Phlebotomy therapeutic at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$65.10
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.
$434.00
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.
$15.57 with BLUE CROSS vs $434.00 with UNITED HEALTHCARE — 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 | $15.57 | ↓ -76% |
| BLUE CROSS | TENNCARE BLUE CARE | $15.57 | ↓ -76% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $22.93 | ↓ -65% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $25.60 | ↓ -61% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $92.10 | ↑ +41% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $92.10 | ↑ +41% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $92.18 | ↑ +42% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $92.99 | ↑ +43% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $93.88 | ↑ +44% |
| SENTARA HEALTH | SENTARA HEALTH | $112.02 | ↑ +72% |
| HUMANA | HUMANA MEDICARE | $126.22 | ↑ +94% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $126.22 | ↑ +94% |
| SENTARA HEALTH | SENTARA MEDICARE | $126.22 | ↑ +94% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $126.22 | ↑ +94% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $126.22 | ↑ +94% |
| AETNA | AETNA HEALTHCARE MEDICARE | $126.22 | ↑ +94% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $126.22 | ↑ +94% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $130.00 | ↑ +100% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $130.00 | ↑ +100% |
| BLUE CROSS | BLUE CROSS MEDICARE | $131.27 | ↑ +102% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $131.27 | ↑ +102% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $132.53 | ↑ +104% |
| NHC ADVANTAGE | NHC ADVANTAGE | $132.53 | ↑ +104% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $132.53 | ↑ +104% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $132.53 | ↑ +104% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $132.53 | ↑ +104% |
| WELLCARE | WELLCARE MEDICARE | $133.79 | ↑ +106% |
| CIGNA HEALTHCARE | CIGNA PPO | $180.98 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $180.98 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $180.98 | ↑ +178% |
| AETNA | AETNA | $185.32 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $201.38 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $206.54 | ↑ +217% |
| AMBETTER | AMBETTER | $275.15 | ↑ +323% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $302.92 | ↑ +365% |
| BLUE CROSS | ANTHEM EXCHANGE | $314.74 | ↑ +383% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $334.18 | ↑ +413% |
| BLUE CROSS | ANTHEM HMO | $334.41 | ↑ +414% |
| BLUE CROSS | BLUE CROSS E NETWORK | $384.20 | ↑ +490% |
| BLUE CROSS | BLUE CROSS P NETWORK | $392.13 | ↑ +502% |
| BLUE CROSS | BLUE CROSS S NETWORK | $392.13 | ↑ +502% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $393.43 | ↑ +504% |
| WELLCARE | WELLCARE MEDICAID | $434.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $434.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $434.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $434.00 | ↑ +567% |
Visitor-reported prices
Comments
Phlebotomy therapeutic at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $126.38 | $13.42 – $202.68 |
| CHI Memorial Hospital Hixson | Hixson | $51.21 | $19.97 – $121.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $27.14 | $13.42 – $235.40 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $73.18 | $19.97 – $121.10 |
| Johnson City Medical Center | JOHNSON CITY | $65.10 | $15.57 – $270.65 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $151.64 | $13.42 – $202.68 |
| Hancock County Hospital | SNEEDVILLE | $63.94 | $15.57 – $147.76 |
| Greeneville Community Hospital | GREENEVILLE | $65.10 | $15.36 – $270.65 |