Intro cath dialysis circuit w/stent plcmnt at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$5,352.30
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.
$35,682.00
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.
$775.00 with BLUE CROSS vs $35,682.00 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 | $775.00 | ↓ -86% |
| BLUE CROSS | TENNCARE BLUE CARE | $775.00 | ↓ -86% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↓ -72% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,204.00 | ↓ -40% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $4,239.00 | ↓ -21% |
| CIGNA HEALTHCARE | CIGNA HMO | $4,239.00 | ↓ -21% |
| CIGNA HEALTHCARE | CIGNA PPO | $4,239.00 | ↓ -21% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $5,320.00 | ↓ -1% |
| SENTARA HEALTH | SENTARA HEALTH | $9,209.52 | ↑ +72% |
| BLUE CROSS | BLUE CROSS E NETWORK | $9,427.00 | ↑ +76% |
| BLUE CROSS | BLUE CROSS S NETWORK | $9,639.00 | ↑ +80% |
| BLUE CROSS | BLUE CROSS P NETWORK | $9,639.00 | ↑ +80% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $10,951.41 | ↑ +105% |
| SENTARA HEALTH | SENTARA MEDICARE | $10,951.41 | ↑ +105% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $10,951.41 | ↑ +105% |
| HUMANA | HUMANA MEDICARE | $10,951.41 | ↑ +105% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $10,951.41 | ↑ +105% |
| AETNA | AETNA HEALTHCARE MEDICARE | $10,951.41 | ↑ +105% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $10,951.41 | ↑ +105% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $11,279.96 | ↑ +111% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $11,279.96 | ↑ +111% |
| BLUE CROSS | BLUE CROSS MEDICARE | $11,389.47 | ↑ +113% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $11,389.47 | ↑ +113% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $11,498.99 | ↑ +115% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $11,498.99 | ↑ +115% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $11,498.99 | ↑ +115% |
| NHC ADVANTAGE | NHC ADVANTAGE | $11,498.99 | ↑ +115% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $11,498.99 | ↑ +115% |
| WELLCARE | WELLCARE MEDICARE | $11,608.50 | ↑ +117% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $11,813.00 | ↑ +121% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $12,347.00 | ↑ +131% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $14,162.67 | ↑ +165% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $14,162.67 | ↑ +165% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $14,176.43 | ↑ +165% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $14,300.17 | ↑ +167% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $14,437.68 | ↑ +170% |
| AETNA | AETNA | $15,236.21 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $16,981.06 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $20,054.00 | ↑ +275% |
| AMBETTER | AMBETTER | $23,874.08 | ↑ +346% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $26,283.39 | ↑ +391% |
| BLUE CROSS | ANTHEM EXCHANGE | $27,308.06 | ↑ +410% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $27,475.14 | ↑ +413% |
| BLUE CROSS | ANTHEM HMO | $29,014.97 | ↑ +442% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $34,135.71 | ↑ +538% |
| WELLCARE | WELLCARE MEDICAID | $35,682.00 | ↑ +567% |
Visitor-reported prices
Comments
Intro cath dialysis circuit w/stent plcmnt at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $12,851.48 | $2,118.00 – $2,225.50 |
| CHI Memorial Hospital Hixson | Hixson | $8,828.20 | $5,965.00 – $20,877.50 |
| 62-1166050 BMH Carroll County | Huntingdon | $4,756.40 | $3,431.00 – $20,710.60 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $12,615.98 | $6,263.25 – $20,877.50 |
| Johnson City Medical Center | JOHNSON CITY | $5,352.30 | $9,983.83 – $23,483.78 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $12,851.48 | $2,118.00 – $2,225.50 |
| Greeneville Community Hospital | GREENEVILLE | $5,352.30 | $8,927.85 – $23,483.78 |
| Franklin Woods Community Hospital | JOHNSON CITY | $5,352.30 | $8,780.21 – $22,849.74 |