How many shoppable procedure prices are published for Wellmont Bristol Regional Medical Center?

Wellmont Bristol Regional Medical Center in Bristol, TN currently has 104 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Wellmont Bristol Regional Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Wellmont Bristol Regional Medical Center's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Wellmont Bristol Regional Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Wellmont Bristol Regional Medical Center an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 244 Beds · rural Updated: 2026-03-23

Wellmont Bristol Regional Medical Center

One Medical Park Blvd, Bristol, TN 37620 · 104 Priced Procedures · 57% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Near Fair BaseRate Benchmark

0.95×vs. Fair Market Price

Typical commercial prices here are 5% below the fair benchmark (0.95×) after accounting for local nurse/doctor wages and patient complexity.

87/100 · Verified

87/100Self-Pay Cash Beats Insurance 68% of the Time

File Completeness66

Price Logic98

Peer Alignment81

Clean Billing89

Real Cash Discount100

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 0.95× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Wellmont Bristol Regional Medical Center prices shoppable and inpatient services (1.1× to 1.0× Medicare, divergence 0.91×) in alignment with regional hospital peers (0.95× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#31 of 84 in TN · 35th State Percentile#1,000 of 3,385 in U.S. · 29th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 5% below peer Fair BaseRate (0.95×)
Self-pay cash beats commercial insurance on 68% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 57% patient recommendation (62/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.95× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 0.93× Fair BaseRate (1.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.7× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 5,439) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.91× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+8% Upper Tail

Q25 0.87× · Q50 0.93× · Q75 1.00×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.9× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.7× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

68% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 62/100Elevated

Procedure Prices at Wellmont Bristol Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 104 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Trauma team activation HCPCS Code: `G0390`	$965	$2,078	$1,453	1.4×
Colonoscopy with biopsy CPT Code: `45380`	$484	$1,192	$1,256	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$385	$903	$987	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$549	$855	$1,021	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	$418	$723	$855	0.8×
MRI, knee or other leg joint CPT Code: `73721`	$610	$499	$369	1.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$669	$523	$511	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$448	$544	$583	0.9×
Blood transfusion CPT Code: `36430`	$119	$439	$498	0.9×
Psychological testing by technician CPT Code: `96138`	$164	$408	$395	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$560	$382	$448	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$588	$381	$258	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$532	$310	$303	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$605	$311	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$605	$311	$343	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$560	$333	$242	unverified
Rabies immune globulin HCPCS Code: `90375`	$2,187	$294	$322	0.9×
Neurobehavioral status check CPT Code: `96116`	$82	$213	$231	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$344	$235	$272	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$79	$208	$201	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$532	$227	$160	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$29	$177	$166	1.1×
Family therapy session CPT Code: `90847`	$81	$177	$173	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$50	$177	$181	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$102	$130	$134	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,023	$145	$151	1.0×
Ultrasound, pelvis CPT Code: `76856`	$102	$121	$130	0.9×
CT scan, pelvis CPT Code: `72192`	$588	$138	$163	0.8×
CT scan, sinuses CPT Code: `70486`	$532	$138	$166	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$532	$138	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$532	$138	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$532	$138	$169	0.8×
Group therapy session CPT Code: `90853`	$32	$101	$100	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$102	$123	$132	unverified
X-ray, shoulder CPT Code: `73030`	$75	$86	$92	0.9×
X-ray, foot CPT Code: `73630`	$75	$86	$92	0.9×
X-ray, pelvis CPT Code: `72170`	$66	$102	$110	0.9×
X-ray, hand CPT Code: `73130`	$78	$86	$93	0.9×
X-ray, hip CPT Code: `73502`	$69	$86	$93	0.9×
X-ray, ankle CPT Code: `73610`	$75	$86	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$69	$85	$93	0.9×
X-ray, chest (single view) CPT Code: `71045`	$66	$84	$92	0.9×
X-ray, lower back CPT Code: `72110`	$69	$102	$112	0.9×
X-ray, chest (two views) CPT Code: `71046`	$69	$84	$93	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$96	$109	$126	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$39	$80	$110	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$86	$103	$148	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$72	$85	$123	0.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$42	$85	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$566	$333	$347	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$169	$169	$140	1.2×
Drug screening test HCPCS Code: `G0480`	$103	$114	$116	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$77	$77	$86	0.9×
Blood antibody screen CPT Code: `86850`	$20	$49	$46	1.1×
Flu vaccine injection HCPCS Code: `G0008`	$15	$47	$48	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$32	$34	$38	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$71	$57	$64	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$11	$74	$86	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$36	$74	$87	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$13	$47	$49	1.0×
Prosthetic fitting and training CPT Code: `97761`	$32	$40	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$37	$45	$51	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$34	$35	$40	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$32	$33	$38	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$13	$47	$49	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$14	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$18	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$23	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	$14	$9	$9	1.0×
Blood test, vitamin D CPT Code: `82306`	$52	$31	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$6	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$11	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$9	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$9	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$26	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$24	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$7	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$17	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$12	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$12	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$8	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$32	$19	$19	1.0×
Blood test, sodium CPT Code: `84295`	$9	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$7	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$14	$8	$8	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$29	$17	$18	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$57	$33	$39	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$80	$33	$56	0.6×
Hepatitis B vaccine HCPCS Code: `90744`	$56	$38	$37	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$7	$5	$5	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$11	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$25	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$18	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$15	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$32	$20	$20	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$16	$13	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	$23	$24	$27	0.9×
Physical therapy (gait training) CPT Code: `97116`	$27	$29	$33	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$34	$32	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$31	$29	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$29	$28	$34	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$157	$33	$111	0.3×
Blood test, hemoglobin CPT Code: `85018`	$4	$2	$3	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$74	$12	$35	0.3×

Showing top 25 high-impact procedures of 104 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Wellmont Bristol Regional Medical Center (Zero PHI Required)

CMS CCN: 440012

CPT G0390

Select Procedure to Audit:

Fair BaseRate™ $1,453

Medicare Rate $1,362

Self-Pay Cash $965

Insurer Median $2,078

1. Amount on Your Bill or Quote ($) Pre-filled with Wellmont Bristol Regional Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Save $5,469 Paying Cash

Self-Pay Cash Rate ($965) Beats Your Bill

Wellmont Bristol Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $965 (vs. $2,078 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$4,981 Above Fair BaseRate

Negotiate Toward $1,453 Fair BaseRate ($1,362 Medicare)

Your bill ($6,434) is $4,981 above the denoised Fair BaseRate ($1,453) and 4.7× the $1,362 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Wellmont Bristol Regional Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite62/100

Would Recommend57%

Rated 9 or 10 (HCAHPS)61%

Median ER Wait192 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.8%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (1,422 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Wellmont Bristol Regional Medical Center.

Price Index: 0.96× regional baseline

Quality: 57/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Seven Corners, Inc.

-42.2%

Median Household Income$56,802U.S. Census ACS

Local Uninsured Share9.1%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 87/100 · Verified CMS CCN 440012

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 440012) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-23

Validated Rate Rows4,743 (CMS v3.0.0)

File Integrity DigestVerified · CCN 440012

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy