Ins picc wo subq prt/pmp w image guidnc <5yr at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$1,079.10
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.
$7,194.00
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.
$612.05 with AMERIGROUP vs $7,194.00 with FIRST HEALTH COVENTRY — 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $612.05 | ↓ -43% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $612.05 | ↓ -43% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $612.05 | ↓ -43% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $612.05 | ↓ -43% |
| SENTARA HEALTH | SENTARA MEDICARE | $612.05 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $612.05 | ↓ -43% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $612.05 | ↓ -43% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $612.05 | ↓ -43% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $612.05 | ↓ -43% |
| AETNA | AETNA HEALTHCARE MEDICARE | $612.05 | ↓ -43% |
| HUMANA | HUMANA MEDICARE | $621.84 | ↓ -42% |
| BLUE CROSS | BLUE CROSS MEDICARE | $636.53 | ↓ -41% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $636.53 | ↓ -41% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $642.65 | ↓ -40% |
| NHC ADVANTAGE | NHC ADVANTAGE | $642.65 | ↓ -40% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $642.65 | ↓ -40% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $879.00 | ↓ -19% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,054.00 | ↓ -2% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,204.00 | ↑ +12% |
| AMBETTER | AMBETTER | $1,334.27 | ↑ +24% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,497.76 | ↑ +39% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,497.76 | ↑ +39% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +41% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,542.70 | ↑ +43% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,557.67 | ↑ +44% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,560.00 | ↑ +45% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,572.65 | ↑ +46% |
| BLUE CROSS | ANTHEM EXCHANGE | $2,073.09 | ↑ +92% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,256.08 | ↑ +109% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,256.08 | ↑ +109% |
| BLUE CROSS | ANTHEM HMO | $2,265.82 | ↑ +110% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $2,410.38 | ↑ +123% |
| MEDCOST | MEDCOST VHN | $2,517.90 | ↑ +133% |
| SENTARA HEALTH | SENTARA HEALTH | $2,620.05 | ↑ +143% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,681.00 | ↑ +148% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,681.00 | ↑ +148% |
| CIGNA HEALTHCARE | CIGNA PPO | $3,083.00 | ↑ +186% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,204.00 | ↑ +197% |
| AETNA | AETNA | $5,755.20 | ↑ +433% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $7,194.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $7,194.00 | ↑ +567% |
Visitor-reported prices
Comments
Ins picc wo subq prt/pmp w image guidnc <5yr at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $1,194.00 | $618.26 – $2,485.00 |
| Inova Fairfax Hospital | Falls Church | $1,194.00 | $618.26 – $2,485.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $1,194.00 | $618.26 – $2,485.00 |
| Inova Loudoun Hospital | Leesburg | $1,194.00 | $618.26 – $2,485.00 |
| Inova Mount Vernon Hospital | Alexandria | $1,194.00 | $618.26 – $2,485.00 |
| Johnston Memorial Hospital | ABINGDON | $1,079.10 | $608.40 – $1,497.75 |
| Sentara Martha Jefferson Hospital | Charlottesville | $2,784.50 | $624.29 – $1,547.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $2,979.00 | $624.29 – $3,988.00 |