Ins/rpl ldless pm right vent w img & eval at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$6,987.45
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.
$46,583.00
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.
$890.00 with BLUE CROSS vs $46,583.00 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 | TENNCARE BLUE SELECT | $890.00 | ↓ -87% |
| BLUE CROSS | TENNCARE BLUE CARE | $890.00 | ↓ -87% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↓ -78% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,204.00 | ↓ -54% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $4,239.00 | ↓ -39% |
| CIGNA HEALTHCARE | CIGNA PPO | $4,239.00 | ↓ -39% |
| CIGNA HEALTHCARE | CIGNA HMO | $4,239.00 | ↓ -39% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $7,657.00 | ↑ +10% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $10,207.36 | ↑ +46% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $10,207.36 | ↑ +46% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $10,217.27 | ↑ +46% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $10,306.46 | ↑ +47% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $10,405.56 | ↑ +49% |
| SENTARA HEALTH | SENTARA HEALTH | $12,023.07 | ↑ +72% |
| BLUE CROSS | BLUE CROSS E NETWORK | $12,342.00 | ↑ +77% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $12,568.00 | ↑ +80% |
| BLUE CROSS | BLUE CROSS S NETWORK | $12,620.00 | ↑ +81% |
| BLUE CROSS | BLUE CROSS P NETWORK | $12,620.00 | ↑ +81% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $13,136.00 | ↑ +88% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $18,272.64 | ↑ +162% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $18,272.64 | ↑ +162% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $18,272.64 | ↑ +162% |
| SENTARA HEALTH | SENTARA MEDICARE | $18,272.64 | ↑ +162% |
| AETNA | AETNA HEALTHCARE MEDICARE | $18,272.64 | ↑ +162% |
| HUMANA | HUMANA MEDICARE | $18,272.64 | ↑ +162% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $18,272.64 | ↑ +162% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $18,820.82 | ↑ +169% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $18,820.82 | ↑ +169% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $19,003.54 | ↑ +172% |
| BLUE CROSS | BLUE CROSS MEDICARE | $19,003.54 | ↑ +172% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $19,186.27 | ↑ +175% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $19,186.27 | ↑ +175% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $19,186.27 | ↑ +175% |
| NHC ADVANTAGE | NHC ADVANTAGE | $19,186.27 | ↑ +175% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $19,186.27 | ↑ +175% |
| WELLCARE | WELLCARE MEDICARE | $19,368.99 | ↑ +177% |
| AETNA | AETNA | $19,890.94 | ↑ +185% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $21,337.00 | ↑ +205% |
| MEDCOST | MEDCOST VHN | $22,168.85 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $35,868.91 | ↑ +413% |
| AMBETTER | AMBETTER | $39,834.35 | ↑ +470% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $43,854.33 | ↑ +528% |
| BLUE CROSS | ANTHEM EXCHANGE | $45,564.01 | ↑ +552% |
| BLUE CROSS | ANTHEM HMO | $46,583.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $46,583.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $46,583.00 | ↑ +567% |
Visitor-reported prices
Comments
Ins/rpl ldless pm right vent w img & eval at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $7,657.76 | $6,190.50 – $14,894.00 |
| CHI Memorial Hospital Hixson | Hixson | $18,809.92 | $12,709.40 – $44,482.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $8,633.28 | $4,693.00 – $34,828.52 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $26,880.39 | $13,344.87 – $44,482.90 |
| Johnson City Medical Center | JOHNSON CITY | $6,987.45 | $10,040.42 – $39,183.13 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $7,657.76 | $6,190.50 – $6,935.50 |
| Greeneville Community Hospital | GREENEVILLE | $6,987.45 | $10,895.13 – $39,183.13 |
| Franklin Woods Community Hospital | JOHNSON CITY | $6,987.45 | $10,895.13 – $38,125.21 |