Filgrastim-sndz 300 mcg/0.5 ml injection syringe at Russell County Hospital

58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$633.12

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$4,220.79

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.25 with UNITED HEALTHCARE vs $2,637.97 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 →

Payer
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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
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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 UHC HERITAGE SELECT $0.25 ↓ -100%
UNITED HEALTHCARE UNITED HEALTHCARE $0.25 ↓ -100%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $0.25 ↓ -100%
MANAGED MEDICAIRE MANAGED MEDICAIRE $0.35 ↓ -100%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $0.35 ↓ -100%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $0.35 ↓ -100%
SENTARA HEALTH SENTARA MEDICARE $0.35 ↓ -100%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $0.35 ↓ -100%
AETNA AETNA HEALTHCARE MEDICARE $0.35 ↓ -100%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $0.35 ↓ -100%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $0.35 ↓ -100%
ALLCARE MEDICARE ALLCARE MEDICARE $0.35 ↓ -100%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA MEDICARE $0.35 ↓ -100%
HUMANA HUMANA MEDICARE $0.36 ↓ -100%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $0.36 ↓ -100%
BLUE CROSS BLUE CROSS MEDICARE $0.36 ↓ -100%
NHC ADVANTAGE NHC ADVANTAGE $0.37 ↓ -100%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $0.37 ↓ -100%
CIGNA HEALTHCARE CIGNA MEDICARE $0.37 ↓ -100%
AMBETTER AMBETTER $0.76 ↓ -100%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $0.81 ↓ -100%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $0.87 ↓ -100%
CIGNA HEALTHCARE CIGNA HMO $1.08 ↓ -100%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $1.08 ↓ -100%
CIGNA HEALTHCARE CIGNA PPO $1.08 ↓ -100%
BLUE CROSS BLUE CROSS P NETWORK $1.61 ↓ -100%
BLUE CROSS ANTHEM EXCHANGE $1.61 ↓ -100%
BLUE CROSS ANTHEM HMO $1.61 ↓ -100%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $1.61 ↓ -100%
BLUE CROSS BLUE CROSS S NETWORK $1.61 ↓ -100%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $152.74 ↓ -76%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $152.74 ↓ -76%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $157.33 ↓ -75%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $158.85 ↓ -75%
AETNA AETNA BETTER HEALTH OF VIRGINIA $160.38 ↓ -75%
MEDCOST MEDCOST VHN $923.29 ↑ +46%
SENTARA HEALTH SENTARA HEALTH $960.75 ↑ +52%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $1,846.58 ↑ +192%
AETNA AETNA $2,110.38 ↑ +233%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $2,637.97 ↑ +317%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $2,637.97 ↑ +317%

Visitor-reported prices

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Filgrastim-sndz 300 mcg/0.5 ml injection syringe at other Virginia hospitals

Hospital City Cash price Negotiated range
Johnston Memorial Hospital ABINGDON $633.12 $0.25 – $152.74
Lonesome Pine Hospital BIG STONE GAP $633.12 $0.31 – $157.47
Smyth County Community Hospital MARION $633.12 $0.25 – $152.74
Lee County Community Hospital PENNINGTON GAP $970.78 $0.25 – $227.01
Rappahannock General Hospital Kilmarnock $711.15 not published
St Mary's Hospital Richmond $1,300.47 not published
Richmond Community Hospital Richmond $2,112.37 not published
St Francis Medical Center Midlothian $1,498.01 not published

All Virginia hospitals for this procedure →