Pcv21 vaccine im at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$415.01
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.
$2,766.72
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.
$156.38 with OPTIMA HEALTH vs $2,766.72 with FIRST HEALTH COVENTRY — 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 |
|---|---|---|---|
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $156.38 | ↓ -62% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $156.38 | ↓ -62% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $161.07 | ↓ -61% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $162.64 | ↓ -61% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $164.20 | ↓ -60% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $295.10 | ↓ -29% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $553.34 | ↑ +33% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $553.34 | ↑ +33% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $553.34 | ↑ +33% |
| AETNA | AETNA HEALTHCARE MEDICARE | $553.34 | ↑ +33% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $553.34 | ↑ +33% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $553.34 | ↑ +33% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $553.34 | ↑ +33% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $553.34 | ↑ +33% |
| SENTARA HEALTH | SENTARA MEDICARE | $553.34 | ↑ +33% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $553.34 | ↑ +33% |
| HUMANA | HUMANA MEDICARE | $562.19 | ↑ +35% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $575.48 | ↑ +39% |
| BLUE CROSS | BLUE CROSS MEDICARE | $575.48 | ↑ +39% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $581.01 | ↑ +40% |
| NHC ADVANTAGE | NHC ADVANTAGE | $581.01 | ↑ +40% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $581.01 | ↑ +40% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $595.50 | ↑ +43% |
| CIGNA HEALTHCARE | CIGNA PPO | $791.74 | ↑ +91% |
| CIGNA HEALTHCARE | CIGNA HMO | $791.74 | ↑ +91% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $791.74 | ↑ +91% |
| MEDCOST | MEDCOST VHN | $968.35 | ↑ +133% |
| SENTARA HEALTH | SENTARA HEALTH | $1,007.64 | ↑ +143% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,147.62 | ↑ +177% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,147.62 | ↑ +177% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,147.62 | ↑ +177% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,147.62 | ↑ +177% |
| BLUE CROSS | ANTHEM HMO | $1,147.62 | ↑ +177% |
| AMBETTER | AMBETTER | $1,206.29 | ↑ +191% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,936.70 | ↑ +367% |
| AETNA | AETNA | $2,213.38 | ↑ +433% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,766.72 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,766.72 | ↑ +567% |
Visitor-reported prices
Comments
Pcv21 vaccine im at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $415.01 | $156.38 – $595.50 |
| Lonesome Pine Hospital | BIG STONE GAP | $415.01 | $161.07 – $1,261.62 |
| Smyth County Community Hospital | MARION | $415.01 | $156.38 – $595.50 |
| Dickenson Community Hospital | CLINTWOOD | $636.35 | $223.47 – $595.50 |
| Lee County Community Hospital | PENNINGTON GAP | $636.35 | $223.47 – $595.50 |
| St Mary's Hospital | Richmond | $582.60 | not published |
| St Francis Medical Center | Midlothian | $582.60 | not published |
| Memorial Regional Hospital | Mechanicsville | $582.60 | not published |