Shoulder MRI (without contrast) at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$636.75
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.
$4,245.00
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.
$232.80 with AMERIGROUP vs $4,033.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $232.80 | ↓ -63% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $232.80 | ↓ -63% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $232.80 | ↓ -63% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $232.80 | ↓ -63% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $232.80 | ↓ -63% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $232.80 | ↓ -63% |
| SENTARA HEALTH | SENTARA MEDICARE | $232.80 | ↓ -63% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $232.80 | ↓ -63% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $232.80 | ↓ -63% |
| AETNA | AETNA HEALTHCARE MEDICARE | $232.80 | ↓ -63% |
| HUMANA | HUMANA MEDICARE | $236.52 | ↓ -63% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $242.11 | ↓ -62% |
| BLUE CROSS | BLUE CROSS MEDICARE | $242.11 | ↓ -62% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $244.44 | ↓ -62% |
| NHC ADVANTAGE | NHC ADVANTAGE | $244.44 | ↓ -62% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $244.44 | ↓ -62% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $304.57 | ↓ -52% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $304.95 | ↓ -52% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $304.95 | ↓ -52% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $314.10 | ↓ -51% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $317.15 | ↓ -50% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $320.20 | ↓ -50% |
| AMBETTER | AMBETTER | $507.50 | ↓ -20% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $678.20 | ↑ +7% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $786.00 | ↑ +23% |
| BLUE CROSS | ANTHEM EXCHANGE | $788.51 | ↑ +24% |
| BLUE CROSS | BLUE CROSS S NETWORK | $858.11 | ↑ +35% |
| BLUE CROSS | BLUE CROSS P NETWORK | $858.11 | ↑ +35% |
| BLUE CROSS | ANTHEM HMO | $861.82 | ↑ +35% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $892.00 | ↑ +40% |
| CIGNA HEALTHCARE | CIGNA HMO | $892.00 | ↑ +40% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $916.80 | ↑ +44% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,025.00 | ↑ +61% |
| MEDCOST | MEDCOST VHN | $1,411.55 | ↑ +122% |
| SENTARA HEALTH | SENTARA HEALTH | $1,468.82 | ↑ +131% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,938.00 | ↑ +361% |
| AETNA | AETNA | $3,226.40 | ↑ +407% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $3,354.00 | ↑ +427% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $4,033.00 | ↑ +533% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $4,033.00 | ↑ +533% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $4,033.00 | ↑ +533% |
Visitor-reported prices
Comments
Shoulder MRI (without contrast) at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $835.00 | $241.72 – $2,149.00 |
| Inova Fairfax Hospital | Falls Church | $835.00 | $241.72 – $2,149.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $835.00 | $241.72 – $2,149.00 |
| Inova Loudoun Hospital | Leesburg | $835.00 | $241.72 – $2,149.00 |
| Inova Mount Vernon Hospital | Alexandria | $835.00 | $241.72 – $2,149.00 |
| Johnston Memorial Hospital | ABINGDON | $636.75 | $230.73 – $507.50 |
| Sentara Martha Jefferson Hospital | Charlottesville | $1,757.00 | $237.46 – $244.44 |
| Sentara Northern Virginia Medical Center | Woodbridge | $1,932.50 | $237.46 – $1,801.00 |