Prq card revasc mi 1 vsl at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$4,357.65
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.
$29,051.00
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.
$638.79 with BLUE CROSS vs $29,051.00 with BLUE CROSS — 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 CARE | $638.79 | ↓ -85% |
| BLUE CROSS | TENNCARE BLUE SELECT | $638.79 | ↓ -85% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $4,433.00 | ↑ +2% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $7,198.00 | ↑ +65% |
| SENTARA HEALTH | SENTARA HEALTH | $7,498.06 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $7,525.00 | ↑ +73% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $9,628.00 | ↑ +121% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $11,021.40 | ↑ +153% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $11,021.40 | ↑ +153% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $11,032.10 | ↑ +153% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $11,128.41 | ↑ +155% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $11,235.41 | ↑ +158% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $12,114.27 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $12,114.27 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $12,114.27 | ↑ +178% |
| AETNA | AETNA | $12,404.78 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $13,479.66 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $13,825.37 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $20,335.70 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $22,369.27 | ↑ +413% |
| BLUE CROSS | BLUE CROSS E NETWORK | $23,768.00 | ↑ +445% |
| BLUE CROSS | BLUE CROSS S NETWORK | $24,304.00 | ↑ +458% |
| BLUE CROSS | BLUE CROSS P NETWORK | $24,304.00 | ↑ +458% |
| BLUE CROSS | ANTHEM EXCHANGE | $26,919.05 | ↑ +518% |
| BLUE CROSS | ANTHEM HMO | $28,601.65 | ↑ +556% |
| WELLCARE | WELLCARE MEDICAID | $29,051.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $29,051.00 | ↑ +567% |
Visitor-reported prices
Comments
Prq card revasc mi 1 vsl at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $20,854.53 | $550.68 – $18,143.44 |
| CHI Memorial Hospital Hixson | Hixson | $10,810.81 | $819.58 – $25,566.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $14,750.13 | $550.68 – $658.20 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $15,449.23 | $819.58 – $25,566.10 |
| Johnson City Medical Center | JOHNSON CITY | $4,357.65 | $638.79 – $11,274.80 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $20,854.53 | $550.68 – $18,143.44 |
| Greeneville Community Hospital | GREENEVILLE | $4,357.65 | $638.79 – $11,764.02 |
| Franklin Woods Community Hospital | JOHNSON CITY | $4,357.65 | $776.46 – $12,234.58 |