Tocilizumab 162 mg/0.9 ml subcutaneous pen injector at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$3,541.70
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.
$23,611.36
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.
$3.12 with UNITED HEALTHCARE vs $4,722.31 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $3.12 | ↓ -100% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $3.48 | ↓ -100% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $5.61 | ↓ -100% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $5.61 | ↓ -100% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $5.61 | ↓ -100% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $5.61 | ↓ -100% |
| SENTARA HEALTH | SENTARA MEDICARE | $5.61 | ↓ -100% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $5.61 | ↓ -100% |
| AETNA | AETNA HEALTHCARE MEDICARE | $5.61 | ↓ -100% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $5.61 | ↓ -100% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $5.61 | ↓ -100% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $5.61 | ↓ -100% |
| HUMANA | HUMANA MEDICARE | $5.70 | ↓ -100% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $5.83 | ↓ -100% |
| BLUE CROSS | BLUE CROSS MEDICARE | $5.83 | ↓ -100% |
| NHC ADVANTAGE | NHC ADVANTAGE | $5.89 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $5.89 | ↓ -100% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $5.89 | ↓ -100% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $5.95 | ↓ -100% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $5.95 | ↓ -100% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $5.95 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $10.05 | ↓ -100% |
| AMBETTER | AMBETTER | $12.23 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $13.36 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA HMO | $13.36 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA PPO | $13.36 | ↓ -100% |
| BLUE CROSS | BLUE CROSS P NETWORK | $19.99 | ↓ -99% |
| BLUE CROSS | ANTHEM EXCHANGE | $19.99 | ↓ -99% |
| BLUE CROSS | ANTHEM HMO | $19.99 | ↓ -99% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $19.99 | ↓ -99% |
| BLUE CROSS | BLUE CROSS S NETWORK | $19.99 | ↓ -99% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,217.09 | ↓ -66% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,217.09 | ↓ -66% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,253.60 | ↓ -65% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,265.77 | ↓ -64% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,277.94 | ↓ -64% |
| MEDCOST | MEDCOST VHN | $1,652.81 | ↓ -53% |
| SENTARA HEALTH | SENTARA HEALTH | $1,719.87 | ↓ -51% |
| AETNA | AETNA | $3,777.85 | ↑ +7% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $4,722.31 | ↑ +33% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $4,722.31 | ↑ +33% |
Visitor-reported prices
Comments
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $1,770.85 | $3.12 – $1,217.07 |
| Southern Virginia Medical Center | Emporia | $10,517.05 | not published |
| Rappahannock General Hospital | Kilmarnock | $4,302.43 | not published |
| Maryview Hospital | Portsmouth | $9,959.33 | not published |
| St Mary's Hospital | Richmond | $12,588.59 | not published |
| Mary Immaculate Hospital | Newport News | $12,349.57 | not published |
| Harbour View Medical Center | Suffolk | $4,405.54 | not published |
| Richmond Community Hospital | Richmond | $12,779.81 | not published |