X-ray hand 2 views (both sides) 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

$72.75

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.

$485.00

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.

$27.86 with BLUE CROSS vs $395.00 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
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $27.86 ↓ -62%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $35.36 ↓ -51%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $35.36 ↓ -51%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $36.43 ↓ -50%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $36.77 ↓ -49%
AETNA AETNA BETTER HEALTH OF VIRGINIA $37.13 ↓ -49%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $40.32 ↓ -45%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $44.22 ↓ -39%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $51.00 ↓ -30%
AETNA AETNA HEALTHCARE MEDICARE $51.00 ↓ -30%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $51.00 ↓ -30%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $51.00 ↓ -30%
ALLCARE MEDICARE ALLCARE MEDICARE $51.00 ↓ -30%
SENTARA HEALTH SENTARA MEDICARE $51.00 ↓ -30%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $51.00 ↓ -30%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA MEDICARE $51.00 ↓ -30%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $51.00 ↓ -30%
MANAGED MEDICAIRE MANAGED MEDICAIRE $51.00 ↓ -30%
HUMANA HUMANA MEDICARE $51.82 ↓ -29%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $53.04 ↓ -27%
BLUE CROSS BLUE CROSS MEDICARE $53.04 ↓ -27%
NHC ADVANTAGE NHC ADVANTAGE $53.55 ↓ -26%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $53.55 ↓ -26%
CIGNA HEALTHCARE CIGNA MEDICARE $53.55 ↓ -26%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $56.46 ↓ -22%
CIGNA HEALTHCARE CIGNA HMO $56.46 ↓ -22%
CIGNA HEALTHCARE CIGNA PPO $56.46 ↓ -22%
AMBETTER AMBETTER $111.18 ↑ +53%
MEDCOST MEDCOST VHN $138.25 ↑ +90%
SENTARA HEALTH SENTARA HEALTH $143.86 ↑ +98%
BLUE CROSS ANTHEM EXCHANGE $172.75 ↑ +137%
BLUE CROSS BLUE CROSS S NETWORK $188.00 ↑ +158%
BLUE CROSS BLUE CROSS P NETWORK $188.00 ↑ +158%
BLUE CROSS ANTHEM HMO $188.81 ↑ +160%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $200.85 ↑ +176%
AETNA AETNA $316.00 ↑ +334%
UNITED HEALTHCARE UHC HERITAGE SELECT $320.00 ↑ +340%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $364.00 ↑ +400%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $395.00 ↑ +443%
UNITED HEALTHCARE UNITED HEALTHCARE $395.00 ↑ +443%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $395.00 ↑ +443%

Visitor-reported prices

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X-ray hand 2 views (both sides) at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $316.50 $80.04 – $417.15
Inova Fairfax Hospital Falls Church $316.50 $80.04 – $417.15
Inova Fair Oaks Hospital VA 22033-1709 $316.50 $80.04 – $417.15
Inova Loudoun Hospital Leesburg $316.50 $80.04 – $417.15
Inova Mount Vernon Hospital Alexandria $316.50 $80.04 – $417.15
Johnston Memorial Hospital ABINGDON $72.75 $16.48 – $111.18
Sentara Martha Jefferson Hospital Charlottesville $161.00 $104.04 – $107.10
Sentara Northern Virginia Medical Center Woodbridge $244.00 $96.07 – $107.10

All Virginia hospitals for this procedure →