Unlisted ultrasound procedure at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$93.90
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.
$626.00
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.
$37.75 with UNITED HEALTHCARE vs $626.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $37.75 | ↓ -60% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $82.56 | ↓ -12% |
| SENTARA HEALTH | SENTARA MEDICARE | $82.56 | ↓ -12% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $82.56 | ↓ -12% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $82.56 | ↓ -12% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $82.56 | ↓ -12% |
| AETNA | AETNA HEALTHCARE MEDICARE | $82.56 | ↓ -12% |
| HUMANA | HUMANA MEDICARE | $82.56 | ↓ -12% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $85.03 | ↓ -9% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $85.03 | ↓ -9% |
| BLUE CROSS | BLUE CROSS MEDICARE | $85.86 | ↓ -9% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $85.86 | ↓ -9% |
| NHC ADVANTAGE | NHC ADVANTAGE | $86.68 | ↓ -8% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $86.68 | ↓ -8% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $86.68 | ↓ -8% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $86.68 | ↓ -8% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $86.68 | ↓ -8% |
| WELLCARE | WELLCARE MEDICARE | $87.51 | ↓ -7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $140.61 | ↑ +50% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $140.61 | ↑ +50% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $140.75 | ↑ +50% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $141.98 | ↑ +51% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $143.35 | ↑ +53% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $153.62 | ↑ +64% |
| SENTARA HEALTH | SENTARA HEALTH | $161.57 | ↑ +72% |
| AMBETTER | AMBETTER | $179.97 | ↑ +92% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $198.14 | ↑ +111% |
| BLUE CROSS | ANTHEM EXCHANGE | $205.86 | ↑ +119% |
| BLUE CROSS | ANTHEM HMO | $218.73 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA PPO | $238.14 | ↑ +154% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $238.14 | ↑ +154% |
| CIGNA HEALTHCARE | CIGNA HMO | $238.14 | ↑ +154% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $257.33 | ↑ +174% |
| AETNA | AETNA | $267.30 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $297.91 | ↑ +217% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $417.00 | ↑ +344% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $435.00 | ↑ +363% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $482.02 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $626.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $626.00 | ↑ +567% |
Visitor-reported prices
Comments
Unlisted ultrasound procedure at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $93.90 | $22.65 – $177.03 |
| Holston Valley Medical Center | KINGSPORT | $93.90 | $37.75 – $198.14 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $93.90 | $31.46 – $172.12 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | $2,200.03 | $83.86 – $310.33 |
| SKYLINE MADISON CAMPUS | NASHVILLE | $1,902.85 | $83.86 – $310.33 |
| STONECREST MEDICAL CENTER | Smyrna | $825.19 | $83.86 – $310.33 |
| Parkwest Medical Center | Knoxville | $144.30 | $27.91 – $432.90 |
| Roane County Medical Center | Harriman | $158.73 | $27.91 – $432.90 |