M/phmtrc alys ishquant/semiq at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$105.75
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.
$705.00
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.
$143.50 with UNITED HEALTHCARE vs $705.00 with CIGNA HEALTHCARE — 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 | UHC HERITAGE SELECT | $143.50 | ↑ +36% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $143.50 | ↑ +36% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $143.50 | ↑ +36% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $165.26 | ↑ +56% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $166.23 | ↑ +57% |
| AETNA | AETNA HEALTHCARE MEDICARE | $166.23 | ↑ +57% |
| SENTARA HEALTH | SENTARA MEDICARE | $166.23 | ↑ +57% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $166.23 | ↑ +57% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $166.23 | ↑ +57% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $166.23 | ↑ +57% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $166.23 | ↑ +57% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $166.23 | ↑ +57% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $166.23 | ↑ +57% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $166.23 | ↑ +57% |
| HUMANA | HUMANA MEDICARE | $168.89 | ↑ +60% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $172.88 | ↑ +63% |
| BLUE CROSS | BLUE CROSS MEDICARE | $172.88 | ↑ +63% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $174.54 | ↑ +65% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $174.54 | ↑ +65% |
| NHC ADVANTAGE | NHC ADVANTAGE | $174.54 | ↑ +65% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $204.23 | ↑ +93% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $204.23 | ↑ +93% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $210.35 | ↑ +99% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $212.40 | ↑ +101% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $214.44 | ↑ +103% |
| MEDCOST | MEDCOST VHN | $246.75 | ↑ +133% |
| SENTARA HEALTH | SENTARA HEALTH | $256.76 | ↑ +143% |
| CIGNA HEALTHCARE | CIGNA HMO | $340.52 | ↑ +222% |
| CIGNA HEALTHCARE | CIGNA PPO | $340.52 | ↑ +222% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $340.52 | ↑ +222% |
| AMBETTER | AMBETTER | $362.38 | ↑ +243% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $493.50 | ↑ +367% |
| BLUE CROSS | ANTHEM EXCHANGE | $563.04 | ↑ +432% |
| AETNA | AETNA | $564.00 | ↑ +433% |
| BLUE CROSS | BLUE CROSS S NETWORK | $612.74 | ↑ +479% |
| BLUE CROSS | BLUE CROSS P NETWORK | $612.74 | ↑ +479% |
| BLUE CROSS | ANTHEM HMO | $615.39 | ↑ +482% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $654.65 | ↑ +519% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $705.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $705.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $705.00 | ↑ +567% |
Visitor-reported prices
Comments
M/phmtrc alys ishquant/semiq at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $446.00 | $152.32 – $1,435.65 |
| Inova Fairfax Hospital | Falls Church | $446.00 | $152.32 – $1,435.65 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $446.00 | $152.32 – $1,435.65 |
| Inova Loudoun Hospital | Leesburg | $446.00 | $152.32 – $1,435.65 |
| Inova Mount Vernon Hospital | Alexandria | $446.00 | $152.32 – $1,435.65 |
| Johnston Memorial Hospital | ABINGDON | $105.75 | $61.68 – $362.38 |
| Sentara Martha Jefferson Hospital | Charlottesville | $512.50 | $169.55 – $220.43 |
| Sentara Northern Virginia Medical Center | Woodbridge | $108.00 | $110.17 – $1,340.65 |