2d tte w or without fol w/con,co at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$183.75
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.
$1,225.00
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.
$428.75 with MEDCOST vs $1,667.39 with AMBETTER — 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 |
|---|---|---|---|
| MEDCOST | MEDCOST VHN | $428.75 | ↑ +133% |
| SENTARA HEALTH | SENTARA HEALTH | $446.15 | ↑ +143% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $501.02 | ↑ +173% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $568.40 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $591.68 | ↑ +222% |
| CIGNA HEALTHCARE | CIGNA PPO | $591.68 | ↑ +222% |
| CIGNA HEALTHCARE | CIGNA HMO | $591.68 | ↑ +222% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $597.14 | ↑ +225% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $597.14 | ↑ +225% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $615.06 | ↑ +235% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $621.03 | ↑ +238% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $627.00 | ↑ +241% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $764.86 | ↑ +316% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $764.86 | ↑ +316% |
| SENTARA HEALTH | SENTARA MEDICARE | $764.86 | ↑ +316% |
| AETNA | AETNA HEALTHCARE MEDICARE | $764.86 | ↑ +316% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $764.86 | ↑ +316% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $764.86 | ↑ +316% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $764.86 | ↑ +316% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $764.86 | ↑ +316% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $764.86 | ↑ +316% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $764.86 | ↑ +316% |
| HUMANA | HUMANA MEDICARE | $777.10 | ↑ +323% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $795.45 | ↑ +333% |
| BLUE CROSS | BLUE CROSS MEDICARE | $795.45 | ↑ +333% |
| NHC ADVANTAGE | NHC ADVANTAGE | $803.10 | ↑ +337% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $803.10 | ↑ +337% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $803.10 | ↑ +337% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $857.50 | ↑ +367% |
| AETNA | AETNA | $980.00 | ↑ +433% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,225.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,225.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,225.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,225.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $1,225.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,225.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,225.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,225.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,225.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,225.00 | ↑ +567% |
| AMBETTER | AMBETTER | $1,667.39 | ↑ +807% |
Visitor-reported prices
Comments
2d tte w or without fol w/con,co at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $3,106.50 | $675.71 – $1,840.54 |
| Inova Fairfax Hospital | Falls Church | $3,106.50 | $675.71 – $1,840.54 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $3,106.50 | $675.71 – $1,840.54 |
| Inova Loudoun Hospital | Leesburg | $3,106.50 | $675.71 – $1,840.54 |
| Inova Mount Vernon Hospital | Alexandria | $3,106.50 | $675.71 – $1,840.54 |
| Johnston Memorial Hospital | ABINGDON | $183.75 | $501.02 – $1,667.39 |
| Lonesome Pine Hospital | BIG STONE GAP | $183.75 | $278.35 – $1,667.39 |
| Smyth County Community Hospital | MARION | $183.75 | $501.02 – $1,667.39 |