Sleep study attended at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$520.05
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.
$3,467.00
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.
$307.95 with BLUE CROSS vs $3,467.00 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $307.95 | ↓ -41% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $364.08 | ↓ -30% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $364.08 | ↓ -30% |
| AETNA | AETNA HEALTHCARE MEDICARE | $364.08 | ↓ -30% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $364.08 | ↓ -30% |
| SENTARA HEALTH | SENTARA MEDICARE | $364.08 | ↓ -30% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $364.08 | ↓ -30% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $364.08 | ↓ -30% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $364.08 | ↓ -30% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $364.08 | ↓ -30% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $364.08 | ↓ -30% |
| HUMANA | HUMANA MEDICARE | $369.91 | ↓ -29% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $378.65 | ↓ -27% |
| BLUE CROSS | BLUE CROSS MEDICARE | $378.65 | ↓ -27% |
| NHC ADVANTAGE | NHC ADVANTAGE | $382.29 | ↓ -26% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $382.29 | ↓ -26% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $382.29 | ↓ -26% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $715.11 | ↑ +38% |
| AMBETTER | AMBETTER | $793.70 | ↑ +53% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $975.76 | ↑ +88% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $975.76 | ↑ +88% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,005.03 | ↑ +93% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,014.79 | ↑ +95% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,024.55 | ↑ +97% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,210.79 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,210.79 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,210.79 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $1,213.45 | ↑ +133% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,233.19 | ↑ +137% |
| SENTARA HEALTH | SENTARA HEALTH | $1,262.68 | ↑ +143% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,342.03 | ↑ +158% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,342.03 | ↑ +158% |
| BLUE CROSS | ANTHEM HMO | $1,347.83 | ↑ +159% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,433.83 | ↑ +176% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,608.69 | ↑ +209% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,877.00 | ↑ +261% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,143.00 | ↑ +312% |
| AETNA | AETNA | $2,773.60 | ↑ +433% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,776.00 | ↑ +434% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,467.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,467.00 | ↑ +567% |
Visitor-reported prices
Comments
Sleep study attended at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $520.05 | $181.48 – $975.75 |
| Sentara Martha Jefferson Hospital | Charlottesville | $1,687.00 | $371.37 – $382.29 |
| Sentara Northern Virginia Medical Center | Woodbridge | $1,169.00 | $371.37 – $382.29 |
| Lonesome Pine Hospital | BIG STONE GAP | $520.05 | $307.95 – $1,006.00 |
| Smyth County Community Hospital | MARION | $520.05 | $307.95 – $975.75 |
| Sentara Halifax Regional Hospital | South Boston | $1,109.00 | $374.31 – $385.31 |
| Sentara Leigh Hospital | Norfolk | $1,169.00 | $371.37 – $382.29 |
| Sentara RMH Medical Center | Harrisonburg | $1,687.00 | $371.37 – $382.29 |