Ot evaluation high complexity patient/family at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$79.20
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.
$528.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$46.00 with UNITED HEALTHCARE vs $528.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $46.00 | ↓ -42% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $99.61 | ↑ +26% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $99.61 | ↑ +26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $99.61 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $99.61 | ↑ +26% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $99.61 | ↑ +26% |
| SENTARA HEALTH | SENTARA MEDICARE | $99.61 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $99.61 | ↑ +26% |
| AETNA | AETNA HEALTHCARE MEDICARE | $99.61 | ↑ +26% |
| BLUE CROSS | BLUE CROSS S NETWORK | $99.61 | ↑ +26% |
| BLUE CROSS | BLUE CROSS P NETWORK | $99.61 | ↑ +26% |
| BLUE CROSS | ANTHEM HMO | $99.61 | ↑ +26% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $99.61 | ↑ +26% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $99.61 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $99.61 | ↑ +26% |
| BLUE CROSS | ANTHEM EXCHANGE | $99.61 | ↑ +26% |
| HUMANA | HUMANA MEDICARE | $101.20 | ↑ +28% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $103.59 | ↑ +31% |
| BLUE CROSS | BLUE CROSS MEDICARE | $103.59 | ↑ +31% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $104.59 | ↑ +32% |
| NHC ADVANTAGE | NHC ADVANTAGE | $104.59 | ↑ +32% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $104.59 | ↑ +32% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $116.00 | ↑ +46% |
| MEDCOST | MEDCOST VHN | $184.80 | ↑ +133% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $188.00 | ↑ +137% |
| SENTARA HEALTH | SENTARA HEALTH | $192.30 | ↑ +143% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $215.00 | ↑ +171% |
| AMBETTER | AMBETTER | $217.15 | ↑ +174% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $244.99 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $255.02 | ↑ +222% |
| CIGNA HEALTHCARE | CIGNA PPO | $255.02 | ↑ +222% |
| CIGNA HEALTHCARE | CIGNA HMO | $255.02 | ↑ +222% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $279.00 | ↑ +252% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $324.81 | ↑ +310% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $324.81 | ↑ +310% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $334.56 | ↑ +322% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $337.80 | ↑ +327% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $341.05 | ↑ +331% |
| AETNA | AETNA | $422.40 | ↑ +433% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $528.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $528.00 | ↑ +567% |
Visitor-reported prices
Comments
Ot evaluation high complexity patient/family at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $1,405.00 | $84.65 – $96.60 |
| Inova Alexandria Hospital | Alexandria | $246.00 | $113.16 – $383.76 |
| Inova Fairfax Hospital | Falls Church | $246.00 | $113.16 – $383.76 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $246.00 | $113.16 – $383.76 |
| Inova Loudoun Hospital | Leesburg | $246.00 | $113.16 – $383.76 |
| Inova Mount Vernon Hospital | Alexandria | $246.00 | $113.16 – $383.76 |
| Johnston Memorial Hospital | ABINGDON | $79.20 | $46.00 – $324.81 |
| Sentara Martha Jefferson Hospital | Charlottesville | $228.50 | $101.60 – $104.59 |