ER Visit (level 2) at Dickenson Community Hospital
312 HOSPITAL DR., CLINTWOOD, VA · Balladhealth · · NPI 1285685727
$92.46
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.
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What you pay up front if you don't use insurance.
$402.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$51.00 with UNITED HEALTHCARE vs $402.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
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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 →
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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 | $51.00 | ↓ -45% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $120.60 | ↑ +30% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $120.60 | ↑ +30% |
| SENTARA HEALTH | SENTARA MEDICARE | $120.60 | ↑ +30% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $120.60 | ↑ +30% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $120.60 | ↑ +30% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $120.60 | ↑ +30% |
| AETNA | AETNA HEALTHCARE MEDICARE | $120.60 | ↑ +30% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $120.60 | ↑ +30% |
| HUMANA | HUMANA MEDICARE | $122.53 | ↑ +33% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $124.22 | ↑ +34% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $125.42 | ↑ +36% |
| NHC ADVANTAGE | NHC ADVANTAGE | $126.63 | ↑ +37% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $126.63 | ↑ +37% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $126.63 | ↑ +37% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $133.00 | ↑ +44% |
| MEDCOST | MEDCOST VHN | $140.70 | ↑ +52% |
| SENTARA HEALTH | SENTARA HEALTH | $148.30 | ↑ +60% |
| AMBETTER | AMBETTER | $148.74 | ↑ +61% |
| AETNA | AETNA | $321.60 | ↑ +248% |
| CIGNA HEALTHCARE | CIGNA HMO | $402.00 | ↑ +335% |
| CIGNA HEALTHCARE | CIGNA PPO | $402.00 | ↑ +335% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $402.00 | ↑ +335% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $402.00 | ↑ +335% |
| BLUE CROSS | ANTHEM HMO | $402.00 | ↑ +335% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $402.00 | ↑ +335% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $402.00 | ↑ +335% |
| BLUE CROSS | ANTHEM EXCHANGE | $402.00 | ↑ +335% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $402.00 | ↑ +335% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $402.00 | ↑ +335% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $402.00 | ↑ +335% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | not published by hospital | — |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | not published by hospital | — |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | not published by hospital | — |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | not published by hospital | — |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 2) at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $506.50 | $158.36 – $874.00 |
| Inova Fairfax Hospital | Falls Church | $506.50 | $158.36 – $913.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $506.50 | $158.36 – $874.00 |
| Inova Loudoun Hospital | Leesburg | $506.50 | $158.36 – $874.00 |
| Inova Mount Vernon Hospital | Alexandria | $506.50 | $158.36 – $874.00 |
| Johnston Memorial Hospital | ABINGDON | $94.35 | $149.81 – $326.59 |
| Russell County Hospital | LEBANON | $94.35 | $149.81 – $326.59 |
| Sentara Martha Jefferson Hospital | Charlottesville | $264.50 | $152.81 – $157.30 |