Treatment of ankle fracture at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$3,081.15
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.
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What you pay up front if you don't use insurance.
$20,541.00
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 $20,541.00 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 SELECT | $890.00 | ↓ -71% |
| BLUE CROSS | TENNCARE BLUE CARE | $890.00 | ↓ -71% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,082.00 | ↓ -65% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $2,246.00 | ↓ -27% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,967.00 | ↓ -4% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,967.00 | ↓ -4% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,967.00 | ↓ -4% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $4,433.00 | ↑ +44% |
| SENTARA HEALTH | SENTARA HEALTH | $5,301.63 | ↑ +72% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $6,883.62 | ↑ +123% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $6,883.62 | ↑ +123% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $6,883.62 | ↑ +123% |
| AETNA | AETNA HEALTHCARE MEDICARE | $6,883.62 | ↑ +123% |
| HUMANA | HUMANA MEDICARE | $6,883.62 | ↑ +123% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $6,883.62 | ↑ +123% |
| SENTARA HEALTH | SENTARA MEDICARE | $6,883.62 | ↑ +123% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $7,013.73 | ↑ +128% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $7,013.73 | ↑ +128% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $7,020.54 | ↑ +128% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $7,081.83 | ↑ +130% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $7,090.13 | ↑ +130% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $7,090.13 | ↑ +130% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $7,149.92 | ↑ +132% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $7,158.96 | ↑ +132% |
| BLUE CROSS | BLUE CROSS MEDICARE | $7,158.96 | ↑ +132% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $7,198.00 | ↑ +134% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $7,227.80 | ↑ +135% |
| NHC ADVANTAGE | NHC ADVANTAGE | $7,227.80 | ↑ +135% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $7,227.80 | ↑ +135% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $7,227.80 | ↑ +135% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $7,227.80 | ↑ +135% |
| WELLCARE | WELLCARE MEDICARE | $7,296.64 | ↑ +137% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $7,525.00 | ↑ +144% |
| AETNA | AETNA | $8,771.01 | ↑ +185% |
| BLUE CROSS | BLUE CROSS E NETWORK | $8,788.00 | ↑ +185% |
| BLUE CROSS | BLUE CROSS P NETWORK | $8,986.00 | ↑ +192% |
| BLUE CROSS | BLUE CROSS S NETWORK | $8,986.00 | ↑ +192% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $9,628.00 | ↑ +212% |
| MEDCOST | MEDCOST VHN | $9,775.46 | ↑ +217% |
| AMBETTER | AMBETTER | $15,006.29 | ↑ +387% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $15,816.57 | ↑ +413% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $16,520.69 | ↑ +436% |
| BLUE CROSS | ANTHEM EXCHANGE | $17,164.76 | ↑ +457% |
| BLUE CROSS | ANTHEM HMO | $18,237.66 | ↑ +492% |
| WELLCARE | WELLCARE MEDICAID | $20,541.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $20,541.00 | ↑ +567% |
Visitor-reported prices
Comments
Treatment of ankle fracture at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnson City Medical Center | JOHNSON CITY | $3,081.15 | $5,325.51 – $14,760.96 |
| Hancock County Hospital | SNEEDVILLE | $3,023.58 | $7,710.90 – $7,886.35 |
| Greeneville Community Hospital | GREENEVILLE | $3,081.15 | $4,762.23 – $14,760.96 |
| Franklin Woods Community Hospital | JOHNSON CITY | $3,081.15 | $4,683.48 – $14,362.43 |
| Holston Valley Medical Center | KINGSPORT | $3,081.15 | $6,809.45 – $16,520.69 |
| Indian Path Community Hospital | KINGSPORT | $3,081.15 | $5,177.87 – $15,800.11 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $3,081.15 | $6,583.38 – $14,351.76 |
| Johnson County Community Hospital | MOUNTAIN CITY | $3,023.58 | $7,486.32 – $7,980.52 |