Aco med nutria tx/group, ea 30 min 97804aco at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$5.25
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.
$35.00
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.
$12.25 with MEDCOST vs $275.64 with AETNA — 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 | $12.25 | ↑ +133% |
| SENTARA HEALTH | SENTARA HEALTH | $12.75 | ↑ +143% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $13.18 | ↑ +151% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $14.27 | ↑ +172% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $14.27 | ↑ +172% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $14.27 | ↑ +172% |
| AETNA | AETNA HEALTHCARE MEDICARE | $14.27 | ↑ +172% |
| SENTARA HEALTH | SENTARA MEDICARE | $14.27 | ↑ +172% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $14.27 | ↑ +172% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $14.27 | ↑ +172% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $14.27 | ↑ +172% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $14.27 | ↑ +172% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $14.27 | ↑ +172% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $14.27 | ↑ +172% |
| NHC ADVANTAGE | NHC ADVANTAGE | $14.27 | ↑ +172% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $14.27 | ↑ +172% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $14.27 | ↑ +172% |
| HUMANA | HUMANA MEDICARE | $14.50 | ↑ +176% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $16.24 | ↑ +209% |
| BLUE CROSS | BLUE CROSS S NETWORK | $16.79 | ↑ +220% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $16.79 | ↑ +220% |
| BLUE CROSS | BLUE CROSS P NETWORK | $16.79 | ↑ +220% |
| BLUE CROSS | ANTHEM EXCHANGE | $16.79 | ↑ +220% |
| BLUE CROSS | ANTHEM HMO | $16.79 | ↑ +220% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $16.91 | ↑ +222% |
| CIGNA HEALTHCARE | CIGNA HMO | $16.91 | ↑ +222% |
| CIGNA HEALTHCARE | CIGNA PPO | $16.91 | ↑ +222% |
| BLUE CROSS | BLUE CROSS MEDICARE | $17.46 | ↑ +233% |
| AETNA | AETNA | $28.00 | ↑ +433% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $35.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $35.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $35.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $35.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $35.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $35.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $35.00 | ↑ +567% |
| AMBETTER | AMBETTER | $36.60 | ↑ +597% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $262.51 | ↑ +4900% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $262.51 | ↑ +4900% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $273.01 | ↑ +5100% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $275.64 | ↑ +5150% |
Visitor-reported prices
Comments
Aco med nutria tx/group, ea 30 min 97804aco at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $108.00 | $16.64 – $308.93 |
| Inova Fairfax Hospital | Falls Church | $108.00 | $16.64 – $308.93 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $108.00 | $16.64 – $308.93 |
| Inova Loudoun Hospital | Leesburg | $108.00 | $16.64 – $308.93 |
| Inova Mount Vernon Hospital | Alexandria | $108.00 | $16.64 – $308.93 |
| Johnston Memorial Hospital | ABINGDON | $5.25 | $13.18 – $262.51 |
| Sentara Martha Jefferson Hospital | Charlottesville | $27.50 | $12.44 – $12.81 |
| Sentara Northern Virginia Medical Center | Woodbridge | $29.50 | $12.44 – $12.81 |