ER Visit (level 1, minor) 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$51.00 with UNITED HEALTHCARE vs $456.00 with SEVEN CORNERS, INC. — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $51.00 | ↓ -25% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $82.27 | ↑ +20% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $82.27 | ↑ +20% |
| SENTARA HEALTH | SENTARA MEDICARE | $82.27 | ↑ +20% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $82.27 | ↑ +20% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $82.27 | ↑ +20% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $82.27 | ↑ +20% |
| AETNA | AETNA HEALTHCARE MEDICARE | $82.27 | ↑ +20% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $82.27 | ↑ +20% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $82.27 | ↑ +20% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $82.27 | ↑ +20% |
| HUMANA | HUMANA MEDICARE | $83.59 | ↑ +22% |
| BLUE CROSS | BLUE CROSS MEDICARE | $85.56 | ↑ +25% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $85.56 | ↑ +25% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $86.39 | ↑ +26% |
| NHC ADVANTAGE | NHC ADVANTAGE | $86.39 | ↑ +26% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $86.39 | ↑ +26% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $110.00 | ↑ +61% |
| MEDCOST | MEDCOST VHN | $159.60 | ↑ +133% |
| SENTARA HEALTH | SENTARA HEALTH | $166.08 | ↑ +143% |
| AMBETTER | AMBETTER | $179.36 | ↑ +162% |
| BLUE CROSS | ANTHEM EXCHANGE | $278.67 | ↑ +307% |
| BLUE CROSS | BLUE CROSS P NETWORK | $303.26 | ↑ +343% |
| BLUE CROSS | BLUE CROSS S NETWORK | $303.26 | ↑ +343% |
| BLUE CROSS | ANTHEM HMO | $304.57 | ↑ +345% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $324.01 | ↑ +374% |
| AETNA | AETNA | $364.80 | ↑ +433% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $398.00 | ↑ +482% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $455.00 | ↑ +565% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $456.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $456.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA PPO | $456.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $456.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA HMO | $456.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $456.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $456.00 | ↑ +567% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | not published by hospital | — |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | not published by hospital | — |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | not published by hospital | — |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | not published by hospital | — |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 1, minor) at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $386.00 | $88.05 – $440.00 |
| Inova Fairfax Hospital | Falls Church | $386.00 | $88.05 – $440.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $386.00 | $88.05 – $440.00 |
| Inova Loudoun Hospital | Leesburg | $386.00 | $88.05 – $440.00 |
| Inova Mount Vernon Hospital | Alexandria | $386.00 | $88.05 – $440.00 |
| Johnston Memorial Hospital | ABINGDON | $68.40 | $82.27 – $179.36 |
| Sentara Martha Jefferson Hospital | Charlottesville | $132.00 | $83.92 – $86.39 |
| Sentara Northern Virginia Medical Center | Woodbridge | $130.00 | $83.92 – $86.39 |