Consultation/report referred material w/preparation of slides at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$68.40
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.
$456.00
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.
$26.61 with BLUE CROSS vs $456.00 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 →
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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 | $26.61 | ↓ -61% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $33.13 | ↓ -52% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $49.47 | ↓ -28% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $49.47 | ↓ -28% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $49.47 | ↓ -28% |
| AETNA | AETNA HEALTHCARE MEDICARE | $50.84 | ↓ -26% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $50.84 | ↓ -26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $50.84 | ↓ -26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $50.84 | ↓ -26% |
| SENTARA HEALTH | SENTARA MEDICARE | $50.84 | ↓ -26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $50.84 | ↓ -26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $50.84 | ↓ -26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $50.84 | ↓ -26% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $50.84 | ↓ -26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $50.84 | ↓ -26% |
| HUMANA | HUMANA MEDICARE | $51.65 | ↓ -24% |
| BLUE CROSS | BLUE CROSS MEDICARE | $52.88 | ↓ -23% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $52.88 | ↓ -23% |
| NHC ADVANTAGE | NHC ADVANTAGE | $53.39 | ↓ -22% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $53.39 | ↓ -22% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $53.39 | ↓ -22% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $63.95 | ↓ -7% |
| AMBETTER | AMBETTER | $110.84 | ↑ +62% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $121.82 | ↑ +78% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $121.82 | ↑ +78% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $125.48 | ↑ +83% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $126.69 | ↑ +85% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $127.91 | ↑ +87% |
| CIGNA HEALTHCARE | CIGNA PPO | $155.00 | ↑ +127% |
| CIGNA HEALTHCARE | CIGNA HMO | $155.00 | ↑ +127% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $155.00 | ↑ +127% |
| MEDCOST | MEDCOST VHN | $159.60 | ↑ +133% |
| SENTARA HEALTH | SENTARA HEALTH | $166.08 | ↑ +143% |
| BLUE CROSS | ANTHEM EXCHANGE | $172.22 | ↑ +152% |
| BLUE CROSS | BLUE CROSS S NETWORK | $187.42 | ↑ +174% |
| BLUE CROSS | BLUE CROSS P NETWORK | $187.42 | ↑ +174% |
| BLUE CROSS | ANTHEM HMO | $188.23 | ↑ +175% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $200.23 | ↑ +193% |
| AETNA | AETNA | $364.80 | ↑ +433% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $456.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $456.00 | ↑ +567% |
Visitor-reported prices
Comments
Consultation/report referred material w/preparation of slides at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $267.00 | $50.75 – $335.94 |
| Inova Fairfax Hospital | Falls Church | $267.00 | $50.75 – $335.94 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $267.00 | $50.75 – $335.94 |
| Inova Loudoun Hospital | Leesburg | $267.00 | $50.75 – $335.94 |
| Inova Mount Vernon Hospital | Alexandria | $267.00 | $50.75 – $335.94 |
| Johnston Memorial Hospital | ABINGDON | $68.40 | $11.10 – $121.82 |
| Sentara Martha Jefferson Hospital | Charlottesville | $142.50 | $41.78 – $53.39 |
| Sentara Northern Virginia Medical Center | Woodbridge | $157.00 | $20.73 – $197.32 |