Unlisted spec derm svc/px at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$86.85
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.
$579.00
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.
$24.41 with UNITED HEALTHCARE vs $579.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $24.41 | ↓ -72% |
| CIGNA HEALTHCARE | CIGNA HMO | $72.81 | ↓ -16% |
| CIGNA HEALTHCARE | CIGNA PPO | $72.81 | ↓ -16% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $72.81 | ↓ -16% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $95.00 | ↑ +9% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $110.00 | ↑ +27% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $141.00 | ↑ +62% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $195.76 | ↑ +125% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $195.76 | ↑ +125% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $195.76 | ↑ +125% |
| AETNA | AETNA HEALTHCARE MEDICARE | $195.76 | ↑ +125% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $195.76 | ↑ +125% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $195.76 | ↑ +125% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $195.76 | ↑ +125% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $195.76 | ↑ +125% |
| SENTARA HEALTH | SENTARA MEDICARE | $195.76 | ↑ +125% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $195.76 | ↑ +125% |
| HUMANA | HUMANA MEDICARE | $198.89 | ↑ +129% |
| MEDCOST | MEDCOST VHN | $202.65 | ↑ +133% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $203.59 | ↑ +134% |
| BLUE CROSS | BLUE CROSS MEDICARE | $203.59 | ↑ +134% |
| NHC ADVANTAGE | NHC ADVANTAGE | $205.54 | ↑ +137% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $205.54 | ↑ +137% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $205.54 | ↑ +137% |
| SENTARA HEALTH | SENTARA HEALTH | $210.87 | ↑ +143% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $222.01 | ↑ +156% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $222.01 | ↑ +156% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $228.67 | ↑ +163% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $230.89 | ↑ +166% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $233.11 | ↑ +168% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $268.66 | ↑ +209% |
| AMBETTER | AMBETTER | $426.75 | ↑ +391% |
| AETNA | AETNA | $463.20 | ↑ +433% |
| BLUE CROSS | BLUE CROSS S NETWORK | $579.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $579.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $579.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $579.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $579.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $579.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $579.00 | ↑ +567% |
Visitor-reported prices
Comments
Unlisted spec derm svc/px at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $86.85 | $24.41 – $426.75 |
| Lonesome Pine Hospital | BIG STONE GAP | $86.85 | $13.56 – $469.81 |
| Smyth County Community Hospital | MARION | $86.85 | $24.41 – $426.75 |
| Richmond Community Hospital | Richmond | $394.20 | not published |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $199.67 – $205.54 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $199.67 – $205.54 |
| Sentara Halifax Regional Hospital | South Boston | not published | $201.25 – $207.17 |
| Sentara Leigh Hospital | Norfolk | not published | $199.67 – $205.54 |