Lung Function Test (Spirometry) at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$86.40
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.
$576.00
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.
$19.51 with BLUE CROSS vs $576.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $19.51 | ↓ -77% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $46.58 | ↓ -46% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $73.82 | ↓ -15% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $73.82 | ↓ -15% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $76.04 | ↓ -12% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $76.77 | ↓ -11% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $77.30 | ↓ -11% |
| CIGNA HEALTHCARE | CIGNA HMO | $77.30 | ↓ -11% |
| CIGNA HEALTHCARE | CIGNA PPO | $77.30 | ↓ -11% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $77.51 | ↓ -10% |
| MEDCOST | MEDCOST VHN | $201.60 | ↑ +133% |
| SENTARA HEALTH | SENTARA HEALTH | $209.78 | ↑ +143% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $210.67 | ↑ +144% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $210.67 | ↑ +144% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $210.67 | ↑ +144% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $210.67 | ↑ +144% |
| AETNA | AETNA HEALTHCARE MEDICARE | $210.67 | ↑ +144% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $210.67 | ↑ +144% |
| SENTARA HEALTH | SENTARA MEDICARE | $210.67 | ↑ +144% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $210.67 | ↑ +144% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $210.67 | ↑ +144% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $210.67 | ↑ +144% |
| HUMANA | HUMANA MEDICARE | $214.04 | ↑ +148% |
| BLUE CROSS | BLUE CROSS MEDICARE | $219.10 | ↑ +154% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $219.10 | ↑ +154% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $221.21 | ↑ +156% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $221.21 | ↑ +156% |
| NHC ADVANTAGE | NHC ADVANTAGE | $221.21 | ↑ +156% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $267.26 | ↑ +209% |
| AMBETTER | AMBETTER | $459.27 | ↑ +432% |
| AETNA | AETNA | $460.80 | ↑ +433% |
| BLUE CROSS | BLUE CROSS S NETWORK | $576.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $576.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $576.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $576.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $576.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $576.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $576.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $576.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $576.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $576.00 | ↑ +567% |
Visitor-reported prices
Comments
Lung Function Test (Spirometry) at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $298.50 | $83.53 – $375.57 |
| Inova Fairfax Hospital | Falls Church | $298.50 | $83.53 – $375.57 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $298.50 | $83.53 – $375.57 |
| Inova Loudoun Hospital | Leesburg | $298.50 | $83.53 – $375.57 |
| Inova Mount Vernon Hospital | Alexandria | $298.50 | $83.53 – $375.57 |
| Johnston Memorial Hospital | ABINGDON | $86.40 | $14.86 – $459.27 |
| Sentara Martha Jefferson Hospital | Charlottesville | $73.00 | $214.89 – $221.21 |
| Sentara Northern Virginia Medical Center | Woodbridge | $326.00 | $214.89 – $221.21 |