Nivolumab 10 mg/ml intravenous solution (wrapper) 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

$9,380.89

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.

$62,539.24

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.

$22.83 with UNITED HEALTHCARE vs $62,539.24 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 →

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
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $22.83 ↓ -100%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $31.60 ↓ -100%
UNITED HEALTHCARE UNITED HEALTHCARE $31.60 ↓ -100%
UNITED HEALTHCARE UHC HERITAGE SELECT $31.60 ↓ -100%
MANAGED MEDICAIRE MANAGED MEDICAIRE $33.57 ↓ -100%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $33.57 ↓ -100%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $33.57 ↓ -100%
SENTARA HEALTH SENTARA MEDICARE $33.57 ↓ -100%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $33.57 ↓ -100%
AETNA AETNA HEALTHCARE MEDICARE $33.57 ↓ -100%
ALLCARE MEDICARE ALLCARE MEDICARE $33.57 ↓ -100%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $33.57 ↓ -100%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA MEDICARE $33.57 ↓ -100%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $33.57 ↓ -100%
HUMANA HUMANA MEDICARE $34.11 ↓ -100%
BLUE CROSS BLUE CROSS MEDICARE $34.92 ↓ -100%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $34.92 ↓ -100%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $35.25 ↓ -100%
NHC ADVANTAGE NHC ADVANTAGE $35.25 ↓ -100%
CIGNA HEALTHCARE CIGNA MEDICARE $35.25 ↓ -100%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $58.01 ↓ -99%
AMBETTER AMBETTER $73.19 ↓ -99%
CIGNA HEALTHCARE CIGNA HMO $77.13 ↓ -99%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $77.13 ↓ -99%
CIGNA HEALTHCARE CIGNA PPO $77.13 ↓ -99%
BLUE CROSS BLUE CROSS P NETWORK $115.36 ↓ -99%
BLUE CROSS ANTHEM EXCHANGE $115.36 ↓ -99%
BLUE CROSS ANTHEM HMO $115.36 ↓ -99%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $115.36 ↓ -99%
BLUE CROSS BLUE CROSS S NETWORK $115.36 ↓ -99%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $6,096.26 ↓ -35%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $6,096.26 ↓ -35%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $6,279.14 ↓ -33%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $6,340.11 ↓ -32%
AETNA AETNA BETTER HEALTH OF VIRGINIA $6,401.07 ↓ -32%
MEDCOST MEDCOST VHN $21,888.73 ↑ +133%
SENTARA HEALTH SENTARA HEALTH $22,776.79 ↑ +143%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $43,777.47 ↑ +367%
AETNA AETNA $50,031.39 ↑ +433%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $62,539.24 ↑ +567%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $62,539.24 ↑ +567%

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Nivolumab 10 mg/ml intravenous solution (wrapper) at other Virginia hospitals

Hospital City Cash price Negotiated range
Lonesome Pine Hospital BIG STONE GAP $9,380.89 $12.69 – $6,285.17
Rappahannock General Hospital Kilmarnock $14,297.56 not published
Maryview Hospital Portsmouth $31,216.34 not published
St Mary's Hospital Richmond $39,080.00 not published
Mary Immaculate Hospital Newport News $32,884.39 not published
Harbour View Medical Center Suffolk $31,216.34 not published
Richmond Community Hospital Richmond $34,933.70 not published
St Francis Medical Center Midlothian $45,275.60 not published

All Virginia hospitals for this procedure →