CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Wellmont Bristol Regional Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$72
about 0.8× the $95 Medicare rate · typically $63–$90
modeled estimate · not a bill or quote
What this hospital charges insurers
$74
About the fair price
about $2 over the fair price · 0.8× Medicare
Medicare pays $95 Fair price $72 This hospital $74 Cash price $36 Hospital's list price $242

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 9 TN hospitals we have prices for — worth calling around.

Cheapest $32 Priciest $74

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (20-29 min) is about $72 (about 0.8× the $95 Medicare rate). Wellmont Bristol Regional Medical Center charges insurers about $74, or about $36 in cash — about the fair price. Located in Bristol, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $43 - $78 45%
Blue Cross Blue Shieldmajor $44 - $89 46%
Aetnamajor $103 108%
Cignamajor $101 - $112 106%
Sentara $62 65%
WellCare $242 254%
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: One Medical Park Blvd, Bristol, TN 37620
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals