Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) 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

$245.85

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.

$1,639.00

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.

$145.00 with CIGNA HEALTHCARE vs $1,639.00 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 OPEN ACCESS PLUS $145.00 ↓ -41%
CIGNA HEALTHCARE CIGNA HMO $145.00 ↓ -41%
UNITED HEALTHCARE UHC HERITAGE SELECT $157.00 ↓ -36%
CIGNA HEALTHCARE CIGNA PPO $168.00 ↓ -32%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $175.00 ↓ -29%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $180.00 ↓ -27%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $193.00 ↓ -21%
UNITED HEALTHCARE UNITED HEALTHCARE $231.00 ↓ -6%
MANAGED MEDICAIRE MANAGED MEDICAIRE $299.49 ↑ +22%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $299.49 ↑ +22%
ALLCARE MEDICARE ALLCARE MEDICARE $299.49 ↑ +22%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $299.49 ↑ +22%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA MEDICARE $299.49 ↑ +22%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $299.49 ↑ +22%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $299.49 ↑ +22%
AETNA AETNA HEALTHCARE MEDICARE $299.49 ↑ +22%
SENTARA HEALTH SENTARA MEDICARE $299.49 ↑ +22%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $299.49 ↑ +22%
HUMANA HUMANA MEDICARE $304.28 ↑ +24%
BLUE CROSS BLUE CROSS MEDICARE $311.47 ↑ +27%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $311.47 ↑ +27%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $314.46 ↑ +28%
CIGNA HEALTHCARE CIGNA MEDICARE $314.46 ↑ +28%
NHC ADVANTAGE NHC ADVANTAGE $314.46 ↑ +28%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $567.54 ↑ +131%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $567.54 ↑ +131%
MEDCOST MEDCOST VHN $573.65 ↑ +133%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $584.56 ↑ +138%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $590.24 ↑ +140%
AETNA AETNA BETTER HEALTH OF VIRGINIA $595.92 ↑ +142%
SENTARA HEALTH SENTARA HEALTH $596.92 ↑ +143%
AMBETTER AMBETTER $652.88 ↑ +166%
BLUE CROSS ANTHEM EXCHANGE $1,014.40 ↑ +313%
BLUE CROSS BLUE CROSS S NETWORK $1,103.93 ↑ +349%
BLUE CROSS BLUE CROSS P NETWORK $1,103.93 ↑ +349%
BLUE CROSS ANTHEM HMO $1,108.70 ↑ +351%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $1,179.44 ↑ +380%
AETNA AETNA $1,311.20 ↑ +433%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $1,523.00 ↑ +519%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $1,639.00 ↑ +567%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $1,639.00 ↑ +567%

Visitor-reported prices

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Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $956.00 $295.19 – $1,509.00
Inova Fairfax Hospital Falls Church $956.00 $295.19 – $1,509.00
Inova Fair Oaks Hospital VA 22033-1709 $956.00 $295.19 – $1,509.00
Inova Loudoun Hospital Leesburg $956.00 $295.19 – $1,509.00
Inova Mount Vernon Hospital Alexandria $956.00 $295.19 – $1,509.00
Johnston Memorial Hospital ABINGDON $245.85 $243.04 – $652.88
Sentara Martha Jefferson Hospital Charlottesville $562.00 $305.48 – $2,845.00
Sentara Northern Virginia Medical Center Woodbridge $656.00 $305.48 – $3,988.00

All Virginia hospitals for this procedure →