Vaccine tdap >=7 years im at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$79.54
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.
$530.25
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.
$32.39 with UNITED HEALTHCARE vs $530.25 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 | UNITED HEALTHCARE MEDICAID VIRGINIA | $32.39 | ↓ -59% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $32.39 | ↓ -59% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $33.36 | ↓ -58% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $33.69 | ↓ -58% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $34.01 | ↓ -57% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $43.50 | ↓ -45% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $96.10 | ↑ +21% |
| CIGNA HEALTHCARE | CIGNA PPO | $127.76 | ↑ +61% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $127.76 | ↑ +61% |
| CIGNA HEALTHCARE | CIGNA HMO | $127.76 | ↑ +61% |
| MEDCOST | MEDCOST VHN | $185.59 | ↑ +133% |
| SENTARA HEALTH | SENTARA HEALTH | $193.12 | ↑ +143% |
| AETNA | AETNA | $424.20 | ↑ +433% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $530.25 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $530.25 | ↑ +567% |
Visitor-reported prices
Comments
Vaccine tdap >=7 years im at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $520.00 | $33.21 – $105.18 |
| Inova Alexandria Hospital | Alexandria | $41.40 | $36.65 – $61.81 |
| Inova Fairfax Hospital | Falls Church | $41.40 | $36.65 – $61.81 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $41.40 | $36.65 – $61.81 |
| Inova Loudoun Hospital | Leesburg | $41.40 | $36.65 – $61.81 |
| Inova Mount Vernon Hospital | Alexandria | $41.40 | $36.65 – $61.81 |
| Johnston Memorial Hospital | ABINGDON | $79.54 | $32.39 – $96.10 |
| Lonesome Pine Hospital | BIG STONE GAP | $79.54 | $33.36 – $96.10 |