Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$23.12
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.
$154.11
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.
$17.47 with UNITED HEALTHCARE vs $154.11 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 | $17.47 | ↓ -24% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $22.35 | ↓ -3% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $22.35 | ↓ -3% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $22.35 | ↓ -3% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $30.82 | ↑ +33% |
| AETNA | AETNA HEALTHCARE MEDICARE | $30.82 | ↑ +33% |
| SENTARA HEALTH | SENTARA MEDICARE | $30.82 | ↑ +33% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $30.82 | ↑ +33% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $30.82 | ↑ +33% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $30.82 | ↑ +33% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $30.82 | ↑ +33% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $30.82 | ↑ +33% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $30.82 | ↑ +33% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $30.82 | ↑ +33% |
| HUMANA | HUMANA MEDICARE | $31.31 | ↑ +35% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $32.05 | ↑ +39% |
| BLUE CROSS | BLUE CROSS MEDICARE | $32.05 | ↑ +39% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $32.36 | ↑ +40% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $32.36 | ↑ +40% |
| NHC ADVANTAGE | NHC ADVANTAGE | $32.36 | ↑ +40% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $32.39 | ↑ +40% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $32.39 | ↑ +40% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $33.36 | ↑ +44% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $33.69 | ↑ +46% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $34.01 | ↑ +47% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $38.90 | ↑ +68% |
| CIGNA HEALTHCARE | CIGNA PPO | $51.71 | ↑ +124% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $51.71 | ↑ +124% |
| CIGNA HEALTHCARE | CIGNA HMO | $51.71 | ↑ +124% |
| MEDCOST | MEDCOST VHN | $53.94 | ↑ +133% |
| SENTARA HEALTH | SENTARA HEALTH | $56.13 | ↑ +143% |
| AMBETTER | AMBETTER | $67.19 | ↑ +191% |
| BLUE CROSS | BLUE CROSS S NETWORK | $69.06 | ↑ +199% |
| BLUE CROSS | BLUE CROSS P NETWORK | $69.06 | ↑ +199% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $69.06 | ↑ +199% |
| BLUE CROSS | ANTHEM HMO | $69.06 | ↑ +199% |
| BLUE CROSS | ANTHEM EXCHANGE | $69.06 | ↑ +199% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $107.88 | ↑ +367% |
| AETNA | AETNA | $123.29 | ↑ +433% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $154.11 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $154.11 | ↑ +567% |
Visitor-reported prices
Comments
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $23.12 | $17.47 – $38.90 |
| Lonesome Pine Hospital | BIG STONE GAP | $23.12 | $9.71 – $70.27 |
| Smyth County Community Hospital | MARION | $23.12 | $17.47 – $38.90 |
| HENRICO DOCTORS HOSPITAL | RICHMOND | $99.00 | $23.21 – $23.21 |
| Dickenson Community Hospital | CLINTWOOD | $37.15 | $17.47 – $48.14 |
| Lee County Community Hospital | PENNINGTON GAP | $35.45 | $17.47 – $48.14 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $37.29 – $37.29 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $30.57 – $38.08 |