Bristol Regional Medical Center
1 MEDICAL PARK BLVD, BRISTOL, TN · Balladhealth · · NPI 1124058615
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Devel tst phys/qhp 1st hr CPT 96112 | $67.20 | $448.00 | $57.00 – $792.94 | 18 |
| Device ablt adv novasure HCPCS C1886 | $6,885.23 | $45,901.53 | $331.12 – $331.12 | 1 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $3,578.00 | $23,853.30 | $7,322.96 – $7,322.96 | 1 |
| Device tiss remov myosure reach HCPCS C1782 | $1,223.52 | $8,156.79 | $2,336.98 – $2,336.98 | 1 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $33.75 | $225.00 | $57.00 – $807.56 | 5 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $69.30 | $462.00 | $19.27 – $198.14 | 18 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $8.56 | $57.07 | $0.04 – $2.83 | 17 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $23.77 | $158.47 | $0.16 – $0.62 | 2 |
| Dextran 40 infusion HCPCS J7100 | $17.76 | $118.41 | $100.25 – $118.41 | 2 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $7.26 | $48.38 | $10.15 – $14.85 | 2 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $7.26 | $48.38 | $14.85 – $14.85 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $7.26 | $48.38 | $3.19 – $14.85 | 3 |
| Dextrose 5 % IV bolus HCPCS J7070 | $7.26 | $48.38 | $10.76 – $14.85 | 2 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $38.85 | $259.00 | $11.12 – $53.35 | 18 |
| Diabetes (HbA1c) Test CPT 83036 | $16.95 | $113.00 | $4.86 – $23.30 | 18 |
| Diab manage trn ind/group HCPCS G0109 | $100.20 | $668.00 | $9.80 – $55.23 | 18 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $138.30 | $922.00 | $15.69 – $463.28 | 18 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $156.15 | $1,041.00 | $56.50 – $209.96 | 6 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $103.95 | $693.00 | $60.43 – $163.85 | 6 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $51.30 | $342.00 | $114.06 – $412.80 | 18 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $85.50 | $570.00 | $60.43 – $240.60 | 18 |
| Diagnostic Mammogram (one breast) CPT 77065 | $74.10 | $494.00 | $57.67 – $187.70 | 18 |
| Diagnostic radio unlisted proc CPT 76499 | $63.90 | $426.00 | $26.88 – $198.14 | 18 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $3,533.70 | $23,558.00 | $14,162.67 – $14,437.68 | 5 |
| Dialysis one evaluation CPT 90945 | $194.55 | $1,297.00 | $72.41 – $1,145.29 | 18 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $22.41 | $149.40 | $0.07 – $45.87 | 2 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $68.03 | $453.55 | $0.92 – $12.94 | 2 |
| Dicyclomine injection HCPCS J0500 | $95.37 | $635.82 | $1.85 – $19.99 | 2 |
| Diffusing capacity CPT 94729 | $100.35 | $669.00 | $37.37 – $76.30 | 5 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $14.62 | $97.49 | $1.62 – $15.93 | 2 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $4,895.82 | $32,638.78 | $400.66 – $12,400.78 | 18 |
| Digoxin total therapeutic drug level CPT 80162 | $23.25 | $155.00 | $6.64 – $31.87 | 18 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $215.62 | $1,437.44 | $10.46 – $105.60 | 2 |
| Dilate biliary duct/ampulla CPT 47542 | $841.05 | $5,607.00 | $5,607.00 – $7,484.46 | 5 |
| Dilate esophagus 1/mult pass CPT 43450 | $384.60 | $2,564.00 | $103.24 – $2,064.99 | 18 |
| Dilate urethra stricture CPT 53600 | $212.25 | $1,415.00 | $38.52 – $568.85 | 18 |
| Dilate urethra stricture CPT 53601 | $54.75 | $365.00 | $31.92 – $302.92 | 18 |
| Dilation of cervical canal 57800 CPT 57800 | $1,346.40 | $8,976.00 | $3,058.66 – $7,370.17 | 18 |
| Dilation of urethra CPT 53661 | $54.75 | $365.00 | $28.54 – $302.92 | 18 |
| Dilator fascial 10fx20cm HCPCS C2627 | $388.60 | $2,590.68 | $299.64 – $299.64 | 1 |
| Dilat xst trc ndurlgc px CPT 50436 | $912.60 | $6,084.00 | $1,921.69 – $7,289.87 | 18 |
| Dilat xst trc new access rcs CPT 50437 | $1,535.25 | $10,235.00 | $1,921.69 – $8,025.55 | 18 |
| Dimecaprol injection HCPCS J0470 | $357.22 | $2,381.49 | $16.41 – $96.01 | 3 |
| Dimenhydrinate injection HCPCS J1240 | $24.53 | $163.52 | $0.62 – $10.81 | 2 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $6.72 | $44.83 | $0.92 – $1.34 | 2 |
| Disability dlco CPT 94727 | $47.55 | $317.00 | $27.05 – $446.54 | 18 |
| Disaccharidases CPT 82657 | $31.65 | $211.00 | $11.09 – $53.21 | 18 |
| Discography cerv/thor spine CPT 72285 | $1,040.40 | $6,936.00 | $144.44 – $4,445.89 | 18 |
| Dissolve clot heart vessel CPT 92975 | $1,818.15 | $12,121.00 | $362.29 – $6,121.76 | 5 |
| #d/lmeth-l-methamphetamine CPT 80374 | $7.05 | $47.00 | $14.74 – $15.03 | 5 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $414.00 | $2,760.00 | $2,760.00 – $20,366.07 | 5 |
| Dmd dup/delet analysis CPT 81161 | $219.15 | $1,461.00 | $84.08 – $669.60 | 18 |
| Dmpk gene detc abnor allele CPT 81234 | $175.80 | $1,172.00 | $68.50 – $328.80 | 18 |
| Dna antibody native/double stranded CPT 86225 | $24.00 | $160.00 | $6.87 – $32.98 | 18 |
| Dna gardnerella CPT 87510 | $35.10 | $234.00 | $10.03 – $48.12 | 18 |
| Dna probe chlamydia CPT 87490 | $35.10 | $234.00 | $10.50 – $54.60 | 18 |
| Dna probe gc CPT 87590 | $35.10 | $234.00 | $10.50 – $64.51 | 18 |
| Dna trichomonas CPT 87660 | $35.10 | $234.00 | $10.03 – $48.12 | 18 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $24.08 | $160.56 | $7.69 – $14.85 | 3 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1,025.09 | $6,833.92 | $1.06 – $57.61 | 6 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $13.85 | $92.32 | $0.71 – $1.46 | 2 |
| Doppler echo complete CPT 93320 | $224.25 | $1,495.00 | $60.67 – $617.23 | 5 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $513.90 | $3,426.00 | $68.02 – $2,287.80 | 5 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $252.45 | $1,683.00 | $64.00 – $491.61 | 18 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $229.50 | $1,530.00 | $39.23 – $302.92 | 18 |
| Dornase alfa non-comp unit HCPCS J7639 | $24.33 | $162.18 | $41.49 – $294.61 | 18 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $354.66 | $2,364.40 | $5.32 – $42.26 | 2 |
| Dpyd gene common variants CPT 81232 | $224.40 | $1,496.00 | $87.41 – $419.54 | 18 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $66.45 | $443.00 | $36.10 – $1,620.88 | 18 |
| Drainage external ear complex 69005 CPT 69005 | $676.05 | $4,507.00 | $142.67 – $3,760.30 | 18 |
| Drainage external ear simple 69000 CPT 69000 | $56.70 | $378.00 | $32.96 – $1,464.46 | 18 |
| Drainage mouth roof lesion CPT 42000 | $147.45 | $983.00 | $66.06 – $539.25 | 18 |
| Drainage of arm bursa 23931 CPT 23931 | $676.05 | $4,507.00 | $45.52 – $3,760.30 | 18 |
| Drainage of forearm bursa CPT 25031 | $723.45 | $4,823.00 | $221.45 – $3,661.02 | 18 |
| Drainage of kidney lesion CPT 50390 | $369.45 | $2,463.00 | $516.05 – $1,612.25 | 18 |
| Drainage of pelvis lesion 26990 CPT 26990 | $444.30 | $2,962.00 | $2,962.00 – $6,766.69 | 18 |
| Drainage of urethra abscess 53060 CPT 53060 | $877.35 | $5,849.00 | $59.64 – $4,759.31 | 18 |
| Drain blood from under nail 11740 CPT 11740 | $40.95 | $273.00 | $14.13 – $275.15 | 18 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $430.50 | $2,870.00 | $949.72 – $3,415.60 | 18 |
| Drain cath image guided visceral pq CPT 49405 | $1,161.30 | $7,742.00 | $949.72 – $3,760.30 | 18 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $363.60 | $2,424.00 | $669.64 – $1,607.12 | 18 |
| Drain finger abscess;simple 26010 CPT 26010 | $130.95 | $873.00 | $37.67 – $456.80 | 18 |
| Drain neck/chest lesion 21501 CPT 21501 | $1,309.95 | $8,733.00 | $232.07 – $6,613.35 | 18 |
| Drain shoulder lesion CPT 23030 | $1,309.95 | $8,733.00 | $202.23 – $6,613.35 | 18 |
| Drain thigh/knee lesion 27301 CPT 27301 | $1,309.95 | $8,733.00 | $549.85 – $6,613.35 | 18 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $228.60 | $1,524.00 | $48.28 – $456.80 | 18 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $75.90 | $506.00 | $21.97 – $456.80 | 18 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $102.00 | $680.00 | $115.32 – $840.70 | 18 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $21.15 | $141.00 | $13.55 – $257.36 | 17 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $267.30 | $1,782.00 | $614.08 – $8,034.19 | 5 |
| Drng hand tendon sheath 26020 CPT 26020 | $1,444.95 | $9,633.00 | $344.76 – $7,449.57 | 18 |
| Drng of eyelid abscess 67700 CPT 67700 | $205.50 | $1,370.00 | $85.07 – $722.66 | 18 |
| Drng of finger abscess comp 26011 CPT 26011 | $709.80 | $4,732.00 | $159.67 – $3,760.30 | 18 |
| Drng of hydrocele 55000 CPT 55000 | $313.20 | $2,088.00 | $36.10 – $1,612.25 | 18 |
| Drng of scrotum abscess 55100 CPT 55100 | $356.25 | $2,375.00 | $51.79 – $3,715.24 | 18 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $21.06 | $140.37 | $2.77 – $13.43 | 2 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $4.50 | $30.00 | $4.34 – $257.36 | 17 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $217.53 | $1,450.21 | $9.96 – $283.33 | 17 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | $0.15 | $1.00 | $1.00 – $257.36 | 17 |
| Drug admin & hemodynmic meas CPT 93463 | $1,818.15 | $12,121.00 | $66.62 – $67.91 | 5 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.