X-ray surgical specimen at Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
$276.60
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.
$1,844.00
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.
$13.86 with BLUE CROSS vs $1,844.00 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 CARE | $13.86 | ↓ -95% |
| BLUE CROSS | TENNCARE BLUE SELECT | $13.86 | ↓ -95% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $25.89 | ↓ -91% |
| BLUE CROSS | BLUE CROSS E NETWORK | $31.78 | ↓ -89% |
| BLUE CROSS | BLUE CROSS P NETWORK | $32.47 | ↓ -88% |
| BLUE CROSS | BLUE CROSS S NETWORK | $32.47 | ↓ -88% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $51.74 | ↓ -81% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $149.94 | ↓ -46% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $149.94 | ↓ -46% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $150.08 | ↓ -46% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $151.39 | ↓ -45% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $152.85 | ↓ -45% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $224.00 | ↓ -19% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $233.00 | ↓ -16% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $255.03 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $370.00 | ↑ +34% |
| SENTARA HEALTH | SENTARA HEALTH | $475.94 | ↑ +72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $518.36 | ↑ +87% |
| AETNA | AETNA HEALTHCARE MEDICARE | $518.36 | ↑ +87% |
| HUMANA | HUMANA MEDICARE | $518.36 | ↑ +87% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $518.36 | ↑ +87% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $518.36 | ↑ +87% |
| SENTARA HEALTH | SENTARA MEDICARE | $518.36 | ↑ +87% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $518.36 | ↑ +87% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $533.91 | ↑ +93% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $533.91 | ↑ +93% |
| BLUE CROSS | BLUE CROSS MEDICARE | $539.09 | ↑ +95% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $539.09 | ↑ +95% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $544.28 | ↑ +97% |
| NHC ADVANTAGE | NHC ADVANTAGE | $544.28 | ↑ +97% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $544.28 | ↑ +97% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $544.28 | ↑ +97% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $544.28 | ↑ +97% |
| WELLCARE | WELLCARE MEDICARE | $549.46 | ↑ +99% |
| AETNA | AETNA | $787.39 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $877.56 | ↑ +217% |
| AMBETTER | AMBETTER | $1,130.02 | ↑ +309% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,244.06 | ↑ +350% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,292.57 | ↑ +367% |
| BLUE CROSS | ANTHEM HMO | $1,373.36 | ↑ +397% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,419.88 | ↑ +413% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,608.72 | ↑ +482% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,608.72 | ↑ +482% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,608.72 | ↑ +482% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,615.74 | ↑ +484% |
| WELLCARE | WELLCARE MEDICAID | $1,844.00 | ↑ +567% |
Visitor-reported prices
Comments
X-ray surgical specimen at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $142.64 | $11.61 – $770.53 |
| CHI Memorial Hospital Hixson | Hixson | $565.36 | $5.00 – $220.00 |
| 62-1166050 BMH Carroll County | Huntingdon | $345.92 | $11.95 – $1,001.32 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $807.93 | $5.25 – $220.00 |
| Johnson City Medical Center | JOHNSON CITY | $276.60 | $13.86 – $1,111.55 |
| Ascension Saint Thomas DeKalb | Smithville | $149.76 | $11.61 – $770.53 |
| Ascension Saint Thomas Highlands | Sparta | $149.76 | $11.61 – $770.53 |
| Ascension Saint Thomas River Park | McMinnville | $142.64 | $11.61 – $770.53 |