Inj. herceptin hylecta, 10mg at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$5,181.21
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.
$34,541.38
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.
$61.07 with AMERIGROUP vs $34,541.38 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $61.07 | ↓ -99% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $61.07 | ↓ -99% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $61.07 | ↓ -99% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $61.07 | ↓ -99% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $61.07 | ↓ -99% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $61.07 | ↓ -99% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $61.07 | ↓ -99% |
| SENTARA HEALTH | SENTARA MEDICARE | $61.07 | ↓ -99% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $61.07 | ↓ -99% |
| AETNA | AETNA HEALTHCARE MEDICARE | $61.07 | ↓ -99% |
| HUMANA | HUMANA MEDICARE | $62.05 | ↓ -99% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $63.51 | ↓ -99% |
| BLUE CROSS | BLUE CROSS MEDICARE | $63.51 | ↓ -99% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $64.12 | ↓ -99% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $64.12 | ↓ -99% |
| NHC ADVANTAGE | NHC ADVANTAGE | $64.12 | ↓ -99% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $64.61 | ↓ -99% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $64.61 | ↓ -99% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $64.61 | ↓ -99% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $72.23 | ↓ -99% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $108.13 | ↓ -98% |
| AMBETTER | AMBETTER | $133.13 | ↓ -97% |
| CIGNA HEALTHCARE | CIGNA HMO | $143.77 | ↓ -97% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $143.77 | ↓ -97% |
| CIGNA HEALTHCARE | CIGNA PPO | $143.77 | ↓ -97% |
| BLUE CROSS | BLUE CROSS P NETWORK | $215.04 | ↓ -96% |
| BLUE CROSS | ANTHEM EXCHANGE | $215.04 | ↓ -96% |
| BLUE CROSS | ANTHEM HMO | $215.04 | ↓ -96% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $215.04 | ↓ -96% |
| BLUE CROSS | BLUE CROSS S NETWORK | $215.04 | ↓ -96% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $5,469.82 | ↑ +6% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $5,469.82 | ↑ +6% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $5,633.91 | ↑ +9% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $5,688.61 | ↑ +10% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $5,743.31 | ↑ +11% |
| MEDCOST | MEDCOST VHN | $12,089.48 | ↑ +133% |
| SENTARA HEALTH | SENTARA HEALTH | $12,579.97 | ↑ +143% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $24,178.97 | ↑ +367% |
| AETNA | AETNA | $27,633.10 | ↑ +433% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $34,541.38 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $34,541.38 | ↑ +567% |
Visitor-reported prices
Comments
Inj. herceptin hylecta, 10mg at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Maryview Hospital | Portsmouth | $18,373.70 | not published |
| Mary Immaculate Hospital | Newport News | $19,355.50 | not published |
| Harbour View Medical Center | Suffolk | $18,373.70 | not published |
| Richmond Community Hospital | Richmond | $20,561.71 | not published |
| Memorial Regional Hospital | Mechanicsville | $27,209.90 | not published |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $53.48 – $161.84 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $62.66 – $64.51 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $62.66 – $88.38 |