Established Patient Office Visit (level 4) at Dickenson Community Hospital
312 HOSPITAL DR., CLINTWOOD, VA · Balladhealth · · NPI 1285685727
$40.71
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.
$177.00
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.
$53.10 with MANAGED MEDICAIRE vs $177.00 with SEVEN CORNERS, INC. — 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 |
|---|---|---|---|
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $53.10 | ↑ +30% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $53.10 | ↑ +30% |
| SENTARA HEALTH | SENTARA MEDICARE | $53.10 | ↑ +30% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $53.10 | ↑ +30% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $53.10 | ↑ +30% |
| AETNA | AETNA HEALTHCARE MEDICARE | $53.10 | ↑ +30% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $53.10 | ↑ +30% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $53.10 | ↑ +30% |
| HUMANA | HUMANA MEDICARE | $53.95 | ↑ +33% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $54.69 | ↑ +34% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $55.22 | ↑ +36% |
| NHC ADVANTAGE | NHC ADVANTAGE | $55.76 | ↑ +37% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $55.76 | ↑ +37% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $55.76 | ↑ +37% |
| MEDCOST | MEDCOST VHN | $61.95 | ↑ +52% |
| SENTARA HEALTH | SENTARA HEALTH | $65.30 | ↑ +60% |
| AMBETTER | AMBETTER | $65.49 | ↑ +61% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $66.94 | ↑ +64% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $68.85 | ↑ +69% |
| CIGNA HEALTHCARE | CIGNA HMO | $68.85 | ↑ +69% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $69.21 | ↑ +70% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $82.13 | ↑ +102% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $83.01 | ↑ +104% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $83.01 | ↑ +104% |
| CIGNA HEALTHCARE | CIGNA PPO | $84.25 | ↑ +107% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $85.61 | ↑ +110% |
| BLUE CROSS | ANTHEM EXCHANGE | $133.10 | ↑ +227% |
| BLUE CROSS | ANTHEM HMO | $133.10 | ↑ +227% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $133.10 | ↑ +227% |
| AETNA | AETNA | $141.60 | ↑ +248% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $177.00 | ↑ +335% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 4) at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $41.70 | $56.41 – $85.61 |
| Russell County Hospital | LEBANON | $41.70 | $66.94 – $85.61 |
| Lonesome Pine Hospital | BIG STONE GAP | $41.70 | $47.56 – $66.94 |
| Smyth County Community Hospital | MARION | $41.70 | $66.94 – $85.61 |
| Lee County Community Hospital | PENNINGTON GAP | $40.71 | $66.94 – $69.21 |
| Rappahannock General Hospital | Kilmarnock | $174.60 | not published |
| Maryview Hospital | Portsmouth | $281.40 | not published |
| St Mary's Hospital | Richmond | $294.00 | not published |