Consultation pathology during surgery cytological exam initial site at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$207.75
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.
$1,385.00
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.
$15.37 with UNITED HEALTHCARE vs $1,713.67 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $15.37 | ↓ -93% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $19.28 | ↓ -91% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $69.01 | ↓ -67% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $102.89 | ↓ -50% |
| CIGNA HEALTHCARE | CIGNA PPO | $102.89 | ↓ -50% |
| CIGNA HEALTHCARE | CIGNA HMO | $102.89 | ↓ -50% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $121.82 | ↓ -41% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $121.82 | ↓ -41% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $125.48 | ↓ -40% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $126.69 | ↓ -39% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $127.91 | ↓ -38% |
| MEDCOST | MEDCOST VHN | $484.75 | ↑ +133% |
| SENTARA HEALTH | SENTARA HEALTH | $504.42 | ↑ +143% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $628.20 | ↑ +202% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $628.20 | ↑ +202% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $628.20 | ↑ +202% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $786.09 | ↑ +278% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $786.09 | ↑ +278% |
| AETNA | AETNA HEALTHCARE MEDICARE | $786.09 | ↑ +278% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $786.09 | ↑ +278% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $786.09 | ↑ +278% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $786.09 | ↑ +278% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $786.09 | ↑ +278% |
| SENTARA HEALTH | SENTARA MEDICARE | $786.09 | ↑ +278% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $786.09 | ↑ +278% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $786.09 | ↑ +278% |
| HUMANA | HUMANA MEDICARE | $798.67 | ↑ +284% |
| BLUE CROSS | BLUE CROSS MEDICARE | $817.53 | ↑ +294% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $817.53 | ↑ +294% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $825.39 | ↑ +297% |
| NHC ADVANTAGE | NHC ADVANTAGE | $825.39 | ↑ +297% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $825.39 | ↑ +297% |
| AETNA | AETNA | $1,108.00 | ↑ +433% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,385.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,385.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,385.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $1,385.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,385.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,385.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,385.00 | ↑ +567% |
| AMBETTER | AMBETTER | $1,713.67 | ↑ +725% |
Visitor-reported prices
Comments
Consultation pathology during surgery cytological exam initial site at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $89.00 | $656.15 – $3,703.97 |
| Inova Alexandria Hospital | Alexandria | $71.00 | $74.33 – $143.36 |
| Inova Fairfax Hospital | Falls Church | $71.00 | $74.33 – $143.36 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $71.00 | $74.33 – $143.36 |
| Inova Loudoun Hospital | Leesburg | $71.00 | $74.33 – $143.36 |
| Inova Mount Vernon Hospital | Alexandria | $71.00 | $74.33 – $143.36 |
| Johnston Memorial Hospital | ABINGDON | $207.75 | $15.37 – $1,713.67 |
| Sentara Martha Jefferson Hospital | Charlottesville | $394.50 | $32.52 – $823.43 |