Clsd tx/metacarpal fx/sg without manip 26600 at Dickenson Community Hospital
312 HOSPITAL DR., CLINTWOOD, VA · Balladhealth · · NPI 1285685727
$228.62
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.
$994.00
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.
$153.49 with BLUE CROSS vs $994.00 with BLUE CROSS — 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $153.49 | ↓ -33% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $171.00 | ↓ -25% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $298.20 | ↑ +30% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $298.20 | ↑ +30% |
| AETNA | AETNA HEALTHCARE MEDICARE | $298.20 | ↑ +30% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $298.20 | ↑ +30% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $298.20 | ↑ +30% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $298.20 | ↑ +30% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $298.20 | ↑ +30% |
| SENTARA HEALTH | SENTARA MEDICARE | $298.20 | ↑ +30% |
| HUMANA | HUMANA MEDICARE | $302.97 | ↑ +33% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $307.15 | ↑ +34% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $310.13 | ↑ +36% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $313.11 | ↑ +37% |
| NHC ADVANTAGE | NHC ADVANTAGE | $313.11 | ↑ +37% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $313.11 | ↑ +37% |
| MEDCOST | MEDCOST VHN | $347.90 | ↑ +52% |
| SENTARA HEALTH | SENTARA HEALTH | $366.69 | ↑ +60% |
| AMBETTER | AMBETTER | $367.78 | ↑ +61% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $398.00 | ↑ +74% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $455.00 | ↑ +99% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $589.00 | ↑ +158% |
| AETNA | AETNA | $795.20 | ↑ +248% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $884.51 | ↑ +287% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $884.51 | ↑ +287% |
| BLUE CROSS | ANTHEM EXCHANGE | $891.63 | ↑ +290% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $911.04 | ↑ +298% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $919.89 | ↑ +302% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $919.89 | ↑ +302% |
| BLUE CROSS | ANTHEM HMO | $974.56 | ↑ +326% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $994.00 | ↑ +335% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $994.00 | ↑ +335% |
Visitor-reported prices
Comments
Clsd tx/metacarpal fx/sg without manip 26600 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $233.25 | $64.35 – $618.93 |
| Russell County Hospital | LEBANON | $233.25 | $153.49 – $618.94 |
| Sentara Martha Jefferson Hospital | Charlottesville | $198.50 | $245.48 – $2,845.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $212.00 | $245.48 – $3,988.00 |
| Lonesome Pine Hospital | BIG STONE GAP | $233.25 | $153.49 – $638.12 |
| Smyth County Community Hospital | MARION | $233.25 | $153.49 – $618.93 |
| Sentara Halifax Regional Hospital | South Boston | $277.00 | $247.43 – $254.70 |
| Sentara Leigh Hospital | Norfolk | $212.00 | $245.48 – $5,220.00 |