Cystoscopy chemodenervation at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$1,345.50
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.
$8,970.00
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.
$1,104.26 with UNITED HEALTHCARE vs $8,970.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,104.26 | ↓ -18% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,999.90 | ↑ +49% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,999.90 | ↑ +49% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2,039.56 | ↑ +52% |
| SENTARA HEALTH | SENTARA MEDICARE | $2,039.56 | ↑ +52% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,039.56 | ↑ +52% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2,039.56 | ↑ +52% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2,039.56 | ↑ +52% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $2,039.56 | ↑ +52% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2,039.56 | ↑ +52% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $2,039.56 | ↑ +52% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $2,039.56 | ↑ +52% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $2,039.56 | ↑ +52% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,059.90 | ↑ +53% |
| HUMANA | HUMANA MEDICARE | $2,072.19 | ↑ +54% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,079.90 | ↑ +55% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,099.90 | ↑ +56% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,121.14 | ↑ +58% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $2,121.14 | ↑ +58% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $2,141.53 | ↑ +59% |
| NHC ADVANTAGE | NHC ADVANTAGE | $2,141.53 | ↑ +59% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $2,141.53 | ↑ +59% |
| MEDCOST | MEDCOST VHN | $3,139.50 | ↑ +133% |
| SENTARA HEALTH | SENTARA HEALTH | $3,266.87 | ↑ +143% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,336.84 | ↑ +148% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $3,507.27 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $3,507.27 | ↑ +161% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $4,162.08 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $4,269.72 | ↑ +217% |
| CIGNA HEALTHCARE | CIGNA HMO | $4,269.72 | ↑ +217% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $4,269.72 | ↑ +217% |
| AMBETTER | AMBETTER | $4,446.23 | ↑ +230% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $6,279.00 | ↑ +367% |
| BLUE CROSS | ANTHEM EXCHANGE | $6,908.23 | ↑ +413% |
| AETNA | AETNA | $7,176.00 | ↑ +433% |
| BLUE CROSS | BLUE CROSS S NETWORK | $7,517.99 | ↑ +459% |
| BLUE CROSS | BLUE CROSS P NETWORK | $7,517.99 | ↑ +459% |
| BLUE CROSS | ANTHEM HMO | $7,550.46 | ↑ +461% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $8,032.19 | ↑ +497% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $8,970.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $8,970.00 | ↑ +567% |
Visitor-reported prices
Comments
Cystoscopy chemodenervation at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $1,345.50 | $1,104.26 – $4,446.23 |
| Smyth County Community Hospital | MARION | $1,345.50 | $1,104.26 – $4,446.23 |
| St Mary's Hospital | Richmond | $14,889.10 | $3,536.51 – $3,607.24 |
| Mary Immaculate Hospital | Newport News | $10,520.95 | $2,039.56 – $2,080.35 |
| Southside Regional Medical Center | Petersburg | $14,979.64 | $2,039.56 – $3,439.27 |
| Inova Alexandria Hospital | Alexandria | not published | $1,847.42 – $4,413.00 |
| Inova Fairfax Hospital | Falls Church | not published | $1,847.42 – $4,413.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | not published | $1,847.42 – $4,413.00 |