Thromboendarterectomy common femoral at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$1,069.65
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.
$7,131.00
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.
$1,107.00 with UNITED HEALTHCARE vs $7,131.00 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 | TENNCARE UNITED HEALTHCARE | $1,107.00 | ↑ +3% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,336.00 | ↑ +25% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,621.00 | ↑ +52% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,850.00 | ↑ +73% |
| BLUE CROSS | ANTHEM EXCHANGE | $2,050.27 | ↑ +92% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,231.23 | ↑ +109% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,231.23 | ↑ +109% |
| BLUE CROSS | ANTHEM HMO | $2,240.87 | ↑ +109% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $2,383.84 | ↑ +123% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,397.00 | ↑ +124% |
| MEDCOST | MEDCOST VHN | $2,495.85 | ↑ +133% |
| SENTARA HEALTH | SENTARA HEALTH | $2,597.11 | ↑ +143% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,681.00 | ↑ +151% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,681.00 | ↑ +151% |
| CIGNA HEALTHCARE | CIGNA PPO | $3,083.00 | ↑ +188% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,204.00 | ↑ +200% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $5,158.38 | ↑ +382% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $5,158.38 | ↑ +382% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $5,313.13 | ↑ +397% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $5,364.72 | ↑ +402% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $5,416.30 | ↑ +406% |
| AETNA | AETNA | $5,704.80 | ↑ +433% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $7,131.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $7,131.00 | ↑ +567% |
Visitor-reported prices
Comments
Thromboendarterectomy common femoral at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $3,456.00 | $1,579.39 – $6,070.59 |
| Inova Fairfax Hospital | Falls Church | $3,456.00 | $1,579.39 – $6,070.59 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $3,456.00 | $1,579.39 – $6,070.59 |
| Inova Loudoun Hospital | Leesburg | $3,456.00 | $1,579.39 – $6,070.59 |
| Inova Mount Vernon Hospital | Alexandria | $3,456.00 | $1,579.39 – $6,070.59 |
| Johnston Memorial Hospital | ABINGDON | $1,069.65 | $2,031.89 – $5,416.24 |
| Lonesome Pine Hospital | BIG STONE GAP | $1,069.65 | $1,995.49 – $5,416.24 |
| Smyth County Community Hospital | MARION | $1,069.65 | $1,798.65 – $5,364.65 |