Biopsy of rectum wall anal approach 45100 at Dickenson Community Hospital
312 HOSPITAL DR., CLINTWOOD, VA · Balladhealth · · NPI 1285685727
$1,138.04
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$4,948.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$171.00 with UNITED HEALTHCARE vs $4,948.00 with SEVEN CORNERS, INC. — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $171.00 | ↓ -85% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $257.73 | ↓ -77% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $398.00 | ↓ -65% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $455.00 | ↓ -60% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $589.00 | ↓ -48% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,484.40 | ↑ +30% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,484.40 | ↑ +30% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,484.40 | ↑ +30% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,484.40 | ↑ +30% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,484.40 | ↑ +30% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,484.40 | ↑ +30% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,484.40 | ↑ +30% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,484.40 | ↑ +30% |
| HUMANA | HUMANA MEDICARE | $1,508.15 | ↑ +33% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,528.93 | ↑ +34% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,543.78 | ↑ +36% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,558.62 | ↑ +37% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,558.62 | ↑ +37% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,558.62 | ↑ +37% |
| MEDCOST | MEDCOST VHN | $1,731.80 | ↑ +52% |
| SENTARA HEALTH | SENTARA HEALTH | $1,825.32 | ↑ +60% |
| AMBETTER | AMBETTER | $1,830.76 | ↑ +61% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,674.74 | ↑ +135% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,674.74 | ↑ +135% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,754.98 | ↑ +142% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,781.73 | ↑ +144% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,781.73 | ↑ +144% |
| AETNA | AETNA | $3,958.40 | ↑ +248% |
| BLUE CROSS | ANTHEM EXCHANGE | $4,948.00 | ↑ +335% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $4,948.00 | ↑ +335% |
| BLUE CROSS | ANTHEM HMO | $4,948.00 | ↑ +335% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $4,948.00 | ↑ +335% |
Visitor-reported prices
Comments
Biopsy of rectum wall anal approach 45100 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $5,015.00 | $1,509.00 – $4,413.00 |
| Inova Fairfax Hospital | Falls Church | $5,015.00 | $1,509.00 – $4,413.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $5,015.00 | $1,509.00 – $4,413.00 |
| Inova Loudoun Hospital | Leesburg | $5,015.00 | $1,509.00 – $4,413.00 |
| Inova Mount Vernon Hospital | Alexandria | $5,015.00 | $1,509.00 – $4,413.00 |
| Johnston Memorial Hospital | ABINGDON | $1,159.80 | $257.73 – $5,903.81 |
| Russell County Hospital | LEBANON | $1,159.80 | $257.73 – $5,903.81 |
| Sentara Martha Jefferson Hospital | Charlottesville | $1,789.00 | $1,010.00 – $3,276.00 |