Nerobehav stas exam by psy/md f2f 1st hr at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$128.40
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.
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What you pay up front if you don't use insurance.
$856.00
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.
$83.00 with UNITED HEALTHCARE vs $856.00 with SEVEN CORNERS, INC. — 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 | $83.00 | ↓ -35% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $94.00 | ↓ -27% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $102.44 | ↓ -20% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $124.00 | ↓ -3% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $161.95 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $210.67 | ↑ +64% |
| AETNA | AETNA HEALTHCARE MEDICARE | $210.67 | ↑ +64% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $210.67 | ↑ +64% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $210.67 | ↑ +64% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $210.67 | ↑ +64% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $210.67 | ↑ +64% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $210.67 | ↑ +64% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $210.67 | ↑ +64% |
| SENTARA HEALTH | SENTARA MEDICARE | $210.67 | ↑ +64% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $210.67 | ↑ +64% |
| HUMANA | HUMANA MEDICARE | $214.04 | ↑ +67% |
| BLUE CROSS | BLUE CROSS MEDICARE | $219.10 | ↑ +71% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $219.10 | ↑ +71% |
| NHC ADVANTAGE | NHC ADVANTAGE | $221.21 | ↑ +72% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $221.21 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $221.21 | ↑ +72% |
| CIGNA HEALTHCARE | CIGNA PPO | $248.21 | ↑ +93% |
| CIGNA HEALTHCARE | CIGNA HMO | $248.21 | ↑ +93% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $248.21 | ↑ +93% |
| MEDCOST | MEDCOST VHN | $299.60 | ↑ +133% |
| SENTARA HEALTH | SENTARA HEALTH | $311.76 | ↑ +143% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $397.18 | ↑ +209% |
| AMBETTER | AMBETTER | $459.27 | ↑ +258% |
| AETNA | AETNA | $684.80 | ↑ +433% |
| BLUE CROSS | ANTHEM EXCHANGE | $713.58 | ↑ +456% |
| BLUE CROSS | BLUE CROSS P NETWORK | $776.57 | ↑ +505% |
| BLUE CROSS | BLUE CROSS S NETWORK | $776.57 | ↑ +505% |
| BLUE CROSS | ANTHEM HMO | $779.92 | ↑ +507% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $781.27 | ↑ +508% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $781.27 | ↑ +508% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $804.71 | ↑ +527% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $812.52 | ↑ +533% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $820.33 | ↑ +539% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $829.68 | ↑ +546% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $856.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $856.00 | ↑ +567% |
Visitor-reported prices
Comments
Nerobehav stas exam by psy/md f2f 1st hr at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $508.00 | $288.00 – $639.17 |
| Inova Fairfax Hospital | Falls Church | $508.00 | $311.40 – $639.17 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $508.00 | $288.00 – $639.17 |
| Inova Loudoun Hospital | Leesburg | $508.00 | $288.00 – $639.17 |
| Inova Mount Vernon Hospital | Alexandria | $508.00 | $288.00 – $639.17 |
| Johnston Memorial Hospital | ABINGDON | $128.40 | $83.00 – $781.26 |
| Sentara Martha Jefferson Hospital | Charlottesville | $294.50 | $214.89 – $221.21 |
| Sentara Northern Virginia Medical Center | Woodbridge | $389.50 | $214.89 – $221.21 |