Lung perfusion imaging at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$452.25
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.
$3,015.00
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.
$182.18 with UNITED HEALTHCARE vs $3,015.00 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 →
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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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $182.18 | ↓ -60% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $216.58 | ↓ -52% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $342.25 | ↓ -24% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $390.05 | ↓ -14% |
| SENTARA HEALTH | SENTARA MEDICARE | $390.05 | ↓ -14% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $390.05 | ↓ -14% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $390.05 | ↓ -14% |
| AETNA | AETNA HEALTHCARE MEDICARE | $390.05 | ↓ -14% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $390.05 | ↓ -14% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $390.05 | ↓ -14% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $390.05 | ↓ -14% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $390.05 | ↓ -14% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $390.05 | ↓ -14% |
| HUMANA | HUMANA MEDICARE | $396.29 | ↓ -12% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $405.65 | ↓ -10% |
| BLUE CROSS | BLUE CROSS MEDICARE | $405.65 | ↓ -10% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $409.55 | ↓ -9% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $409.55 | ↓ -9% |
| NHC ADVANTAGE | NHC ADVANTAGE | $409.55 | ↓ -9% |
| CIGNA HEALTHCARE | CIGNA HMO | $527.54 | ↑ +17% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $527.54 | ↑ +17% |
| CIGNA HEALTHCARE | CIGNA PPO | $527.54 | ↑ +17% |
| AMBETTER | AMBETTER | $850.31 | ↑ +88% |
| MEDCOST | MEDCOST VHN | $1,055.25 | ↑ +133% |
| SENTARA HEALTH | SENTARA HEALTH | $1,098.06 | ↑ +143% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,157.33 | ↑ +156% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,157.33 | ↑ +156% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,192.05 | ↑ +164% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,203.62 | ↑ +166% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,215.20 | ↑ +169% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,321.16 | ↑ +192% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,437.77 | ↑ +218% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,437.77 | ↑ +218% |
| BLUE CROSS | ANTHEM HMO | $1,443.98 | ↑ +219% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,536.11 | ↑ +240% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,086.00 | ↑ +361% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,381.00 | ↑ +426% |
| AETNA | AETNA | $2,412.00 | ↑ +433% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,015.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,015.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,015.00 | ↑ +567% |
Visitor-reported prices
Comments
Lung perfusion imaging at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $2,902.00 | $174.06 – $848.52 |
| Inova Alexandria Hospital | Alexandria | $854.50 | $401.83 – $1,126.23 |
| Inova Fairfax Hospital | Falls Church | $854.50 | $401.83 – $1,126.23 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $854.50 | $401.83 – $1,126.23 |
| Inova Loudoun Hospital | Leesburg | $854.50 | $401.83 – $1,126.23 |
| Inova Mount Vernon Hospital | Alexandria | $854.50 | $401.83 – $1,126.23 |
| Johnston Memorial Hospital | ABINGDON | $452.25 | $112.72 – $1,157.32 |
| Sentara Martha Jefferson Hospital | Charlottesville | $521.50 | $397.85 – $409.55 |