Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$4,345.56
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.
$28,970.43
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.
$79.60 with UNITED HEALTHCARE vs $28,970.43 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 RIVER VALLEY | $79.60 | ↓ -98% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $79.60 | ↓ -98% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $79.60 | ↓ -98% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $133.05 | ↓ -97% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $133.05 | ↓ -97% |
| SENTARA HEALTH | SENTARA MEDICARE | $133.05 | ↓ -97% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $133.05 | ↓ -97% |
| AETNA | AETNA HEALTHCARE MEDICARE | $133.05 | ↓ -97% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $133.05 | ↓ -97% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $133.05 | ↓ -97% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $133.05 | ↓ -97% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $133.05 | ↓ -97% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $133.05 | ↓ -97% |
| HUMANA | HUMANA MEDICARE | $135.18 | ↓ -97% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $138.38 | ↓ -97% |
| BLUE CROSS | BLUE CROSS MEDICARE | $138.38 | ↓ -97% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $139.71 | ↓ -97% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $139.71 | ↓ -97% |
| NHC ADVANTAGE | NHC ADVANTAGE | $139.71 | ↓ -97% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $230.84 | ↓ -95% |
| AMBETTER | AMBETTER | $290.06 | ↓ -93% |
| CIGNA HEALTHCARE | CIGNA HMO | $306.91 | ↓ -93% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $306.91 | ↓ -93% |
| CIGNA HEALTHCARE | CIGNA PPO | $306.91 | ↓ -93% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $353.25 | ↓ -92% |
| BLUE CROSS | BLUE CROSS P NETWORK | $459.06 | ↓ -89% |
| BLUE CROSS | ANTHEM EXCHANGE | $459.06 | ↓ -89% |
| BLUE CROSS | ANTHEM HMO | $459.06 | ↓ -89% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $459.06 | ↓ -89% |
| BLUE CROSS | BLUE CROSS S NETWORK | $459.06 | ↓ -89% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $5,469.82 | ↑ +26% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $5,469.82 | ↑ +26% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $5,633.91 | ↑ +30% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $5,688.61 | ↑ +31% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $5,743.31 | ↑ +32% |
| MEDCOST | MEDCOST VHN | $10,139.65 | ↑ +133% |
| SENTARA HEALTH | SENTARA HEALTH | $10,551.03 | ↑ +143% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $20,279.30 | ↑ +367% |
| AETNA | AETNA | $23,176.34 | ↑ +433% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $28,970.43 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $28,970.43 | ↑ +567% |
Visitor-reported prices
Comments
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Smyth County Community Hospital | MARION | $4,345.56 | $79.60 – $5,469.75 |
| Maryview Hospital | Portsmouth | $14,718.76 | not published |
| St Mary's Hospital | Richmond | $18,604.51 | not published |
| Mary Immaculate Hospital | Newport News | $18,251.26 | not published |
| Harbour View Medical Center | Suffolk | $14,718.76 | not published |
| Richmond Community Hospital | Richmond | $18,887.11 | not published |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $114.11 – $352.58 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $133.78 – $137.72 |