Surgical pathology level 6 gross & microscopic examination at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$333.45
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.
$2,223.00
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.
$23.66 with BLUE CROSS vs $2,223.00 with BLUE CROSS — 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 | $23.66 | ↓ -93% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $51.89 | ↓ -84% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $204.23 | ↓ -39% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $204.23 | ↓ -39% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $210.35 | ↓ -37% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $212.40 | ↓ -36% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $214.44 | ↓ -36% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $601.45 | ↑ +80% |
| CIGNA HEALTHCARE | CIGNA HMO | $601.45 | ↑ +80% |
| CIGNA HEALTHCARE | CIGNA PPO | $601.45 | ↑ +80% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $628.20 | ↑ +88% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $628.20 | ↑ +88% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $628.20 | ↑ +88% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $634.03 | ↑ +90% |
| MEDCOST | MEDCOST VHN | $778.05 | ↑ +133% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $786.09 | ↑ +136% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $786.09 | ↑ +136% |
| AETNA | AETNA HEALTHCARE MEDICARE | $786.09 | ↑ +136% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $786.09 | ↑ +136% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $786.09 | ↑ +136% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $786.09 | ↑ +136% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $786.09 | ↑ +136% |
| SENTARA HEALTH | SENTARA MEDICARE | $786.09 | ↑ +136% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $786.09 | ↑ +136% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $786.09 | ↑ +136% |
| HUMANA | HUMANA MEDICARE | $798.67 | ↑ +140% |
| SENTARA HEALTH | SENTARA HEALTH | $809.62 | ↑ +143% |
| BLUE CROSS | BLUE CROSS MEDICARE | $817.53 | ↑ +145% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $817.53 | ↑ +145% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $825.39 | ↑ +148% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $825.39 | ↑ +148% |
| NHC ADVANTAGE | NHC ADVANTAGE | $825.39 | ↑ +148% |
| AMBETTER | AMBETTER | $1,713.67 | ↑ +414% |
| AETNA | AETNA | $1,778.40 | ↑ +433% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,223.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,223.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,223.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,223.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $2,223.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $2,223.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $2,223.00 | ↑ +567% |
Visitor-reported prices
Comments
Surgical pathology level 6 gross & microscopic examination at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $316.00 | $656.15 – $3,703.97 |
| Inova Alexandria Hospital | Alexandria | $492.50 | $231.10 – $849.58 |
| Inova Fairfax Hospital | Falls Church | $492.50 | $231.10 – $849.58 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $492.50 | $231.10 – $849.58 |
| Inova Loudoun Hospital | Leesburg | $492.50 | $231.10 – $849.58 |
| Inova Mount Vernon Hospital | Alexandria | $492.50 | $231.10 – $849.58 |
| Johnston Memorial Hospital | ABINGDON | $333.45 | $23.66 – $1,713.67 |
| Sentara Martha Jefferson Hospital | Charlottesville | $373.50 | $41.78 – $823.43 |