Transcath biopsy at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$1,384.20
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.
$9,228.00
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.
$1,223.00 with CIGNA HEALTHCARE vs $11,835.62 with AMBETTER — 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 |
|---|---|---|---|
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,223.00 | ↓ -12% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,223.00 | ↓ -12% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,336.00 | ↓ -3% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,406.00 | ↑ +2% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,463.00 | ↑ +6% |
| MEDCOST | MEDCOST VHN | $3,229.80 | ↑ +133% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $3,257.00 | ↑ +135% |
| SENTARA HEALTH | SENTARA HEALTH | $3,360.84 | ↑ +143% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $4,877.62 | ↑ +252% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $4,877.62 | ↑ +252% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $5,023.95 | ↑ +263% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $5,072.72 | ↑ +266% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $5,121.50 | ↑ +270% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $5,429.18 | ↑ +292% |
| SENTARA HEALTH | SENTARA MEDICARE | $5,429.18 | ↑ +292% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $5,429.18 | ↑ +292% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $5,429.18 | ↑ +292% |
| AETNA | AETNA HEALTHCARE MEDICARE | $5,429.18 | ↑ +292% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $5,429.18 | ↑ +292% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $5,429.18 | ↑ +292% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $5,429.18 | ↑ +292% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $5,429.18 | ↑ +292% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $5,429.18 | ↑ +292% |
| HUMANA | HUMANA MEDICARE | $5,516.05 | ↑ +299% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $5,646.35 | ↑ +308% |
| BLUE CROSS | BLUE CROSS MEDICARE | $5,646.35 | ↑ +308% |
| NHC ADVANTAGE | NHC ADVANTAGE | $5,700.64 | ↑ +312% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $5,700.64 | ↑ +312% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $5,700.64 | ↑ +312% |
| AETNA | AETNA | $7,382.40 | ↑ +433% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $8,387.00 | ↑ +506% |
| BLUE CROSS | BLUE CROSS P NETWORK | $9,228.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $9,228.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $9,228.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $9,228.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $9,228.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $9,228.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $9,228.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $9,228.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $9,228.00 | ↑ +567% |
| AMBETTER | AMBETTER | $11,835.62 | ↑ +755% |
Visitor-reported prices
Comments
Transcath biopsy at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $3,144.50 | $2,067.00 – $8,272.00 |
| Inova Fairfax Hospital | Falls Church | $3,144.50 | $2,067.00 – $8,272.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $3,144.50 | $2,067.00 – $8,272.00 |
| Inova Loudoun Hospital | Leesburg | $3,144.50 | $2,067.00 – $8,272.00 |
| Inova Mount Vernon Hospital | Alexandria | $3,144.50 | $2,067.00 – $8,272.00 |
| Johnston Memorial Hospital | ABINGDON | $1,384.20 | $4,235.96 – $11,835.62 |
| Sentara Martha Jefferson Hospital | Charlottesville | $3,277.00 | $1,010.00 – $13,397.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $3,166.00 | $2,603.00 – $6,310.00 |