In-111 pentetate dtpa / 0.5 mci at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$592.95
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.
$3,953.00
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.
$640.78 with BLUE CROSS vs $3,586.00 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 →
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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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $640.78 | ↑ +8% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $643.76 | ↑ +9% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $745.62 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $745.62 | ↑ +26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $745.62 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $745.62 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $745.62 | ↑ +26% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $745.62 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $745.62 | ↑ +26% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $745.62 | ↑ +26% |
| SENTARA HEALTH | SENTARA MEDICARE | $745.62 | ↑ +26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $745.62 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $757.55 | ↑ +28% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $775.44 | ↑ +31% |
| BLUE CROSS | BLUE CROSS MEDICARE | $775.44 | ↑ +31% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $782.90 | ↑ +32% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $782.90 | ↑ +32% |
| NHC ADVANTAGE | NHC ADVANTAGE | $782.90 | ↑ +32% |
| MEDCOST | MEDCOST VHN | $1,255.10 | ↑ +112% |
| SENTARA HEALTH | SENTARA HEALTH | $1,306.02 | ↑ +120% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,589.65 | ↑ +168% |
| AMBETTER | AMBETTER | $1,625.45 | ↑ +174% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,732.04 | ↑ +192% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,732.04 | ↑ +192% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,732.04 | ↑ +192% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $2,503.52 | ↑ +322% |
| BLUE CROSS | ANTHEM EXCHANGE | $2,503.52 | ↑ +322% |
| BLUE CROSS | ANTHEM HMO | $2,503.52 | ↑ +322% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,503.52 | ↑ +322% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,503.52 | ↑ +322% |
| AETNA | AETNA | $2,868.80 | ↑ +384% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,586.00 | ↑ +505% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,586.00 | ↑ +505% |
Visitor-reported prices
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In-111 pentetate dtpa / 0.5 mci at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $6,684.00 | $1,975.89 – $1,975.89 |
| Johnston Memorial Hospital | ABINGDON | $592.95 | $640.78 – $1,625.45 |
| Sentara Martha Jefferson Hospital | Charlottesville | $1,340.00 | $760.53 – $782.90 |
| Sentara Northern Virginia Medical Center | Woodbridge | $1,300.50 | $760.53 – $782.90 |
| Lonesome Pine Hospital | BIG STONE GAP | $592.95 | $357.65 – $1,789.49 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $5,455.00 | $948.37 – $1,975.89 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $2,036.00 | $1,975.89 – $1,975.89 |
| Smyth County Community Hospital | MARION | $592.95 | $640.78 – $1,625.45 |