Forearm/arm cuffs ext/flex a 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

$474.30

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.

$3,162.00

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.

$505.92 with UNITED HEALTHCARE vs $3,162.00 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 $505.92 ↑ +7%
UNITED HEALTHCARE UNITED HEALTHCARE $550.19 ↑ +16%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $575.48 ↑ +21%
BLUE CROSS BLUE CROSS S NETWORK $1,013.66 ↑ +114%
BLUE CROSS ANTHEM EXCHANGE $1,013.66 ↑ +114%
BLUE CROSS ANTHEM HMO $1,013.66 ↑ +114%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $1,013.66 ↑ +114%
BLUE CROSS BLUE CROSS P NETWORK $1,013.66 ↑ +114%
MEDCOST MEDCOST VHN $1,106.70 ↑ +133%
SENTARA HEALTH SENTARA HEALTH $1,151.60 ↑ +143%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $1,264.80 ↑ +167%
CIGNA HEALTHCARE CIGNA HMO $1,419.74 ↑ +199%
CIGNA HEALTHCARE CIGNA PPO $1,419.74 ↑ +199%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $1,419.74 ↑ +199%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $1,443.33 ↑ +204%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA MEDICARE $1,443.33 ↑ +204%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $1,443.33 ↑ +204%
ALLCARE MEDICARE ALLCARE MEDICARE $1,443.33 ↑ +204%
MANAGED MEDICAIRE MANAGED MEDICAIRE $1,443.33 ↑ +204%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $1,443.33 ↑ +204%
SENTARA HEALTH SENTARA MEDICARE $1,443.33 ↑ +204%
AETNA AETNA HEALTHCARE MEDICARE $1,443.33 ↑ +204%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $1,443.33 ↑ +204%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $1,443.33 ↑ +204%
HUMANA HUMANA MEDICARE $1,466.42 ↑ +209%
BLUE CROSS BLUE CROSS MEDICARE $1,501.06 ↑ +216%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $1,501.06 ↑ +216%
NHC ADVANTAGE NHC ADVANTAGE $1,515.49 ↑ +220%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $1,515.49 ↑ +220%
CIGNA HEALTHCARE CIGNA MEDICARE $1,515.49 ↑ +220%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $1,581.00 ↑ +233%
AETNA AETNA $2,529.60 ↑ +433%
AMBETTER AMBETTER $3,146.46 ↑ +563%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $3,162.00 ↑ +567%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $3,162.00 ↑ +567%

Visitor-reported prices

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Forearm/arm cuffs ext/flex a at other Virginia hospitals

Hospital City Cash price Negotiated range
Johnston Memorial Hospital ABINGDON $474.30 $1,013.66 – $3,146.46
Sentara Martha Jefferson Hospital Charlottesville $669.13 not published
Sentara Northern Virginia Medical Center Woodbridge $669.13 not published
Lonesome Pine Hospital BIG STONE GAP $474.30 $1,013.66 – $3,162.00
Smyth County Community Hospital MARION $474.30 $1,013.66 – $3,146.46
Sentara Halifax Regional Hospital South Boston $669.13 not published
Sentara Leigh Hospital Norfolk $669.13 $1,033.93 – $1,064.34
Sentara RMH Medical Center Harrisonburg $669.13 $1,033.93 – $1,064.34

All Virginia hospitals for this procedure →