Revision tips at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$2,983.35
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.
$19,889.00
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.
$1,093.00 with BLUE CROSS vs $19,889.00 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 | TENNCARE BLUE SELECT | $1,093.00 | ↓ -63% |
| BLUE CROSS | TENNCARE BLUE CARE | $1,093.00 | ↓ -63% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↓ -49% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,204.00 | ↑ +7% |
| CIGNA HEALTHCARE | CIGNA HMO | $4,239.00 | ↑ +42% |
| CIGNA HEALTHCARE | CIGNA PPO | $4,239.00 | ↑ +42% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $4,239.00 | ↑ +42% |
| SENTARA HEALTH | SENTARA HEALTH | $5,133.35 | ↑ +72% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $5,320.00 | ↑ +78% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $5,399.31 | ↑ +81% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $5,399.31 | ↑ +81% |
| AETNA | AETNA HEALTHCARE MEDICARE | $5,399.31 | ↑ +81% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $5,399.31 | ↑ +81% |
| HUMANA | HUMANA MEDICARE | $5,399.31 | ↑ +81% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $5,399.31 | ↑ +81% |
| SENTARA HEALTH | SENTARA MEDICARE | $5,399.31 | ↑ +81% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $5,561.29 | ↑ +86% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $5,561.29 | ↑ +86% |
| BLUE CROSS | BLUE CROSS MEDICARE | $5,615.28 | ↑ +88% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $5,615.28 | ↑ +88% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $5,669.28 | ↑ +90% |
| NHC ADVANTAGE | NHC ADVANTAGE | $5,669.28 | ↑ +90% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $5,669.28 | ↑ +90% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $5,669.28 | ↑ +90% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $5,669.28 | ↑ +90% |
| WELLCARE | WELLCARE MEDICARE | $5,723.27 | ↑ +92% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $8,471.58 | ↑ +184% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $8,471.58 | ↑ +184% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $8,479.81 | ↑ +184% |
| AETNA | AETNA | $8,492.60 | ↑ +185% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $8,553.83 | ↑ +187% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $8,636.08 | ↑ +189% |
| BLUE CROSS | BLUE CROSS E NETWORK | $8,788.00 | ↑ +195% |
| BLUE CROSS | BLUE CROSS P NETWORK | $8,986.00 | ↑ +201% |
| BLUE CROSS | BLUE CROSS S NETWORK | $8,986.00 | ↑ +201% |
| MEDCOST | MEDCOST VHN | $9,465.18 | ↑ +217% |
| AMBETTER | AMBETTER | $11,770.50 | ↑ +295% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $11,813.00 | ↑ +296% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $12,347.00 | ↑ +314% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $12,958.35 | ↑ +334% |
| BLUE CROSS | ANTHEM EXCHANGE | $13,463.52 | ↑ +351% |
| BLUE CROSS | ANTHEM HMO | $14,305.07 | ↑ +379% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $15,314.53 | ↑ +413% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $16,829.72 | ↑ +464% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $19,889.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $19,889.00 | ↑ +567% |
Visitor-reported prices
Comments
Revision tips at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $7,858.20 | $2,118.00 – $2,225.50 |
| CHI Memorial Hospital Hixson | Hixson | $3,233.51 | $2,184.80 – $7,646.80 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $4,620.86 | $2,294.04 – $7,646.80 |
| Johnson City Medical Center | JOHNSON CITY | $2,983.35 | $4,830.21 – $11,578.07 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $7,209.36 | $2,118.00 – $2,306.90 |
| Greeneville Community Hospital | GREENEVILLE | $2,983.35 | $4,319.33 – $11,578.07 |
| Franklin Woods Community Hospital | JOHNSON CITY | $2,983.35 | $4,247.90 – $11,265.47 |
| Holston Valley Medical Center | KINGSPORT | $2,983.35 | $5,399.31 – $12,958.35 |