Veeg ea 12-26hr cont mntr at Russell County Hospital
58 CARROLL ST., LEBANON, VA · Balladhealth · · NPI 1891973939
$945.90
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.
$6,306.00
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.
$610.51 with UNITED HEALTHCARE vs $6,306.00 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 | UNITED HEALTHCARE MEDICAID VIRGINIA | $610.51 | ↓ -35% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $610.51 | ↓ -35% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $628.83 | ↓ -34% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $634.93 | ↓ -33% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $641.04 | ↓ -32% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $665.00 | ↓ -30% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $760.00 | ↓ -20% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $817.96 | ↓ -14% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $837.86 | ↓ -11% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $837.86 | ↓ -11% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $837.86 | ↓ -11% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $837.86 | ↓ -11% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $837.86 | ↓ -11% |
| AETNA | AETNA HEALTHCARE MEDICARE | $837.86 | ↓ -11% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $837.86 | ↓ -11% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $837.86 | ↓ -11% |
| SENTARA HEALTH | SENTARA MEDICARE | $837.86 | ↓ -11% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $837.86 | ↓ -11% |
| HUMANA | HUMANA MEDICARE | $851.27 | ↓ -10% |
| BLUE CROSS | BLUE CROSS MEDICARE | $871.37 | ↓ -8% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $871.37 | ↓ -8% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $879.75 | ↓ -7% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $879.75 | ↓ -7% |
| NHC ADVANTAGE | NHC ADVANTAGE | $879.75 | ↓ -7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $986.00 | ↑ +4% |
| AMBETTER | AMBETTER | $1,826.53 | ↑ +93% |
| MEDCOST | MEDCOST VHN | $2,207.10 | ↑ +133% |
| SENTARA HEALTH | SENTARA HEALTH | $2,296.65 | ↑ +143% |
| BLUE CROSS | ANTHEM EXCHANGE | $2,837.92 | ↑ +200% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $2,925.98 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $3,045.80 | ↑ +222% |
| CIGNA HEALTHCARE | CIGNA HMO | $3,045.80 | ↑ +222% |
| CIGNA HEALTHCARE | CIGNA PPO | $3,045.80 | ↑ +222% |
| BLUE CROSS | BLUE CROSS S NETWORK | $3,088.41 | ↑ +227% |
| BLUE CROSS | BLUE CROSS P NETWORK | $3,088.41 | ↑ +227% |
| BLUE CROSS | ANTHEM HMO | $3,101.75 | ↑ +228% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $3,299.65 | ↑ +249% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $4,414.20 | ↑ +367% |
| AETNA | AETNA | $5,044.80 | ↑ +433% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $6,306.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $6,306.00 | ↑ +567% |
Visitor-reported prices
Comments
Veeg ea 12-26hr cont mntr at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $1,714.50 | $497.00 – $2,919.25 |
| Inova Fairfax Hospital | Falls Church | $1,714.50 | $690.85 – $2,919.25 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $1,714.50 | $497.00 – $2,919.25 |
| Inova Loudoun Hospital | Leesburg | $1,714.50 | $497.00 – $2,919.25 |
| Inova Mount Vernon Hospital | Alexandria | $1,714.50 | $497.00 – $2,919.25 |
| Johnston Memorial Hospital | ABINGDON | $945.90 | $610.51 – $1,826.53 |
| Sentara Martha Jefferson Hospital | Charlottesville | $3,769.50 | $854.62 – $879.75 |
| Sentara Northern Virginia Medical Center | Woodbridge | $2,592.00 | not published |