Ins lv lead exist pm/icd at Bristol Regional Medical Center

1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$2,714.40

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$18,096.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$502.02 with BLUE CROSS vs $21,615.36 with AMBETTER — 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 →

Payer
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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
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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 $502.02 ↓ -82%
SENTARA HEALTH SENTARA HEALTH $4,670.58 ↑ +72%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $6,851.00 ↑ +152%
CIGNA HEALTHCARE CIGNA HMO $7,546.03 ↑ +178%
CIGNA HEALTHCARE CIGNA PPO $7,546.03 ↑ +178%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $7,546.03 ↑ +178%
AETNA AETNA $7,726.99 ↑ +185%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $8,396.54 ↑ +209%
MEDCOST MEDCOST VHN $8,611.89 ↑ +217%
BLUE CROSS BLUE CROSS E NETWORK $9,427.00 ↑ +247%
BLUE CROSS BLUE CROSS S NETWORK $9,639.00 ↑ +255%
BLUE CROSS BLUE CROSS P NETWORK $9,639.00 ↑ +255%
HUMANA HUMANA MEDICARE $9,915.30 ↑ +265%
SENTARA HEALTH SENTARA MEDICARE $9,915.30 ↑ +265%
MANAGED MEDICAIRE MANAGED MEDICAIRE $9,915.30 ↑ +265%
ALLCARE MEDICARE ALLCARE MEDICARE $9,915.30 ↑ +265%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $9,915.30 ↑ +265%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $9,915.30 ↑ +265%
AETNA AETNA HEALTHCARE MEDICARE $9,915.30 ↑ +265%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $10,207.36 ↑ +276%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $10,207.36 ↑ +276%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $10,212.76 ↑ +276%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $10,212.76 ↑ +276%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $10,217.27 ↑ +276%
AETNA AETNA BETTER HEALTH OF VIRGINIA $10,306.46 ↑ +280%
BLUE CROSS BLUE CROSS MEDICARE $10,311.92 ↑ +280%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $10,311.92 ↑ +280%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $10,405.56 ↑ +283%
NHC ADVANTAGE NHC ADVANTAGE $10,411.07 ↑ +284%
CIGNA HEALTHCARE CIGNA MEDICARE $10,411.07 ↑ +284%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $10,411.07 ↑ +284%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $10,411.07 ↑ +284%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $10,411.07 ↑ +284%
WELLCARE WELLCARE MEDICARE $10,510.22 ↑ +287%
UNITED HEALTHCARE UHC HERITAGE SELECT $12,245.00 ↑ +351%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $12,800.00 ↑ +372%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $13,933.92 ↑ +413%
BLUE CROSS ANTHEM EXCHANGE $18,096.00 ↑ +567%
BLUE CROSS ANTHEM HMO $18,096.00 ↑ +567%
WELLCARE WELLCARE MEDICAID $18,096.00 ↑ +567%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $18,096.00 ↑ +567%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $18,096.00 ↑ +567%
UNITED HEALTHCARE UNITED HEALTHCARE $18,096.00 ↑ +567%
AMBETTER AMBETTER $21,615.36 ↑ +696%

Visitor-reported prices

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Ins lv lead exist pm/icd at other Tennessee hospitals

Hospital City Cash price Negotiated range
Ascension Saint Thomas Midtown Nashville $7,557.30 $1,752.88 – $14,894.00
CHI Memorial Hospital Hixson Hixson $2,517.78 $1,701.20 – $5,954.20
62-1166050 BMH Carroll County Huntingdon $12,478.19 $3,431.00 – $19,112.20
CHI Memorial Hospital Chattanooga Chattanooga $3,598.04 $1,786.26 – $5,954.20
Johnson City Medical Center JOHNSON CITY $2,714.40 $502.02 – $21,261.99
Ascension Saint Thomas Rutherford Murfreesboro $7,557.30 $1,869.19 – $6,935.50
Greeneville Community Hospital GREENEVILLE $2,714.40 $502.02 – $21,261.99
Franklin Woods Community Hospital JOHNSON CITY $2,714.40 $502.02 – $20,687.93

All Tennessee hospitals for this procedure →