Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$234.30
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.
$1,562.00
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.
$255.77 with BLUE CROSS vs $1,572.00 with AMBETTER — 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $255.77 | ↑ +9% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $387.11 | ↑ +65% |
| MEDCOST | MEDCOST VHN | $546.70 | ↑ +133% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $548.91 | ↑ +134% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $548.91 | ↑ +134% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $565.37 | ↑ +141% |
| SENTARA HEALTH | SENTARA HEALTH | $568.88 | ↑ +143% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $570.87 | ↑ +144% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $576.36 | ↑ +146% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $581.06 | ↑ +148% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $610.74 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $610.74 | ↑ +161% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $721.10 | ↑ +208% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $721.10 | ↑ +208% |
| AETNA | AETNA HEALTHCARE MEDICARE | $721.10 | ↑ +208% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $721.10 | ↑ +208% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $721.10 | ↑ +208% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $721.10 | ↑ +208% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $721.10 | ↑ +208% |
| SENTARA HEALTH | SENTARA MEDICARE | $721.10 | ↑ +208% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $721.10 | ↑ +208% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $721.10 | ↑ +208% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $724.77 | ↑ +209% |
| HUMANA | HUMANA MEDICARE | $732.64 | ↑ +213% |
| CIGNA HEALTHCARE | CIGNA PPO | $743.51 | ↑ +217% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $743.51 | ↑ +217% |
| CIGNA HEALTHCARE | CIGNA HMO | $743.51 | ↑ +217% |
| BLUE CROSS | BLUE CROSS MEDICARE | $749.95 | ↑ +220% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $749.95 | ↑ +220% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $757.16 | ↑ +223% |
| NHC ADVANTAGE | NHC ADVANTAGE | $757.16 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $757.16 | ↑ +223% |
| AETNA | AETNA | $1,249.60 | ↑ +433% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,562.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,562.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,562.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,562.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,562.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $1,562.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,562.00 | ↑ +567% |
| AMBETTER | AMBETTER | $1,572.00 | ↑ +571% |
Visitor-reported prices
Comments
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $234.30 | $109.86 – $1,572.00 |
| Sentara Martha Jefferson Hospital | Charlottesville | $1,681.50 | $511.00 – $1,571.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $1,799.00 | $484.00 – $3,486.00 |
| Lonesome Pine Hospital | BIG STONE GAP | $234.30 | $215.06 – $1,572.00 |
| Smyth County Community Hospital | MARION | $234.30 | $255.77 – $1,572.00 |
| Sentara Halifax Regional Hospital | South Boston | $2,350.50 | $741.35 – $763.15 |
| Sentara Leigh Hospital | Norfolk | $1,799.00 | $735.52 – $4,564.00 |
| Sentara RMH Medical Center | Harrisonburg | $1,681.50 | $735.52 – $757.16 |