X-ray exam of salivary gland at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$57.90
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.
$386.00
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.
$22.19 with BLUE CROSS vs $386.00 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 | $22.19 | ↓ -62% |
| BLUE CROSS | TENNCARE BLUE CARE | $22.19 | ↓ -62% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $26.88 | ↓ -54% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $35.89 | ↓ -38% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $55.50 | ↓ -4% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $71.72 | ↑ +24% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $71.72 | ↑ +24% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $71.79 | ↑ +24% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $72.41 | ↑ +25% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $73.11 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $82.56 | ↑ +43% |
| HUMANA | HUMANA MEDICARE | $82.56 | ↑ +43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $82.56 | ↑ +43% |
| SENTARA HEALTH | SENTARA MEDICARE | $82.56 | ↑ +43% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $82.56 | ↑ +43% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $82.56 | ↑ +43% |
| AETNA | AETNA HEALTHCARE MEDICARE | $82.56 | ↑ +43% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $85.03 | ↑ +47% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $85.03 | ↑ +47% |
| BLUE CROSS | BLUE CROSS E NETWORK | $85.82 | ↑ +48% |
| BLUE CROSS | BLUE CROSS MEDICARE | $85.86 | ↑ +48% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $85.86 | ↑ +48% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $86.68 | ↑ +50% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $86.68 | ↑ +50% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $86.68 | ↑ +50% |
| NHC ADVANTAGE | NHC ADVANTAGE | $86.68 | ↑ +50% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $86.68 | ↑ +50% |
| WELLCARE | WELLCARE MEDICARE | $87.51 | ↑ +51% |
| BLUE CROSS | BLUE CROSS S NETWORK | $87.68 | ↑ +51% |
| BLUE CROSS | BLUE CROSS P NETWORK | $87.68 | ↑ +51% |
| SENTARA HEALTH | SENTARA HEALTH | $99.63 | ↑ +72% |
| AETNA | AETNA | $164.82 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA PPO | $169.56 | ↑ +193% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $169.56 | ↑ +193% |
| CIGNA HEALTHCARE | CIGNA HMO | $169.56 | ↑ +193% |
| AMBETTER | AMBETTER | $179.97 | ↑ +211% |
| MEDCOST | MEDCOST VHN | $183.70 | ↑ +217% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $198.14 | ↑ +242% |
| BLUE CROSS | ANTHEM EXCHANGE | $205.86 | ↑ +256% |
| BLUE CROSS | ANTHEM HMO | $218.73 | ↑ +278% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $224.00 | ↑ +287% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $233.00 | ↑ +302% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $257.33 | ↑ +344% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $297.22 | ↑ +413% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $370.00 | ↑ +539% |
| WELLCARE | WELLCARE MEDICAID | $386.00 | ↑ +567% |
Visitor-reported prices
Comments
X-ray exam of salivary gland at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Greeneville Community Hospital | GREENEVILLE | $57.90 | $16.13 – $177.03 |
| Holston Valley Medical Center | KINGSPORT | $57.90 | $22.19 – $198.14 |
| Hawkins County Memorial Hospital | ROGERSVILLE | $57.90 | $22.19 – $172.12 |
| Ascension Saint Thomas Midtown | Nashville | not published | $19.13 – $127.70 |
| Ascension Saint Thomas DeKalb | Smithville | not published | $19.13 – $127.70 |
| Ascension Saint Thomas Highlands | Sparta | not published | $19.13 – $127.70 |
| Ascension Saint Thomas River Park | McMinnville | not published | $22.18 – $127.70 |
| Ascension Saint Thomas Rutherford | Murfreesboro | not published | $19.13 – $127.70 |