Ballad Health · Bristol, TN
31
In-network payers
531
Disclosed rate categories
312
Beds
1
Care quality
Bristol Regional Medical Center is a 312-bed government - hospital district or authority hospital in Bristol, TN, affiliated with Ballad Health. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 531 disclosed rate categories.
CCN (Medicare provider number)
440012
NPI
1124058615
Type
Short Term Acute Care Hospital
Ownership
Government - Hospital District Or Authority
Beds
312
Care Quality
1
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Bristol Regional Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$4,677 - $9,349
from 4 insurers · median $6,930
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$6,348 - $12,918
from 4 insurers · median $9,187
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$11,411 - $34,773
from 4 insurers · median $22,171
33 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 47562
$7,409 - $8,720
from 3 insurers · median $8,298
94 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$31,373 - $96,036
from 4 insurers · median $50,788
11 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 49650
$7,762 - $12,698
from 3 insurers · median $8,298
94 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$56,235 - $144,248
from 4 insurers · median $100,767
Hospital reports cardiac thoracic surgery services to CMS
Childbirth · Inpatient
MS-DRG 807
$4,677 - $9,349
from 4 insurers · median $6,930
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$287 - $1,555
from 4 insurers · median $665
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$651 - $1,596
from 4 insurers · median $1,206
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$7,921 - $8,577
from 3 insurers · median $8,298
94 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 70450
$86 - $1,373
from 4 insurers · median $442
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,206 - $2,059
from 4 insurers · median $1,871
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,178 - $4,487
from 4 insurers · median $3,738
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$4,268 - $7,143
from 3 insurers · median $4,393
33 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Mammography
CPT 77067
$85 - $196
from 4 insurers · median $148
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$624 - $2,588
from 4 insurers · median $1,633
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$197 - $931
from 4 insurers · median $513
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$287 - $1,726
from 4 insurers · median $1,020
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$4,724 - $9,202
from 3 insurers · median $8,463
Typical for a hospital with this service line
CT imaging
CPT 71275
$144 - $1,138
from 4 insurers · median $578
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,066 - $2,365
from 4 insurers · median $1,224
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$197 - $1,601
from 4 insurers · median $860
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 63030
$8,298 - $8,788
from 3 insurers · median $8,710
56 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 18 | 236% | 9 | 0 |
| Insurer B* | 24 | 207% | 14 | 3 |
| Insurer C* | 24 | 148% | 6 | 12 |
| Insurer D* | 24 | 90% | 1 | 19 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Bristol Regional Medical Center.
1 Medical Park Boulevard, Bristol, TN 37620
(423) 844-1121
The nearest hospitals of similar type and size. Their rates are compared with Bristol Regional Medical Center for the same insurers and services above.
Morristown-Hamblen Healthcare System
▼ Rates typically 20% lower than Bristol Regional Medical Center (21 services)
Pikeville Medical Center
▲ Rates typically 73% higher than Bristol Regional Medical Center (21 services)
Unc Health Blue Ridge - Morganton
▲ Rates typically 78% higher than Bristol Regional Medical Center (21 services)
Hazard Arh Regional Medical Center
▼ Rates typically 12% lower than Bristol Regional Medical Center (15 services)
Frye Regional Medical Center
Rates about the same as Bristol Regional Medical Center (21 services)
Highlands Regional Medical Center
▲ Rates typically 21% higher than Bristol Regional Medical Center (15 services)
Franklin Woods Community Hospital
Unicoi County Memorial Hospital
Holston Valley Hosp & Med Ctr
Johnson City Medical Center
About Bristol Regional Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Bristol Regional Medical Center range from $287 to $1,726 across 4 insurers. Blue Cross Blue Shield's rate is $824. The median at nearby comparable hospitals is $820. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Bristol Regional Medical Center range from $287 to $1,555 across 4 insurers. Cigna's rate is $642. The median at nearby comparable hospitals is $685. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Bristol Regional Medical Center range from $624 to $2,588 across 4 insurers. Blue Cross Blue Shield's rate is $2,059. The median at nearby comparable hospitals is $2,698. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Bristol Regional Medical Center range from $4,677 to $9,349 across 4 insurers. UnitedHealthcare's rate is $4,677. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Bristol Regional Medical Center range from $85 to $196 across 4 insurers. UnitedHealthcare's rate is $107. The median at nearby comparable hospitals is $185. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Bristol Regional Medical Center range from $11,411 to $34,773 across 4 insurers. Aetna's rate is $16,032. The median at nearby comparable hospitals is $25,340. What a patient pays depends on their plan's deductible, coinsurance and network status.
Bristol Regional Medical Center has 312 beds. Facility type: Short Term Acute Care Hospital.
Bristol Regional Medical Center is located at 1 Medical Park Boulevard, Bristol, TN 37620. Its main phone number is (423) 844-1121.
Bristol Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 440012.
The National Provider Identifier (NPI) on file for Bristol Regional Medical Center is 1124058615.
Bristol Regional Medical Center is affiliated with Ballad Health.
Bristol Regional Medical Center lists 31 in-network payers, including Aetna, Ambetter, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
531 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers