C-1 esterase, berinert 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

$3,781.75

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.

$25,211.65

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.

$27.21 with UNITED HEALTHCARE vs $25,211.65 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 →

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 $27.21 ↓ -99%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $27.53 ↓ -99%
UNITED HEALTHCARE UHC HERITAGE SELECT $67.77 ↓ -98%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $67.77 ↓ -98%
UNITED HEALTHCARE UNITED HEALTHCARE $67.77 ↓ -98%
SENTARA HEALTH SENTARA MEDICARE $75.86 ↓ -98%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $75.86 ↓ -98%
AETNA AETNA HEALTHCARE MEDICARE $75.86 ↓ -98%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $75.86 ↓ -98%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA MEDICARE $75.86 ↓ -98%
ALLCARE MEDICARE ALLCARE MEDICARE $75.86 ↓ -98%
MANAGED MEDICAIRE MANAGED MEDICAIRE $75.86 ↓ -98%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $75.86 ↓ -98%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $75.86 ↓ -98%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $75.86 ↓ -98%
HUMANA HUMANA MEDICARE $77.07 ↓ -98%
BLUE CROSS BLUE CROSS MEDICARE $78.89 ↓ -98%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $78.89 ↓ -98%
CIGNA HEALTHCARE CIGNA MEDICARE $79.65 ↓ -98%
NHC ADVANTAGE NHC ADVANTAGE $79.65 ↓ -98%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $79.65 ↓ -98%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $133.51 ↓ -96%
AMBETTER AMBETTER $165.37 ↓ -96%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $177.51 ↓ -95%
CIGNA HEALTHCARE CIGNA HMO $177.51 ↓ -95%
CIGNA HEALTHCARE CIGNA PPO $177.51 ↓ -95%
BLUE CROSS BLUE CROSS P NETWORK $265.51 ↓ -93%
BLUE CROSS ANTHEM EXCHANGE $265.51 ↓ -93%
BLUE CROSS ANTHEM HMO $265.51 ↓ -93%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $265.51 ↓ -93%
BLUE CROSS BLUE CROSS S NETWORK $265.51 ↓ -93%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $6,096.26 ↑ +61%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $6,096.26 ↑ +61%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $6,279.14 ↑ +66%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $6,340.11 ↑ +68%
AETNA AETNA BETTER HEALTH OF VIRGINIA $6,401.07 ↑ +69%
MEDCOST MEDCOST VHN $8,824.08 ↑ +133%
SENTARA HEALTH SENTARA HEALTH $9,182.08 ↑ +143%
AETNA AETNA $20,169.32 ↑ +433%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $25,211.65 ↑ +567%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $25,211.65 ↑ +567%

Visitor-reported prices

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C-1 esterase, berinert at other Virginia hospitals

Hospital City Cash price Negotiated range
Johnston Memorial Hospital ABINGDON $3,781.75 $27.21 – $6,096.19
Smyth County Community Hospital MARION $3,781.75 $27.21 – $6,096.19
RESTON HOSPITAL CENTER VIENNA $12,727.31 $65.77 – $201.03
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $61.43 – $201.03
Sentara Martha Jefferson Hospital Charlottesville not published $77.38 – $79.65
Sentara Northern Virginia Medical Center Woodbridge not published $77.38 – $92.70
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $61.43 – $201.03
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG not published $61.43 – $201.03

All Virginia hospitals for this procedure →