CROSS | BLUE CROSS MEDICARE | $46.20 | ↑ +66% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $46.20 | ↑ +66% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $46.64 | ↑ +68% |
| NHC ADVANTAGE | NHC ADVANTAGE | $46.64 | ↑ +68% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $46.64 | ↑ +68% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $46.64 | ↑ +68% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $46.64 | ↑ +68% |
| WELLCARE | WELLCARE MEDICARE | $47.09 | ↑ +70% |
| SENTARA HEALTH | SENTARA HEALTH | $47.75 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $66.62 | ↑ +140% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $66.62 | ↑ +140% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $66.69 | ↑ +140% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $67.27 | ↑ +142% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $67.91 | ↑ +145% |
| CIGNA HEALTHCARE | CIGNA PPO | $77.15 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $77.15 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $77.15 | ↑ +178% |
| AETNA | AETNA | $79.00 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $85.84 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $88.04 | ↑ +217% |
| AMBETTER | AMBETTER | $96.84 | ↑ +249% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $106.61 | ↑ +284% |
| BLUE CROSS | ANTHEM EXCHANGE | $110.76 | ↑ +299% |
| BLUE CROSS | ANTHEM HMO | $117.68 | ↑ +324% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $138.45 | ↑ +399% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $142.45 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $185.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $185.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $185.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $185.00 | ↑ +567% |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $55.98 | $18.44 – $95.00 |
| CHI Memorial Hospital Hixson | Hixson | $94.43 | $22.81 – $223.30 |
| 62-1166050 BMH Carroll County | Huntingdon | $89.01 | $18.44 – $84.26 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $134.94 | $22.81 – $223.30 |
| Johnson City Medical Center | JOHNSON CITY | $27.75 | $21.16 – $95.26 |
| Ascension Saint Thomas DeKalb | Smithville | $55.98 | $17.41 – $87.00 |
| Ascension Saint Thomas Highlands | Sparta | $55.98 | $17.41 – $87.00 |
| Ascension Saint Thomas River Park | McMinnville | $55.98 | $17.41 – $87.00 |