Graft puraplyam antimicrob 1.6-q4196-cost per sq cm at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$316.20
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.
$2,108.00
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.
$40.60 with MEDCOST vs $264.69 with AMBETTER — 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 |
|---|---|---|---|
| MEDCOST | MEDCOST VHN | $40.60 | ↓ -87% |
| SENTARA HEALTH | SENTARA HEALTH | $42.25 | ↓ -87% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $81.20 | ↓ -74% |
| AETNA | AETNA | $92.80 | ↓ -71% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $108.70 | ↓ -66% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $116.00 | ↓ -63% |
| NHC ADVANTAGE | NHC ADVANTAGE | $116.00 | ↓ -63% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $116.00 | ↓ -63% |
| CIGNA HEALTHCARE | CIGNA HMO | $116.00 | ↓ -63% |
| CIGNA HEALTHCARE | CIGNA PPO | $116.00 | ↓ -63% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $116.00 | ↓ -63% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $116.00 | ↓ -63% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $116.00 | ↓ -63% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $116.00 | ↓ -63% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $116.00 | ↓ -63% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $116.00 | ↓ -63% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $116.00 | ↓ -63% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $116.00 | ↓ -63% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $116.00 | ↓ -63% |
| AETNA | AETNA HEALTHCARE MEDICARE | $116.00 | ↓ -63% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $116.00 | ↓ -63% |
| SENTARA HEALTH | SENTARA MEDICARE | $116.00 | ↓ -63% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $116.00 | ↓ -63% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $116.00 | ↓ -63% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $116.00 | ↓ -63% |
| HUMANA | HUMANA MEDICARE | $117.86 | ↓ -63% |
| BLUE CROSS | BLUE CROSS MEDICARE | $126.28 | ↓ -60% |
| AMBETTER | AMBETTER | $264.69 | ↓ -16% |
Visitor-reported prices
Comments
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $816.86 | $141.06 – $329.94 |
| Inova Fairfax Hospital | Falls Church | $816.86 | $141.06 – $329.94 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $816.86 | $141.06 – $329.94 |
| Inova Loudoun Hospital | Leesburg | $816.86 | $141.06 – $329.94 |
| Inova Mount Vernon Hospital | Alexandria | $816.86 | $141.06 – $329.94 |
| Johnston Memorial Hospital | ABINGDON | $316.20 | $108.70 – $264.69 |
| Sentara Martha Jefferson Hospital | Charlottesville | $163.02 | not published |
| Sentara Northern Virginia Medical Center | Woodbridge | $163.02 | $123.85 – $141.91 |