Peng benzathine/procaine inj at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$294.81
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.
$1,965.37
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.
$3.22 with BLUE CROSS vs $1,474.03 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 | BLUE CROSS BALLAD HEALTH EMPLOYEE | $3.22 | ↓ -99% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $6.58 | ↓ -98% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $19.52 | ↓ -93% |
| SENTARA HEALTH | SENTARA MEDICARE | $19.52 | ↓ -93% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $19.52 | ↓ -93% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $19.52 | ↓ -93% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $19.52 | ↓ -93% |
| AETNA | AETNA HEALTHCARE MEDICARE | $19.52 | ↓ -93% |
| HUMANA | HUMANA MEDICARE | $19.52 | ↓ -93% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $20.11 | ↓ -93% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $20.11 | ↓ -93% |
| BLUE CROSS | BLUE CROSS MEDICARE | $20.30 | ↓ -93% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $20.30 | ↓ -93% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $20.50 | ↓ -93% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $20.50 | ↓ -93% |
| NHC ADVANTAGE | NHC ADVANTAGE | $20.50 | ↓ -93% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $20.50 | ↓ -93% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $20.50 | ↓ -93% |
| WELLCARE | WELLCARE MEDICARE | $20.69 | ↓ -93% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $21.19 | ↓ -93% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $23.81 | ↓ -92% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $24.60 | ↓ -92% |
| BLUE CROSS | TENNCARE BLUE CARE | $28.91 | ↓ -90% |
| BLUE CROSS | TENNCARE BLUE SELECT | $28.91 | ↓ -90% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $34.36 | ↓ -88% |
| AMBETTER | AMBETTER | $42.56 | ↓ -86% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $46.86 | ↓ -84% |
| BLUE CROSS | ANTHEM EXCHANGE | $62.66 | ↓ -79% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $62.66 | ↓ -79% |
| BLUE CROSS | ANTHEM HMO | $62.66 | ↓ -79% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $137.63 | ↓ -53% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $137.63 | ↓ -53% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $137.76 | ↓ -53% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $138.97 | ↓ -53% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $140.30 | ↓ -52% |
| SENTARA HEALTH | SENTARA HEALTH | $380.45 | ↑ +29% |
| CIGNA HEALTHCARE | CIGNA PPO | $614.67 | ↑ +108% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $614.67 | ↑ +108% |
| CIGNA HEALTHCARE | CIGNA HMO | $614.67 | ↑ +108% |
| AETNA | AETNA | $629.41 | ↑ +113% |
| MEDCOST | MEDCOST VHN | $701.49 | ↑ +138% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,135.00 | ↑ +285% |
| WELLCARE | WELLCARE MEDICAID | $1,474.03 | ↑ +400% |
Visitor-reported prices
Comments
Peng benzathine/procaine inj at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $43.55 | $12.85 – $42.53 |
| Johnson City Medical Center | JOHNSON CITY | $294.81 | $3.22 – $135.38 |
| Ascension Saint Thomas River Park | McMinnville | $43.55 | $12.85 – $41.48 |
| Hancock County Hospital | SNEEDVILLE | $267.34 | $3.22 – $154.26 |
| Greeneville Community Hospital | GREENEVILLE | $294.81 | $3.22 – $146.91 |
| Indian Path Community Hospital | KINGSPORT | $294.81 | $3.22 – $129.27 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $294.81 | $3.22 – $151.46 |
| Johnson County Community Hospital | MOUNTAIN CITY | $452.04 | $3.22 – $152.79 |