Alteplase 100 mg infusion from pyxis vial at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$4,871.66
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.
$32,477.73
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.
$30.45 with BLUE CROSS vs $1,545.23 with FIRST HEALTH COVENTRY — 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $30.45 | ↓ -99% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $40.34 | ↓ -99% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $91.34 | ↓ -98% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $91.34 | ↓ -98% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $91.34 | ↓ -98% |
| AETNA | AETNA HEALTHCARE MEDICARE | $93.83 | ↓ -98% |
| SENTARA HEALTH | SENTARA MEDICARE | $93.83 | ↓ -98% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $93.83 | ↓ -98% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $93.83 | ↓ -98% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $93.83 | ↓ -98% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $93.83 | ↓ -98% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $93.83 | ↓ -98% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $93.83 | ↓ -98% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $93.83 | ↓ -98% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $93.83 | ↓ -98% |
| HUMANA | HUMANA MEDICARE | $95.33 | ↓ -98% |
| BLUE CROSS | BLUE CROSS MEDICARE | $97.59 | ↓ -98% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $97.59 | ↓ -98% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $98.52 | ↓ -98% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $98.52 | ↓ -98% |
| NHC ADVANTAGE | NHC ADVANTAGE | $98.52 | ↓ -98% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $135.74 | ↓ -97% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $135.74 | ↓ -97% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $139.81 | ↓ -97% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $141.17 | ↓ -97% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $142.53 | ↓ -97% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $166.23 | ↓ -97% |
| AMBETTER | AMBETTER | $204.55 | ↓ -96% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $221.01 | ↓ -95% |
| CIGNA HEALTHCARE | CIGNA PPO | $221.01 | ↓ -95% |
| CIGNA HEALTHCARE | CIGNA HMO | $221.01 | ↓ -95% |
| BLUE CROSS | ANTHEM EXCHANGE | $330.58 | ↓ -93% |
| BLUE CROSS | BLUE CROSS P NETWORK | $330.58 | ↓ -93% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $330.58 | ↓ -93% |
| BLUE CROSS | ANTHEM HMO | $330.58 | ↓ -93% |
| BLUE CROSS | BLUE CROSS S NETWORK | $330.58 | ↓ -93% |
| MEDCOST | MEDCOST VHN | $540.83 | ↓ -89% |
| SENTARA HEALTH | SENTARA HEALTH | $562.77 | ↓ -88% |
| AETNA | AETNA | $1,236.18 | ↓ -75% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,545.23 | ↓ -68% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,545.23 | ↓ -68% |
Visitor-reported prices
Comments
Alteplase 100 mg infusion from pyxis vial at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $11,037.54 | $30.45 – $204.55 |
| Lonesome Pine Hospital | BIG STONE GAP | $9,743.32 | $22.41 – $225.20 |
| Smyth County Community Hospital | MARION | $4,871.66 | $30.45 – $204.55 |
| Dickenson Community Hospital | CLINTWOOD | $7,469.88 | $30.45 – $201.74 |
| Lee County Community Hospital | PENNINGTON GAP | $7,469.88 | $30.45 – $201.74 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $77.74 – $248.65 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $96.34 – $99.17 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $96.34 – $124.95 |