Pr incision & drainage abscess complicated/multiple at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$158.25
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.
$1,055.00
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.
$136.29 with BLUE CROSS vs $1,055.00 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 | BLUE CROSS BALLAD HEALTH EMPLOYEE | $136.29 | ↓ -14% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $162.00 | ↑ +2% |
| BEACON HEALTH | BEACON HEALTH VALUE OPTIONS BH | $187.00 | ↑ +18% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $225.10 | ↑ +42% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $225.10 | ↑ +42% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $225.33 | ↑ +42% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $227.29 | ↑ +44% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $229.48 | ↑ +45% |
| SENTARA HEALTH | SENTARA HEALTH | $272.30 | ↑ +72% |
| AETNA | AETNA HEALTHCARE MEDICARE | $385.64 | ↑ +144% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $385.64 | ↑ +144% |
| HUMANA | HUMANA MEDICARE | $385.64 | ↑ +144% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $385.64 | ↑ +144% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $385.64 | ↑ +144% |
| SENTARA HEALTH | SENTARA MEDICARE | $385.64 | ↑ +144% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $385.64 | ↑ +144% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $397.21 | ↑ +151% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $397.21 | ↑ +151% |
| BLUE CROSS | BLUE CROSS MEDICARE | $401.07 | ↑ +153% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $401.07 | ↑ +153% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $404.92 | ↑ +156% |
| NHC ADVANTAGE | NHC ADVANTAGE | $404.92 | ↑ +156% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $404.92 | ↑ +156% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $404.92 | ↑ +156% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $404.92 | ↑ +156% |
| WELLCARE | WELLCARE MEDICARE | $408.78 | ↑ +158% |
| AETNA | AETNA | $450.49 | ↑ +185% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $471.00 | ↑ +198% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $491.00 | ↑ +210% |
| MEDCOST | MEDCOST VHN | $502.07 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $812.35 | ↑ +413% |
| AMBETTER | AMBETTER | $840.70 | ↑ +431% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $847.00 | ↑ +435% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $925.54 | ↑ +485% |
| BLUE CROSS | ANTHEM EXCHANGE | $961.61 | ↑ +508% |
| BLUE CROSS | ANTHEM HMO | $1,021.72 | ↑ +546% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,055.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $1,055.00 | ↑ +567% |
Visitor-reported prices
Comments
Pr incision & drainage abscess complicated/multiple at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $555.60 | $375.40 – $1,313.90 |
| 62-1166050 BMH Carroll County | Huntingdon | $289.80 | $317.39 – $729.64 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $793.98 | $394.17 – $1,313.90 |
| Johnson City Medical Center | JOHNSON CITY | $158.25 | $136.29 – $826.95 |
| Ascension Saint Thomas DeKalb | Smithville | $290.99 | $80.98 – $1,004.50 |
| Ascension Saint Thomas Highlands | Sparta | $290.99 | $80.98 – $1,004.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $290.99 | $344.37 – $1,217.22 |
| Hancock County Hospital | SNEEDVILLE | $155.25 | $136.29 – $252.28 |