Hfo nontorsion jnts pre cst at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$17.70
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.
$118.00
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.
$18.88 with UNITED HEALTHCARE vs $226.06 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 |
|---|---|---|---|
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $18.88 | ↑ +7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $20.53 | ↑ +16% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $21.48 | ↑ +21% |
| MEDCOST | MEDCOST VHN | $41.30 | ↑ +133% |
| SENTARA HEALTH | SENTARA HEALTH | $42.98 | ↑ +143% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $47.20 | ↑ +167% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $52.98 | ↑ +199% |
| CIGNA HEALTHCARE | CIGNA PPO | $52.98 | ↑ +199% |
| CIGNA HEALTHCARE | CIGNA HMO | $52.98 | ↑ +199% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $59.00 | ↑ +233% |
| AETNA | AETNA | $94.40 | ↑ +433% |
| BLUE CROSS | BLUE CROSS S NETWORK | $100.12 | ↑ +466% |
| BLUE CROSS | ANTHEM EXCHANGE | $100.12 | ↑ +466% |
| BLUE CROSS | ANTHEM HMO | $100.12 | ↑ +466% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $100.12 | ↑ +466% |
| BLUE CROSS | BLUE CROSS P NETWORK | $100.12 | ↑ +466% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $103.70 | ↑ +486% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $103.70 | ↑ +486% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $103.70 | ↑ +486% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $103.70 | ↑ +486% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $103.70 | ↑ +486% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $103.70 | ↑ +486% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $103.70 | ↑ +486% |
| SENTARA HEALTH | SENTARA MEDICARE | $103.70 | ↑ +486% |
| AETNA | AETNA HEALTHCARE MEDICARE | $103.70 | ↑ +486% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $103.70 | ↑ +486% |
| HUMANA | HUMANA MEDICARE | $105.36 | ↑ +495% |
| BLUE CROSS | BLUE CROSS MEDICARE | $107.84 | ↑ +509% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $107.84 | ↑ +509% |
| NHC ADVANTAGE | NHC ADVANTAGE | $108.88 | ↑ +515% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $108.88 | ↑ +515% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $108.88 | ↑ +515% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $118.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $118.00 | ↑ +567% |
| AMBETTER | AMBETTER | $226.06 | ↑ +1177% |
Visitor-reported prices
Comments
Hfo nontorsion jnts pre cst at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $17.70 | $100.12 – $226.06 |
| Sentara Martha Jefferson Hospital | Charlottesville | $59.52 | not published |
| Sentara Northern Virginia Medical Center | Woodbridge | $49.68 | not published |
| Lonesome Pine Hospital | BIG STONE GAP | $17.70 | $96.44 – $226.06 |
| Smyth County Community Hospital | MARION | $17.70 | $100.12 – $226.06 |
| Sentara Halifax Regional Hospital | South Boston | $49.68 | not published |
| Sentara Leigh Hospital | Norfolk | $49.68 | $102.12 – $105.13 |
| Sentara RMH Medical Center | Harrisonburg | $59.52 | $102.12 – $105.13 |