Ther/proph/diag inj ia at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$53.70
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.
$358.00
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.
$16.51 with BLUE CROSS vs $439.88 with AMBETTER — 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 | $16.51 | ↓ -69% |
| BLUE CROSS | TENNCARE BLUE SELECT | $16.68 | ↓ -69% |
| BLUE CROSS | TENNCARE BLUE CARE | $16.68 | ↓ -69% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $20.89 | ↓ -61% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $66.62 | ↑ +24% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $66.62 | ↑ +24% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $66.69 | ↑ +24% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $67.27 | ↑ +25% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $67.91 | ↑ +26% |
| SENTARA HEALTH | SENTARA HEALTH | $92.40 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA HMO | $149.29 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $149.29 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $149.29 | ↑ +178% |
| AETNA | AETNA | $152.87 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $166.11 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $170.37 | ↑ +217% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $201.78 | ↑ +276% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $201.78 | ↑ +276% |
| AETNA | AETNA HEALTHCARE MEDICARE | $201.78 | ↑ +276% |
| HUMANA | HUMANA MEDICARE | $201.78 | ↑ +276% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $201.78 | ↑ +276% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $201.78 | ↑ +276% |
| SENTARA HEALTH | SENTARA MEDICARE | $201.78 | ↑ +276% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $207.83 | ↑ +287% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $207.83 | ↑ +287% |
| BLUE CROSS | BLUE CROSS MEDICARE | $209.85 | ↑ +291% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $209.85 | ↑ +291% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $211.87 | ↑ +295% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $211.87 | ↑ +295% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $211.87 | ↑ +295% |
| NHC ADVANTAGE | NHC ADVANTAGE | $211.87 | ↑ +295% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $211.87 | ↑ +295% |
| WELLCARE | WELLCARE MEDICARE | $213.89 | ↑ +298% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $275.66 | ↑ +413% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $358.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $358.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $358.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $358.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $358.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $358.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $358.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $358.00 | ↑ +567% |
| AMBETTER | AMBETTER | $439.88 | ↑ +719% |
Visitor-reported prices
Comments
Ther/proph/diag inj ia at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $293.46 | $14.38 – $282.49 |
| 62-1166050 BMH Carroll County | Huntingdon | $66.01 | $14.38 – $384.78 |
| Johnson City Medical Center | JOHNSON CITY | $53.70 | $16.51 – $432.69 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $293.46 | $14.38 – $282.49 |
| Hancock County Hospital | SNEEDVILLE | $52.67 | $16.51 – $229.00 |
| Greeneville Community Hospital | GREENEVILLE | $53.70 | $12.53 – $432.69 |
| Franklin Woods Community Hospital | JOHNSON CITY | $53.70 | $16.51 – $421.01 |
| Holston Valley Medical Center | KINGSPORT | $53.70 | $16.51 – $439.88 |