Transcath biopsy at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$1,384.20
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.
$9,228.00
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.
$890.00 with BLUE CROSS vs $11,507.70 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 | TENNCARE BLUE CARE | $890.00 | ↓ -36% |
| BLUE CROSS | TENNCARE BLUE SELECT | $890.00 | ↓ -36% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,336.00 | ↓ -3% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,463.00 | ↑ +6% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,932.00 | ↑ +40% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,932.00 | ↑ +40% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,932.00 | ↑ +40% |
| SENTARA HEALTH | SENTARA HEALTH | $2,381.75 | ↑ +72% |
| AETNA | AETNA | $3,940.36 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $4,391.61 | ↑ +217% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $4,433.00 | ↑ +220% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $4,945.71 | ↑ +257% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $4,945.71 | ↑ +257% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $4,950.51 | ↑ +258% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $4,993.72 | ↑ +261% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $5,041.74 | ↑ +264% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $5,278.76 | ↑ +281% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $5,278.76 | ↑ +281% |
| SENTARA HEALTH | SENTARA MEDICARE | $5,278.76 | ↑ +281% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $5,278.76 | ↑ +281% |
| AETNA | AETNA HEALTHCARE MEDICARE | $5,278.76 | ↑ +281% |
| HUMANA | HUMANA MEDICARE | $5,278.76 | ↑ +281% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $5,278.76 | ↑ +281% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $5,437.12 | ↑ +293% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $5,437.12 | ↑ +293% |
| BLUE CROSS | BLUE CROSS MEDICARE | $5,489.91 | ↑ +297% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $5,489.91 | ↑ +297% |
| NHC ADVANTAGE | NHC ADVANTAGE | $5,542.70 | ↑ +300% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $5,542.70 | ↑ +300% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $5,542.70 | ↑ +300% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $5,542.70 | ↑ +300% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $5,542.70 | ↑ +300% |
| WELLCARE | WELLCARE MEDICARE | $5,595.48 | ↑ +304% |
| BLUE CROSS | BLUE CROSS E NETWORK | $6,178.00 | ↑ +346% |
| BLUE CROSS | BLUE CROSS P NETWORK | $6,317.00 | ↑ +356% |
| BLUE CROSS | BLUE CROSS S NETWORK | $6,317.00 | ↑ +356% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $7,105.56 | ↑ +413% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $7,198.00 | ↑ +420% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $7,525.00 | ↑ +444% |
| BLUE CROSS | ANTHEM EXCHANGE | $9,228.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $9,228.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $9,228.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $9,228.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $9,228.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $9,228.00 | ↑ +567% |
| AMBETTER | AMBETTER | $11,507.70 | ↑ +731% |
Visitor-reported prices
Comments
Transcath biopsy at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $2,038.67 | $733.50 – $1,752.88 |
| CHI Memorial Hospital Hixson | Hixson | $858.40 | $580.00 – $2,030.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $1,803.43 | $2,685.00 – $9,872.10 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $1,226.70 | $609.00 – $2,030.00 |
| Johnson City Medical Center | JOHNSON CITY | $1,384.20 | $4,051.26 – $11,319.56 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $2,038.67 | $954.50 – $1,869.19 |
| Greeneville Community Hospital | GREENEVILLE | $1,384.20 | $3,622.76 – $11,319.56 |
| Franklin Woods Community Hospital | JOHNSON CITY | $1,384.20 | $3,562.85 – $11,013.95 |