Amputation toe interphalangeal joint 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

$835.35

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.

$5,569.00

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.

$171.00 with UNITED HEALTHCARE vs $6,959.52 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 →

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
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $171.00 ↓ -80%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $200.45 ↓ -76%
UNITED HEALTHCARE UHC HERITAGE SELECT $398.00 ↓ -52%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $455.00 ↓ -46%
UNITED HEALTHCARE UNITED HEALTHCARE $589.00 ↓ -29%
MEDCOST MEDCOST VHN $1,949.15 ↑ +133%
SENTARA HEALTH SENTARA HEALTH $2,028.23 ↑ +143%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $2,779.63 ↑ +233%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $2,779.63 ↑ +233%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $2,863.02 ↑ +243%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $2,890.82 ↑ +246%
AETNA AETNA BETTER HEALTH OF VIRGINIA $2,918.61 ↑ +249%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $3,192.44 ↑ +282%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $3,192.44 ↑ +282%
AETNA AETNA HEALTHCARE MEDICARE $3,192.44 ↑ +282%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $3,192.44 ↑ +282%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $3,192.44 ↑ +282%
ALLCARE MEDICARE ALLCARE MEDICARE $3,192.44 ↑ +282%
MANAGED MEDICAIRE MANAGED MEDICAIRE $3,192.44 ↑ +282%
SENTARA HEALTH SENTARA MEDICARE $3,192.44 ↑ +282%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $3,192.44 ↑ +282%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA MEDICARE $3,192.44 ↑ +282%
HUMANA HUMANA MEDICARE $3,243.52 ↑ +288%
BLUE CROSS BLUE CROSS MEDICARE $3,320.14 ↑ +297%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $3,320.14 ↑ +297%
NHC ADVANTAGE NHC ADVANTAGE $3,352.06 ↑ +301%
CIGNA HEALTHCARE CIGNA MEDICARE $3,352.06 ↑ +301%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $3,352.06 ↑ +301%
AETNA AETNA $4,455.20 ↑ +433%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $5,569.00 ↑ +567%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $5,569.00 ↑ +567%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $5,569.00 ↑ +567%
BLUE CROSS ANTHEM HMO $5,569.00 ↑ +567%
BLUE CROSS BLUE CROSS S NETWORK $5,569.00 ↑ +567%
BLUE CROSS ANTHEM EXCHANGE $5,569.00 ↑ +567%
BLUE CROSS BLUE CROSS P NETWORK $5,569.00 ↑ +567%
AMBETTER AMBETTER $6,959.52 ↑ +733%

Visitor-reported prices

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Amputation toe interphalangeal joint at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $7,629.00 $2,149.00 – $3,529.00
Inova Fairfax Hospital Falls Church $7,629.00 $2,149.00 – $3,529.00
Inova Fair Oaks Hospital VA 22033-1709 $7,629.00 $2,149.00 – $3,529.00
Inova Loudoun Hospital Leesburg $7,629.00 $2,149.00 – $3,529.00
Inova Mount Vernon Hospital Alexandria $7,629.00 $2,149.00 – $3,529.00
Johnston Memorial Hospital ABINGDON $835.35 $200.45 – $6,959.52
Sentara Martha Jefferson Hospital Charlottesville $3,922.00 $1,571.00 – $5,978.00
Sentara Northern Virginia Medical Center Woodbridge $4,196.50 $2,587.00 – $3,486.00

All Virginia hospitals for this procedure →