45/100
#1,453 nationally
Wellmont Bristol Regional Medical Center
One Medical Park Blvd, Bristol, TN 37620 · (423) 844-1121
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Wellmont Bristol Regional Medical Center billed $5.11 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 5.1x
- volume-weighted across all its priced work
- Procedures priced
- 96
- inpatient and outpatient combined
- Rank in TN
- #30
- lower markup ranks higher
- CMS quality stars
- 2/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 43% of U.S. hospitals.
Better than 30% of U.S. hospitals.
Better than 56% of U.S. hospitals.
Better than 55% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
267 | $59,757 | $14,370 | -8% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
214 | $14,369 | $2,290 | -26% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
141 | $41,476 | $9,700 | -4% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
134 | $76,864 | $11,005 | +23% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
127 | $19,535 | $2,788 | -23% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
125 | $8,880 | $1,368 | -12% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
94 | $42,677 | $4,957 | +22% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
78 | $26,361 | $6,464 | -11% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
78 | $22,056 | $2,738 | +15% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
75 | $13,160 | $2,366 | -26% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$158,959 | $15,977 | +91% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$37,572 | $2,829 | +62% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$135,186 | $14,640 | +42% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$70,017 | $9,169 | +36% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$45,671 | $4,721 | +26% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
$47,486 | $5,880 | +23% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$76,864 | $11,005 | +23% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$42,677 | $4,957 | +22% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
$32,886 | $10,920 | -51% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
$26,701 | $10,038 | -44% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
$23,295 | $7,814 | -40% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
$25,207 | $6,285 | -39% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
$23,270 | $7,557 | -38% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
$21,040 | $5,770 | -38% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
$51,875 | $18,272 | -37% |
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
$50,601 | $14,154 | -37% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.