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 |
|---|---|---|---|---|
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $26,222.04 | $174,813.58 | $18.94 – $257.36 | 17 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $138.90 | $926.00 | $151.04 – $151.04 | 1 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $316.20 | $2,108.00 | $72.47 – $257.36 | 17 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $1,520.10 | $10,134.00 | $1.00 – $257.36 | 17 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $18,695.80 | $124,638.68 | $118.05 – $283.33 | 17 |
| Granisetron hcl injection HCPCS J1626 | $24.45 | $163.03 | $0.32 – $15.37 | 2 |
| Great toe with reduction 28495 CPT 28495 | $79.80 | $532.00 | $83.52 – $628.19 | 18 |
| Growth stimulation gene 2 CPT 83006 | $38.40 | $256.00 | $17.96 – $181.44 | 18 |
| G-tube reposition CPT 43761 | $202.20 | $1,348.00 | $237.02 – $568.85 | 18 |
| Gu dilat ureter/urethra s&i CPT 74485 | $796.20 | $5,308.00 | $103.26 – $4,759.31 | 18 |
| Guided cath fluid drainage 10030 CPT 10030 | $517.35 | $3,449.00 | $671.77 – $1,612.25 | 18 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $15,323.15 | $102,154.35 | $7.06 – $23.00 | 2 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $214.65 | $1,431.00 | $28.24 – $28.24 | 1 |
| Guid loc target vol rad tx CPT 77387 | $92.55 | $617.00 | $32.13 – $191.41 | 6 |
| Gw stiffened micro access kit HCPCS C1894 | $3,322.87 | $22,152.46 | $0.31 – $1.00 | 2 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $104.15 | $694.31 | $7.74 – $28.29 | 2 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $14.65 | $97.65 | $1.41 – $2.73 | 2 |
| Hand X-ray CPT 73130 | $80.10 | $534.00 | $17.78 – $198.14 | 18 |
| Haptoglobin quantitative CPT 83010 | $22.05 | $147.00 | $6.29 – $30.19 | 18 |
| Hba1/hba2 full gene sequence CPT 81259 | $769.95 | $5,133.00 | $300.00 – $1,440.00 | 18 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $110.40 | $736.00 | $101.20 – $485.76 | 18 |
| Hba1/hba2 gene fam vrnt CPT 81258 | $481.65 | $3,211.00 | $187.63 – $900.60 | 18 |
| Hbb full gene sequence CPT 81364 | $281.10 | $1,874.00 | $162.29 – $778.99 | 18 |
| Hbot, full body chamber, 30m HCPCS G0277 | $122.55 | $817.00 | $42.56 – $505.72 | 18 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $263.10 | $1,754.00 | $42.10 – $399.35 | 18 |
| Hcg free betachain test CPT 84704 | $26.25 | $175.00 | $7.65 – $36.70 | 18 |
| Hcg qualitative CPT 84703 | $13.20 | $88.00 | $3.76 – $18.05 | 18 |
| Hcg quantitative CPT 84702 | $26.25 | $175.00 | $7.53 – $36.12 | 18 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $35.70 | $238.00 | $40.68 – $141.31 | 2 |
| Hc nm fusion spect CT unlisted CPT 78999 | $418.80 | $2,792.00 | $65.33 – $910.18 | 18 |
| Hc nm kidney imaging with flow CPT 78701 | $418.80 | $2,792.00 | $116.96 – $910.18 | 18 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $288.75 | $1,925.00 | $187.66 – $1,585.71 | 18 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $317.70 | $2,118.00 | $341.82 – $1,803.13 | 18 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $349.50 | $2,330.00 | $417.73 – $1,803.13 | 18 |
| Hdr rdncl skn surf brachytx CPT 77767 | $106.20 | $708.00 | $116.61 – $797.64 | 18 |
| Hdr rdncl skn surf brachytx CPT 77768 | $116.70 | $778.00 | $116.61 – $797.64 | 18 |
| Head CT scan (with and without contrast) CPT 70470 | $587.70 | $3,918.00 | $166.39 – $414.08 | 18 |
| Head CT scan (with contrast) CPT 70460 | $559.65 | $3,731.00 | $166.39 – $414.08 | 18 |
| Head CT scan (without contrast) CPT 70450 | $531.75 | $3,545.00 | $99.18 – $414.08 | 18 |
| Hearing loss dup/del analys CPT 81431 | $872.10 | $5,814.00 | $339.79 – $1,630.97 | 18 |
| Hearing loss sequence analys CPT 81430 | $2,085.45 | $13,903.00 | $812.50 – $3,900.00 | 18 |
| Heart infarct image CPT 78466 | $418.80 | $2,792.00 | $86.29 – $910.18 | 18 |
| Helicobacter pylori antibody igm CPT 86677 | $25.50 | $170.00 | $8.43 – $40.44 | 18 |
| Hematocrit CPT 85014 | $4.05 | $27.00 | $1.19 – $6.35 | 18 |
| Hematopoietic nuclear tx CPT 79403 | $418.80 | $2,792.00 | $138.88 – $531.25 | 18 |
| Hemodialysis one evaluation CPT 90935 | $301.05 | $2,007.00 | $81.00 – $1,562.58 | 18 |
| Hemoglobin CPT 85018 | $4.05 | $27.00 | $1.19 – $6.35 | 18 |
| Hemoglobin fetal qualitative CPT 83033 | $10.35 | $69.00 | $4.00 – $19.20 | 18 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $12.30 | $82.00 | $4.10 – $19.68 | 18 |
| Hemoglobin-oxygen affinity CPT 82820 | $17.55 | $117.00 | $6.35 – $32.02 | 18 |
| Hemoglobin plasma CPT 83051 | $12.75 | $85.00 | $3.66 – $17.54 | 18 |
| Hemolysin acid CPT 85475 | $15.00 | $100.00 | $4.44 – $21.29 | 18 |
| Hemolysins and agglutinins incubated CPT 86941 | $20.55 | $137.00 | $4.62 – $29.06 | 18 |
| Hemophilus influenza antibdy CPT 86684 | $26.85 | $179.00 | $7.92 – $38.02 | 18 |
| Heparin assay CPT 85520 | $22.95 | $153.00 | $4.70 – $31.42 | 18 |
| Heparin bolus from bag HCPCS J1644 | $62.78 | $418.50 | $0.16 – $0.37 | 3 |
| Heparin neutralization CPT 85525 | $20.70 | $138.00 | $4.70 – $28.42 | 18 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $2.93 | $19.50 | $0.04 – $0.79 | 3 |
| Hepatitis a antibody igm CPT 86709 | $19.65 | $131.00 | $5.63 – $27.02 | 18 |
| Hepatitis b core antibody igm CPT 86705 | $20.70 | $138.00 | $5.89 – $28.25 | 18 |
| Hepatitis b core antibody total CPT 86704 | $21.15 | $141.00 | $6.03 – $28.92 | 18 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $1,154.13 | $7,694.21 | $68.10 – $1,235.27 | 18 |
| Hepatitis b surface ag quan CPT 87467 | $61.50 | $410.00 | $9.03 – $60.77 | 18 |
| Hepatitis b surface antibody CPT 86706 | $18.90 | $126.00 | $5.37 – $25.78 | 18 |
| Hepatitis c antibody CPT 86803 | $25.05 | $167.00 | $7.14 – $34.25 | 18 |
| Hepatitis c rna dir probe CPT 87520 | $16.35 | $109.00 | $15.61 – $74.93 | 18 |
| Hepatitis d quantification CPT 87523 | $75.15 | $501.00 | $21.42 – $102.82 | 18 |
| Hepatobiliary system imaging CPT 78226 | $452.25 | $3,015.00 | $176.02 – $910.18 | 18 |
| Hereditary colon ca dsordrs CPT 81435 | $1,022.55 | $6,817.00 | $379.67 – $3,129.48 | 18 |
| Herpes simplex 1 ag if CPT 87274 | $20.10 | $134.00 | $5.99 – $28.75 | 18 |
| Herpes simplex 2 ag if CPT 87273 | $20.10 | $134.00 | $5.99 – $28.75 | 18 |
| Herpes simplex type 1 antibody igg CPT 86695 | $23.10 | $154.00 | $6.60 – $31.66 | 18 |
| Herpes simplex type 2 antibody igg CPT 86696 | $17.55 | $117.00 | $9.68 – $46.44 | 18 |
| Herpes simplex virus isolation CPT 87255 | $30.75 | $205.00 | $16.93 – $81.26 | 18 |
| Heterophile antibodies screening CPT 86308 | $9.15 | $61.00 | $2.59 – $12.43 | 18 |
| Heterophile antibodies titer CPT 86309 | $11.40 | $76.00 | $3.24 – $15.53 | 18 |
| Hexa gene CPT 81255 | $227.10 | $1,514.00 | $25.73 – $123.48 | 18 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | $17.70 | $118.00 | $92.38 – $216.55 | 17 |
| Hhv-6 dna quant CPT 87533 | $44.85 | $299.00 | $20.88 – $100.22 | 18 |
| Hinge extension/flex wrist/f HCPCS L3900 | $329.55 | $2,197.00 | $1,715.63 – $4,021.58 | 17 |
| Hinge ext/flex wrist finger HCPCS L3901 | $762.00 | $5,080.00 | $1,969.72 – $5,650.07 | 17 |
| Hip X-ray CPT 73502 | $69.30 | $462.00 | $25.32 – $198.14 | 18 |
| Histamine CPT 83088 | $51.75 | $345.00 | $14.77 – $70.87 | 18 |
| Histochemical stains add-on CPT 88314 | $63.30 | $422.00 | $8.87 – $148.84 | 6 |
| Hiv-1 ag ia CPT 87390 | $30.90 | $206.00 | $10.50 – $57.74 | 18 |
| Hiv-2 ag ia CPT 87391 | $30.90 | $206.00 | $10.50 – $52.56 | 18 |
| Hla i & ii typing hr CPT 81378 | $370.50 | $2,470.00 | $170.32 – $829.37 | 18 |
| Hla ii typing 1 loc hr CPT 81382 | $216.45 | $1,443.00 | $46.32 – $296.83 | 18 |
| Hla ii typing ag equiv lr CPT 81375 | $386.55 | $2,577.00 | $110.37 – $529.78 | 18 |
| Hla i low res one antigen equiv ea CPT 81374 | $152.10 | $1,014.00 | $37.17 – $178.39 | 18 |
| Hla i typing 1 locus hr CPT 81380 | $385.95 | $2,573.00 | $88.63 – $425.40 | 18 |
| Hla i typing complete hr CPT 81379 | $359.55 | $2,397.00 | $167.69 – $804.91 | 18 |
| Hla i typing complete lr CPT 81372 | $983.70 | $6,558.00 | $115.92 – $968.62 | 18 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $165.60 | $1,104.00 | $47.12 – $407.76 | 18 |
| Hla i typing low res one locus ea CPT 81373 | $195.00 | $1,300.00 | $46.32 – $305.83 | 18 |
| Hla typing a b or c CPT 86813 | $101.55 | $677.00 | $29.00 – $139.20 | 18 |
| Hla typing dr/dq CPT 86816 | $48.90 | $326.00 | $15.09 – $72.41 | 18 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $13.64 | $90.93 | $0.19 – $27.92 | 2 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $2.03 | $13.54 | $0.40 – $3.00 | 2 |
| Home health care supervision CPT 99374 | $49.05 | $327.00 | $48.49 – $76.46 | 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.