Ligation/major artery/extremity 37618 at Russell County Hospital

58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$644.55

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$4,297.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$948.00 with BLUE CROSS vs $4,297.00 with FIRST HEALTH COVENTRY — 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 →

Payer
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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
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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 $948.00 ↑ +47%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $1,107.00 ↑ +72%
MEDCOST MEDCOST VHN $1,503.95 ↑ +133%
SENTARA HEALTH SENTARA HEALTH $1,564.97 ↑ +143%
UNITED HEALTHCARE UHC HERITAGE SELECT $1,621.00 ↑ +151%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $1,850.00 ↑ +187%
BLUE CROSS ANTHEM EXCHANGE $2,050.27 ↑ +218%
BLUE CROSS BLUE CROSS S NETWORK $2,231.23 ↑ +246%
BLUE CROSS BLUE CROSS P NETWORK $2,231.23 ↑ +246%
BLUE CROSS ANTHEM HMO $2,240.87 ↑ +248%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $2,383.84 ↑ +270%
UNITED HEALTHCARE UNITED HEALTHCARE $2,397.00 ↑ +272%
CIGNA HEALTHCARE CIGNA HMO $2,681.00 ↑ +316%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $2,681.00 ↑ +316%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $2,706.42 ↑ +320%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $2,706.42 ↑ +320%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $2,787.62 ↑ +332%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $2,814.68 ↑ +337%
AETNA AETNA BETTER HEALTH OF VIRGINIA $2,841.74 ↑ +341%
CIGNA HEALTHCARE CIGNA PPO $3,083.00 ↑ +378%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $3,204.00 ↑ +397%
AETNA AETNA $3,437.60 ↑ +433%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $4,297.00 ↑ +567%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $4,297.00 ↑ +567%

Visitor-reported prices

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Ligation/major artery/extremity 37618 at other Virginia hospitals

Hospital City Cash price Negotiated range
Johnston Memorial Hospital ABINGDON $644.55 $2,031.89 – $2,841.71
Sentara Martha Jefferson Hospital Charlottesville $2,946.50 $1,547.00 – $1,547.00
Sentara Northern Virginia Medical Center Woodbridge $1,870.00 $1,972.00 – $3,988.00
Lonesome Pine Hospital BIG STONE GAP $644.55 $1,995.49 – $2,841.71
Smyth County Community Hospital MARION $644.55 $1,798.65 – $2,814.65
Sentara Halifax Regional Hospital South Boston $2,215.50 not published
Sentara Leigh Hospital Norfolk $1,870.00 $5,169.00 – $5,220.00
Sentara CarePlex Hospital Hampton $1,870.00 $5,169.00 – $5,169.00

All Virginia hospitals for this procedure →