Adenosine 3 mg/250 ml bag for osm at Russell County Hospital

58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$26.78

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$178.52

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.99 with CIGNA HEALTHCARE vs $97.00 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 →

Payer
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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
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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
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $0.99 ↓ -96%
CIGNA HEALTHCARE CIGNA HMO $1.31 ↓ -95%
CIGNA HEALTHCARE CIGNA PPO $1.31 ↓ -95%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $1.31 ↓ -95%
MEDCOST MEDCOST VHN $33.95 ↑ +27%
SENTARA HEALTH SENTARA HEALTH $35.33 ↑ +32%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $67.90 ↑ +154%
AETNA AETNA $77.60 ↑ +190%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $97.00 ↑ +262%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $97.00 ↑ +262%

Visitor-reported prices

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Adenosine 3 mg/250 ml bag for osm at other Virginia hospitals

Hospital City Cash price Negotiated range
Johnston Memorial Hospital ABINGDON $479.28 $0.99 – $0.99
Smyth County Community Hospital MARION $14.67 $0.99 – $0.99
LEWISGALE HOSPITAL-PULASKI PULASKI $144.00 $0.29 – $1.40
Dickenson Community Hospital CLINTWOOD $41.06 $0.99 – $0.99
Lee County Community Hospital PENNINGTON GAP $41.06 $0.99 – $0.99
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $0.33 – $1.40
Sentara Martha Jefferson Hospital Charlottesville not published $0.87 – $0.87
Sentara Northern Virginia Medical Center Woodbridge not published $0.58 – $0.58

All Virginia hospitals for this procedure →