Vaccine pneumococcal conjugate 13 valent (pcv13) im at Russell County Hospital

58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$326.57

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$2,177.13

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$116.35 with UNITED HEALTHCARE vs $2,177.13 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 →

Payer
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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
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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 $116.35 ↓ -64%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $130.35 ↓ -60%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $156.38 ↓ -52%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $156.38 ↓ -52%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $161.07 ↓ -51%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $162.64 ↓ -50%
AETNA AETNA BETTER HEALTH OF VIRGINIA $164.20 ↓ -50%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $257.99 ↓ -21%
UNITED HEALTHCARE UHC HERITAGE SELECT $257.99 ↓ -21%
UNITED HEALTHCARE UNITED HEALTHCARE $257.99 ↓ -21%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $435.43 ↑ +33%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $435.43 ↑ +33%
AETNA AETNA HEALTHCARE MEDICARE $435.43 ↑ +33%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $435.43 ↑ +33%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $435.43 ↑ +33%
ALLCARE MEDICARE ALLCARE MEDICARE $435.43 ↑ +33%
MANAGED MEDICAIRE MANAGED MEDICAIRE $435.43 ↑ +33%
SENTARA HEALTH SENTARA MEDICARE $435.43 ↑ +33%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $435.43 ↑ +33%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA MEDICARE $435.43 ↑ +33%
HUMANA HUMANA MEDICARE $442.40 ↑ +35%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $446.34 ↑ +37%
BLUE CROSS BLUE CROSS MEDICARE $452.84 ↑ +39%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $452.84 ↑ +39%
CIGNA HEALTHCARE CIGNA MEDICARE $457.20 ↑ +40%
NHC ADVANTAGE NHC ADVANTAGE $457.20 ↑ +40%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $457.20 ↑ +40%
CIGNA HEALTHCARE CIGNA HMO $593.42 ↑ +82%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $593.42 ↑ +82%
CIGNA HEALTHCARE CIGNA PPO $593.42 ↑ +82%
MEDCOST MEDCOST VHN $762.00 ↑ +133%
SENTARA HEALTH SENTARA HEALTH $792.91 ↑ +143%
BLUE CROSS BLUE CROSS P NETWORK $902.97 ↑ +177%
BLUE CROSS BLUE CROSS S NETWORK $902.97 ↑ +177%
BLUE CROSS ANTHEM EXCHANGE $902.97 ↑ +177%
BLUE CROSS ANTHEM HMO $902.97 ↑ +177%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $902.97 ↑ +177%
AMBETTER AMBETTER $949.23 ↑ +191%
AETNA AETNA $1,741.70 ↑ +433%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $2,177.13 ↑ +567%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $2,177.13 ↑ +567%

Visitor-reported prices

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Vaccine pneumococcal conjugate 13 valent (pcv13) im at other Virginia hospitals

Hospital City Cash price Negotiated range
Johnston Memorial Hospital ABINGDON $326.57 $116.35 – $446.34
Lonesome Pine Hospital BIG STONE GAP $326.57 $64.64 – $992.77
Smyth County Community Hospital MARION $326.57 $116.35 – $446.34
Dickenson Community Hospital CLINTWOOD $516.40 $116.35 – $446.34
Lee County Community Hospital PENNINGTON GAP $500.74 $116.35 – $446.34
Maryview Hospital Portsmouth $222.60 not published
St Francis Medical Center Midlothian $276.00 not published
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $219.29 – $683.30

All Virginia hospitals for this procedure →