Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$168.86
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.
$1,125.73
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.
$23.55 with BLUE CROSS vs $1,125.72 with WELLCARE — 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 | $23.55 | ↓ -86% |
| BLUE CROSS | TENNCARE BLUE CARE | $23.55 | ↓ -86% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $32.70 | ↓ -81% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $32.84 | ↓ -81% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $32.84 | ↓ -81% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $32.87 | ↓ -81% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $33.16 | ↓ -80% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $33.47 | ↓ -80% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $34.31 | ↓ -80% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $162.83 | ↓ -4% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $162.83 | ↓ -4% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $168.17 | ↓ -0% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $230.79 | ↑ +37% |
| SENTARA HEALTH | SENTARA HEALTH | $290.55 | ↑ +72% |
| BLUE CROSS | ANTHEM HMO | $428.44 | ↑ +154% |
| BLUE CROSS | ANTHEM EXCHANGE | $428.44 | ↑ +154% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $428.44 | ↑ +154% |
| CIGNA HEALTHCARE | CIGNA HMO | $469.43 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $469.43 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $469.43 | ↑ +178% |
| AETNA | AETNA | $480.68 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $535.73 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $866.80 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $1,125.72 | ↑ +567% |
Visitor-reported prices
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Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Memorial Hospital Hixson | Hixson | $126.36 | $30.21 – $298.83 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $180.58 | $30.21 – $298.83 |
| Ascension Saint Thomas Highlands | Sparta | $251.64 | $20.30 – $201.94 |
| Ascension Saint Thomas River Park | McMinnville | $251.64 | $20.30 – $201.94 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $251.64 | $20.30 – $201.94 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City | $1,634.80 | $20.30 – $353.70 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE | $960.39 | $34.51 – $353.70 |
| HORIZON MEDICAL CENTER | DICKSON | $310.71 | $32.48 – $353.70 |