Mycophenolate mofetil 250 mg capsule at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$1.52
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.
$10.13
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.
$0.28 with CIGNA HEALTHCARE vs $10.13 with SEVEN CORNERS, INC. — 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 |
|---|---|---|---|
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $0.28 | ↓ -82% |
| CIGNA HEALTHCARE | CIGNA HMO | $0.37 | ↓ -76% |
| CIGNA HEALTHCARE | CIGNA PPO | $0.37 | ↓ -76% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $0.37 | ↓ -76% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $2.79 | ↑ +84% |
| MEDCOST | MEDCOST VHN | $3.55 | ↑ +134% |
| SENTARA HEALTH | SENTARA HEALTH | $3.69 | ↑ +143% |
| AETNA | AETNA | $8.10 | ↑ +433% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $10.13 | ↑ +566% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $10.13 | ↑ +566% |
Visitor-reported prices
Comments
Mycophenolate mofetil 250 mg capsule at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $66.00 | $0.13 – $0.40 |
| Inova Alexandria Hospital | Alexandria | $5.65 | $0.22 – $1.76 |
| Inova Fairfax Hospital | Falls Church | $5.65 | $0.22 – $1.76 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $5.65 | $0.22 – $1.76 |
| Inova Loudoun Hospital | Leesburg | $5.65 | $0.22 – $1.76 |
| Inova Mount Vernon Hospital | Alexandria | $5.65 | $0.22 – $1.76 |
| Johnston Memorial Hospital | ABINGDON | $1.81 | $0.28 – $1.30 |
| Lonesome Pine Hospital | BIG STONE GAP | $1.52 | $0.28 – $2.79 |