Oncoprotein her-2/neu at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$69.00
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.
$460.00
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.
$29.86 with BLUE CROSS vs $460.00 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 | ANTHEM HLTHKEEP MEDICIAD | $29.86 | ↓ -57% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $29.86 | ↓ -57% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $29.89 | ↓ -57% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $30.15 | ↓ -56% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $30.44 | ↓ -56% |
| AMERIGROUP | AMERIGROUP | $32.21 | ↓ -53% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $54.74 | ↓ -21% |
| AETNA | AETNA HEALTHCARE MEDICARE | $64.41 | ↓ -7% |
| HUMANA | HUMANA MEDICARE | $64.41 | ↓ -7% |
| BLUE CROSS | ANTHEM EXCHANGE | $64.41 | ↓ -7% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $64.41 | ↓ -7% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $64.41 | ↓ -7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $64.41 | ↓ -7% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $64.41 | ↓ -7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $64.41 | ↓ -7% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $64.41 | ↓ -7% |
| SENTARA HEALTH | SENTARA MEDICARE | $64.41 | ↓ -7% |
| BLUE CROSS | ANTHEM HMO | $64.41 | ↓ -7% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $64.41 | ↓ -7% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $66.34 | ↓ -4% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $66.34 | ↓ -4% |
| BLUE CROSS | BLUE CROSS MEDICARE | $66.99 | ↓ -3% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $66.99 | ↓ -3% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $66.99 | ↓ -3% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $67.63 | ↓ -2% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $67.63 | ↓ -2% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $67.63 | ↓ -2% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $67.63 | ↓ -2% |
| NHC ADVANTAGE | NHC ADVANTAGE | $67.63 | ↓ -2% |
| WELLCARE | WELLCARE MEDICARE | $68.27 | ↓ -1% |
| BLUE CROSS | TENNCARE BLUE CARE | $83.89 | ↑ +22% |
| BLUE CROSS | TENNCARE BLUE SELECT | $83.89 | ↑ +22% |
| SENTARA HEALTH | SENTARA HEALTH | $118.73 | ↑ +72% |
| AMBETTER | AMBETTER | $140.41 | ↑ +103% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $142.19 | ↑ +106% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $154.58 | ↑ +124% |
| AETNA | AETNA | $196.42 | ↑ +185% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $215.89 | ↑ +213% |
| MEDCOST | MEDCOST VHN | $218.91 | ↑ +217% |
| CIGNA HEALTHCARE | CIGNA PPO | $259.14 | ↑ +276% |
| CIGNA HEALTHCARE | CIGNA HMO | $259.14 | ↑ +276% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $259.14 | ↑ +276% |
| BLUE CROSS | BLUE CROSS E NETWORK | $283.85 | ↑ +311% |
| BLUE CROSS | BLUE CROSS P NETWORK | $290.00 | ↑ +320% |
| BLUE CROSS | BLUE CROSS S NETWORK | $290.00 | ↑ +320% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $354.20 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $460.00 | ↑ +567% |
Visitor-reported prices
Comments
Oncoprotein her-2/neu at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $69.00 | $29.37 – $140.41 |
| Hancock County Hospital | SNEEDVILLE | $67.62 | $32.83 – $142.19 |
| Greeneville Community Hospital | GREENEVILLE | $69.00 | $28.98 – $140.41 |
| Franklin Woods Community Hospital | JOHNSON CITY | $69.00 | $31.87 – $140.41 |
| Holston Valley Medical Center | KINGSPORT | $69.00 | $28.99 – $154.58 |
| Indian Path Community Hospital | KINGSPORT | $69.00 | $28.05 – $154.58 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $69.00 | $32.21 – $140.41 |
| Johnson County Community Hospital | MOUNTAIN CITY | $67.62 | $31.87 – $142.19 |