Vaccine pneumococcal conjugate 13 valent (pcv13) im at Dickenson Community Hospital
312 HOSPITAL DR., CLINTWOOD, VA · Balladhealth · · NPI 1285685727
$516.40
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.
$2,245.20
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.
$116.35 with UNITED HEALTHCARE vs $2,177.13 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 | $116.35 | ↓ -77% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $130.35 | ↓ -75% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $223.47 | ↓ -57% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $223.47 | ↓ -57% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $230.18 | ↓ -55% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $232.41 | ↓ -55% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $232.41 | ↓ -55% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $257.99 | ↓ -50% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $257.99 | ↓ -50% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $257.99 | ↓ -50% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $446.34 | ↓ -14% |
| CIGNA HEALTHCARE | CIGNA PPO | $593.42 | ↑ +15% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $634.00 | ↑ +23% |
| CIGNA HEALTHCARE | CIGNA HMO | $634.00 | ↑ +23% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $653.14 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $653.14 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $653.14 | ↑ +26% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $653.14 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $653.14 | ↑ +26% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $653.14 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $653.14 | ↑ +26% |
| SENTARA HEALTH | SENTARA MEDICARE | $653.14 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $663.59 | ↑ +29% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $672.73 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $679.27 | ↑ +32% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $685.80 | ↑ +33% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $685.80 | ↑ +33% |
| NHC ADVANTAGE | NHC ADVANTAGE | $685.80 | ↑ +33% |
| MEDCOST | MEDCOST VHN | $762.00 | ↑ +48% |
| SENTARA HEALTH | SENTARA HEALTH | $803.14 | ↑ +56% |
| AMBETTER | AMBETTER | $805.54 | ↑ +56% |
| BLUE CROSS | ANTHEM HMO | $902.97 | ↑ +75% |
| BLUE CROSS | ANTHEM EXCHANGE | $902.97 | ↑ +75% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $902.97 | ↑ +75% |
| AETNA | AETNA | $1,741.70 | ↑ +237% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,177.13 | ↑ +322% |
Visitor-reported prices
Comments
Vaccine pneumococcal conjugate 13 valent (pcv13) im at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $326.57 | $116.35 – $446.34 |
| Russell County Hospital | LEBANON | $326.57 | $116.35 – $949.23 |
| Lonesome Pine Hospital | BIG STONE GAP | $326.57 | $64.64 – $992.77 |
| Smyth County Community Hospital | MARION | $326.57 | $116.35 – $446.34 |
| Lee County Community Hospital | PENNINGTON GAP | $500.74 | $116.35 – $446.34 |
| Maryview Hospital | Portsmouth | $222.60 | not published |
| St Francis Medical Center | Midlothian | $276.00 | not published |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $219.29 – $683.30 |