X-ray exam entire spi 4/5 vw at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$72.75
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.
$485.00
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.
$42.29 with BLUE CROSS vs $485.00 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 | $42.29 | ↓ -42% |
| BLUE CROSS | TENNCARE BLUE CARE | $42.29 | ↓ -42% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $71.72 | ↓ -1% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $71.72 | ↓ -1% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $71.79 | ↓ -1% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $72.41 | ↓ -0% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $73.11 | ↑ +0% |
| HUMANA | HUMANA MEDICARE | $99.18 | ↑ +36% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $99.18 | ↑ +36% |
| SENTARA HEALTH | SENTARA MEDICARE | $99.18 | ↑ +36% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $99.18 | ↑ +36% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $99.18 | ↑ +36% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $99.18 | ↑ +36% |
| AETNA | AETNA HEALTHCARE MEDICARE | $99.18 | ↑ +36% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $102.15 | ↑ +40% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $102.15 | ↑ +40% |
| BLUE CROSS | BLUE CROSS MEDICARE | $103.14 | ↑ +42% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $103.14 | ↑ +42% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $104.14 | ↑ +43% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $104.14 | ↑ +43% |
| NHC ADVANTAGE | NHC ADVANTAGE | $104.14 | ↑ +43% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $104.14 | ↑ +43% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $104.14 | ↑ +43% |
| WELLCARE | WELLCARE MEDICARE | $105.13 | ↑ +45% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $115.18 | ↑ +58% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $116.88 | ↑ +61% |
| SENTARA HEALTH | SENTARA HEALTH | $125.18 | ↑ +72% |
| BLUE CROSS | BLUE CROSS E NETWORK | $144.96 | ↑ +99% |
| BLUE CROSS | BLUE CROSS S NETWORK | $148.10 | ↑ +104% |
| BLUE CROSS | BLUE CROSS P NETWORK | $148.10 | ↑ +104% |
| CIGNA HEALTHCARE | CIGNA PPO | $202.25 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $202.25 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $202.25 | ↑ +178% |
| AETNA | AETNA | $207.10 | ↑ +185% |
| AMBETTER | AMBETTER | $216.21 | ↑ +197% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $224.00 | ↑ +208% |
| MEDCOST | MEDCOST VHN | $230.81 | ↑ +217% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $233.00 | ↑ +220% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $238.03 | ↑ +227% |
| BLUE CROSS | ANTHEM EXCHANGE | $247.30 | ↑ +240% |
| BLUE CROSS | ANTHEM HMO | $262.76 | ↑ +261% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $309.14 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $339.50 | ↑ +367% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $370.00 | ↑ +409% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $373.45 | ↑ +413% |
| WELLCARE | WELLCARE MEDICAID | $485.00 | ↑ +567% |
Visitor-reported prices
Comments
X-ray exam entire spi 4/5 vw at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| 62-1166050 BMH Carroll County | Huntingdon | $145.13 | $36.46 – $194.20 |
| Johnson City Medical Center | JOHNSON CITY | $72.75 | $42.29 – $212.67 |
| Hancock County Hospital | SNEEDVILLE | $71.53 | $42.29 – $161.01 |
| Greeneville Community Hospital | GREENEVILLE | $72.75 | $42.29 – $212.67 |
| Franklin Woods Community Hospital | JOHNSON CITY | $72.75 | $51.41 – $206.93 |
| Holston Valley Medical Center | KINGSPORT | $72.75 | $42.29 – $238.03 |
| 62-0123940 BMH Collierville | Collierville | $132.51 | $36.46 – $194.76 |
| Indian Path Community Hospital | KINGSPORT | $72.75 | $42.29 – $227.64 |