Cath stripping venous s&i at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$104.70
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.
$698.00
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.
$63.06 with BLUE CROSS vs $698.00 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 →
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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 | $63.06 | ↓ -40% |
| MEDCOST | MEDCOST VHN | $244.30 | ↑ +133% |
| SENTARA HEALTH | SENTARA HEALTH | $254.21 | ↑ +143% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $260.11 | ↑ +148% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $260.11 | ↑ +148% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $267.92 | ↑ +156% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $270.51 | ↑ +158% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $273.12 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $320.00 | ↑ +206% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $364.00 | ↑ +248% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $472.00 | ↑ +351% |
| AETNA | AETNA | $558.40 | ↑ +433% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $698.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $698.00 | ↑ +567% |
Visitor-reported prices
Comments
Cath stripping venous s&i at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $256.00 | $228.25 – $356.83 |
| Inova Fairfax Hospital | Falls Church | $256.00 | $228.25 – $356.83 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $256.00 | $228.25 – $356.83 |
| Inova Loudoun Hospital | Leesburg | $256.00 | $228.25 – $356.83 |
| Inova Mount Vernon Hospital | Alexandria | $256.00 | $228.25 – $356.83 |
| Johnston Memorial Hospital | ABINGDON | $104.70 | $54.73 – $273.12 |
| Sentara Martha Jefferson Hospital | Charlottesville | $987.00 | not published |
| Sentara Northern Virginia Medical Center | Woodbridge | $1,056.00 | $348.66 – $348.66 |