Skin Biopsy at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$39.15
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.
?
What you pay up front if you don't use insurance.
$261.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$67.36 with SENTARA HEALTH vs $840.70 with AMBETTER — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $67.36 | ↑ +72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $80.13 | ↑ +105% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $84.30 | ↑ +115% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $84.30 | ↑ +115% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $105.87 | ↑ +170% |
| CIGNA HEALTHCARE | CIGNA PPO | $108.84 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $108.84 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $108.84 | ↑ +178% |
| AETNA | AETNA | $111.45 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $121.10 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $124.21 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $182.70 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $200.97 | ↑ +413% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $261.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $261.00 | ↑ +567% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $261.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $261.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $261.00 | ↑ +567% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $261.00 | ↑ +567% |
| AETNA | AETNA HEALTHCARE MEDICARE | $261.00 | ↑ +567% |
| HUMANA | HUMANA MEDICARE | $261.00 | ↑ +567% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $261.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $261.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $261.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $261.00 | ↑ +567% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $261.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $261.00 | ↑ +567% |
| NHC ADVANTAGE | NHC ADVANTAGE | $261.00 | ↑ +567% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $261.00 | ↑ +567% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $261.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $261.00 | ↑ +567% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $261.00 | ↑ +567% |
| SENTARA HEALTH | SENTARA MEDICARE | $261.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $261.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS MEDICARE | $401.07 | ↑ +924% |
| WELLCARE | WELLCARE MEDICARE | $408.78 | ↑ +944% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $556.57 | ↑ +1322% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $557.11 | ↑ +1323% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $561.97 | ↑ +1335% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $567.38 | ↑ +1349% |
| AMBETTER | AMBETTER | $840.70 | ↑ +2047% |
Visitor-reported prices
Comments
Skin Biopsy at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $258.41 | $174.60 – $611.10 |
| 62-1166050 BMH Carroll County | Huntingdon | $172.04 | $157.85 – $362.88 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $369.28 | $183.33 – $611.10 |
| Johnson City Medical Center | JOHNSON CITY | $39.15 | $102.05 – $826.95 |
| Greeneville Community Hospital | GREENEVILLE | $39.15 | $63.52 – $826.95 |
| Franklin Woods Community Hospital | JOHNSON CITY | $39.15 | $97.09 – $804.63 |
| Holston Valley Medical Center | KINGSPORT | $39.15 | $80.13 – $840.70 |
| 62-0123940 BMH Collierville | Collierville | $124.32 | $172.85 – $363.90 |