Hc nm kidney imaging with flow at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$418.80
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.
$2,792.00
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.
$191.07 with BLUE CROSS vs $2,792.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $191.07 | ↓ -54% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $286.79 | ↓ -32% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $347.26 | ↓ -17% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $390.05 | ↓ -7% |
| SENTARA HEALTH | SENTARA MEDICARE | $390.05 | ↓ -7% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $390.05 | ↓ -7% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $390.05 | ↓ -7% |
| AETNA | AETNA HEALTHCARE MEDICARE | $390.05 | ↓ -7% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $390.05 | ↓ -7% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $390.05 | ↓ -7% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $390.05 | ↓ -7% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $390.05 | ↓ -7% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $390.05 | ↓ -7% |
| HUMANA | HUMANA MEDICARE | $396.29 | ↓ -5% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $405.65 | ↓ -3% |
| BLUE CROSS | BLUE CROSS MEDICARE | $405.65 | ↓ -3% |
| NHC ADVANTAGE | NHC ADVANTAGE | $409.55 | ↓ -2% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $409.55 | ↓ -2% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $409.55 | ↓ -2% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $469.60 | ↑ +12% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $469.60 | ↑ +12% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $483.68 | ↑ +15% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $488.38 | ↑ +17% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $493.08 | ↑ +18% |
| CIGNA HEALTHCARE | CIGNA HMO | $540.81 | ↑ +29% |
| CIGNA HEALTHCARE | CIGNA PPO | $540.81 | ↑ +29% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $540.81 | ↑ +29% |
| AMBETTER | AMBETTER | $850.31 | ↑ +103% |
| MEDCOST | MEDCOST VHN | $977.20 | ↑ +133% |
| SENTARA HEALTH | SENTARA HEALTH | $1,016.85 | ↑ +143% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,321.16 | ↑ +215% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,437.77 | ↑ +243% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,437.77 | ↑ +243% |
| BLUE CROSS | ANTHEM HMO | $1,443.98 | ↑ +245% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,536.11 | ↑ +267% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,086.00 | ↑ +398% |
| AETNA | AETNA | $2,233.60 | ↑ +433% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,381.00 | ↑ +469% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,792.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,792.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,792.00 | ↑ +567% |
Visitor-reported prices
Comments
Hc nm kidney imaging with flow at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $418.80 | $116.96 – $850.31 |
| Sentara Martha Jefferson Hospital | Charlottesville | $512.50 | $397.85 – $409.55 |
| Sentara Northern Virginia Medical Center | Woodbridge | $776.00 | $397.85 – $588.43 |
| Lonesome Pine Hospital | BIG STONE GAP | $418.80 | $159.33 – $936.12 |
| Smyth County Community Hospital | MARION | $418.80 | $191.07 – $850.31 |
| Sentara Halifax Regional Hospital | South Boston | $1,050.00 | $336.45 – $411.81 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | $1,963.00 | $80.36 – $848.52 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg | $3,186.00 | $59.23 – $1,130.77 |