Breast Biopsy (ultrasound-guided, percutaneous) at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$432.60
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.
$2,884.00
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.
$1,009.40 with MEDCOST vs $3,512.94 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 →
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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 | $1,009.40 | ↑ +133% |
| SENTARA HEALTH | SENTARA HEALTH | $1,050.35 | ↑ +143% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,107.00 | ↑ +156% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +252% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,611.44 | ↑ +273% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,611.44 | ↑ +273% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,611.44 | ↑ +273% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,611.44 | ↑ +273% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $1,611.44 | ↑ +273% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,611.44 | ↑ +273% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,611.44 | ↑ +273% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,611.44 | ↑ +273% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,611.44 | ↑ +273% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,611.44 | ↑ +273% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,621.00 | ↑ +275% |
| HUMANA | HUMANA MEDICARE | $1,637.22 | ↑ +278% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,675.90 | ↑ +287% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,675.90 | ↑ +287% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,687.77 | ↑ +290% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,687.77 | ↑ +290% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,692.01 | ↑ +291% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,692.01 | ↑ +291% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,692.01 | ↑ +291% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,738.40 | ↑ +302% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,755.28 | ↑ +306% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,772.16 | ↑ +310% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,850.00 | ↑ +328% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,877.00 | ↑ +334% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,877.00 | ↑ +334% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,160.00 | ↑ +399% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $2,246.00 | ↑ +419% |
| AETNA | AETNA | $2,307.20 | ↑ +433% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,397.00 | ↑ +454% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,884.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,884.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,884.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $2,884.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $2,884.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,884.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $2,884.00 | ↑ +567% |
| AMBETTER | AMBETTER | $3,512.94 | ↑ +712% |
Visitor-reported prices
Comments
Breast Biopsy (ultrasound-guided, percutaneous) at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $3,948.00 | $1,620.24 – $2,485.00 |
| Inova Fairfax Hospital | Falls Church | $3,948.00 | $1,620.24 – $2,485.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $3,948.00 | $1,620.24 – $2,485.00 |
| Inova Loudoun Hospital | Leesburg | $3,948.00 | $1,620.24 – $2,485.00 |
| Inova Mount Vernon Hospital | Alexandria | $3,948.00 | $1,620.24 – $2,485.00 |
| Johnston Memorial Hospital | ABINGDON | $432.60 | $1,338.86 – $3,512.94 |
| Sentara Martha Jefferson Hospital | Charlottesville | $1,510.50 | $1,643.67 – $3,895.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $3,120.00 | $1,643.67 – $3,988.00 |