Manipulation chest wall demonstration/evaluation subsequent 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

$28.95

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.

$193.00

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.

$14.54 with BLUE CROSS vs $282.99 with AMBETTER — 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 $14.54 ↓ -50%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $26.74 ↓ -8%
CIGNA HEALTHCARE CIGNA PPO $65.93 ↑ +128%
CIGNA HEALTHCARE CIGNA HMO $65.93 ↑ +128%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $65.93 ↑ +128%
MEDCOST MEDCOST VHN $67.55 ↑ +133%
SENTARA HEALTH SENTARA HEALTH $70.29 ↑ +143%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $73.82 ↑ +155%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $73.82 ↑ +155%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $76.04 ↑ +163%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $76.77 ↑ +165%
AETNA AETNA BETTER HEALTH OF VIRGINIA $77.51 ↑ +168%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $89.55 ↑ +209%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $129.81 ↑ +348%
MANAGED MEDICAIRE MANAGED MEDICAIRE $129.81 ↑ +348%
SENTARA HEALTH SENTARA MEDICARE $129.81 ↑ +348%
AETNA AETNA HEALTHCARE MEDICARE $129.81 ↑ +348%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $129.81 ↑ +348%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA MEDICARE $129.81 ↑ +348%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $129.81 ↑ +348%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $129.81 ↑ +348%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $129.81 ↑ +348%
ALLCARE MEDICARE ALLCARE MEDICARE $129.81 ↑ +348%
HUMANA HUMANA MEDICARE $131.89 ↑ +356%
BLUE CROSS BLUE CROSS MEDICARE $135.01 ↑ +366%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $135.01 ↑ +366%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $136.30 ↑ +371%
CIGNA HEALTHCARE CIGNA MEDICARE $136.30 ↑ +371%
NHC ADVANTAGE NHC ADVANTAGE $136.30 ↑ +371%
AETNA AETNA $154.40 ↑ +433%
BLUE CROSS BLUE CROSS P NETWORK $193.00 ↑ +567%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $193.00 ↑ +567%
UNITED HEALTHCARE UHC HERITAGE SELECT $193.00 ↑ +567%
BLUE CROSS ANTHEM EXCHANGE $193.00 ↑ +567%
BLUE CROSS ANTHEM HMO $193.00 ↑ +567%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $193.00 ↑ +567%
UNITED HEALTHCARE UNITED HEALTHCARE $193.00 ↑ +567%
BLUE CROSS BLUE CROSS S NETWORK $193.00 ↑ +567%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $193.00 ↑ +567%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $193.00 ↑ +567%
AMBETTER AMBETTER $282.99 ↑ +878%

Visitor-reported prices

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Manipulation chest wall demonstration/evaluation subsequent at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $134.50 $83.08 – $169.23
Inova Fairfax Hospital Falls Church $134.50 $83.08 – $169.23
Inova Fair Oaks Hospital VA 22033-1709 $134.50 $83.08 – $169.23
Inova Loudoun Hospital Leesburg $134.50 $83.08 – $169.23
Inova Mount Vernon Hospital Alexandria $134.50 $83.08 – $169.23
Johnston Memorial Hospital ABINGDON $28.95 $12.40 – $282.99
Sentara Martha Jefferson Hospital Charlottesville $81.50 $132.41 – $136.30
Sentara Northern Virginia Medical Center Woodbridge $99.00 $132.41 – $136.30

All Virginia hospitals for this procedure →