M/phmtrc alysishquant/semiq at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$33.30
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.
$222.00
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.
$29.21 with UNITED HEALTHCARE vs $222.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $29.21 | ↓ -12% |
| BLUE CROSS | TENNCARE BLUE CARE | $41.03 | ↑ +23% |
| BLUE CROSS | TENNCARE BLUE SELECT | $41.03 | ↑ +23% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $42.01 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $42.01 | ↑ +26% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $42.05 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $42.42 | ↑ +27% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $42.83 | ↑ +29% |
| SENTARA HEALTH | SENTARA HEALTH | $57.30 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $82.65 | ↑ +148% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $82.65 | ↑ +148% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $85.96 | ↑ +158% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $92.57 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $92.57 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $92.57 | ↑ +178% |
| AETNA | AETNA | $94.79 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $105.65 | ↑ +217% |
| BLUE CROSS | BLUE CROSS E NETWORK | $140.60 | ↑ +322% |
| BLUE CROSS | BLUE CROSS P NETWORK | $143.65 | ↑ +331% |
| BLUE CROSS | BLUE CROSS S NETWORK | $143.65 | ↑ +331% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $155.40 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $170.94 | ↑ +413% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $207.59 | ↑ +523% |
| WELLCARE | WELLCARE MEDICAID | $222.00 | ↑ +567% |
Visitor-reported prices
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M/phmtrc alysishquant/semiq at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hancock County Hospital | SNEEDVILLE | $32.66 | $24.35 – $142.00 |
| Greeneville Community Hospital | GREENEVILLE | $33.30 | $17.53 – $207.59 |
| Holston Valley Medical Center | KINGSPORT | $33.30 | $29.21 – $207.59 |
| 62-0123940 BMH Collierville | Collierville | $110.25 | $35.37 – $282.02 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $33.30 | $24.35 – $207.59 |
| SKYLINE MADISON CAMPUS | NASHVILLE | $398.65 | $43.53 – $168.75 |
| Parkwest Medical Center | Knoxville | $163.17 | $34.98 – $353.72 |
| Roane County Medical Center | Harriman | $85.47 | $34.98 – $353.72 |