X-ray toe(s) > 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.

$23.79 with BLUE CROSS vs $439.00 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 $23.79 ↓ -67%
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%
SENTARA HEALTH SENTARA MEDICARE $42.45 ↓ -42%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $42.45 ↓ -42%
AETNA AETNA HEALTHCARE MEDICARE $42.45 ↓ -42%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $42.45 ↓ -42%
MANAGED MEDICAIRE MANAGED MEDICAIRE $42.45 ↓ -42%
ALLCARE MEDICARE ALLCARE MEDICARE $42.45 ↓ -42%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $42.45 ↓ -42%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $42.45 ↓ -42%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA MEDICARE $42.45 ↓ -42%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $42.45 ↓ -42%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $42.97 ↓ -41%
HUMANA HUMANA MEDICARE $43.13 ↓ -41%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $44.15 ↓ -39%
BLUE CROSS BLUE CROSS MEDICARE $44.15 ↓ -39%
NHC ADVANTAGE NHC ADVANTAGE $44.58 ↓ -39%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $44.58 ↓ -39%
CIGNA HEALTHCARE CIGNA MEDICARE $44.58 ↓ -39%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $66.88 ↓ -8%
CIGNA HEALTHCARE CIGNA HMO $66.88 ↓ -8%
CIGNA HEALTHCARE CIGNA PPO $66.88 ↓ -8%
AMBETTER AMBETTER $92.55 ↑ +27%
BLUE CROSS ANTHEM EXCHANGE $143.80 ↑ +98%
MEDCOST MEDCOST VHN $153.65 ↑ +111%
BLUE CROSS BLUE CROSS S NETWORK $156.49 ↑ +115%
BLUE CROSS BLUE CROSS P NETWORK $156.49 ↑ +115%
BLUE CROSS ANTHEM HMO $157.17 ↑ +116%
SENTARA HEALTH SENTARA HEALTH $159.88 ↑ +120%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $167.19 ↑ +130%
UNITED HEALTHCARE UHC HERITAGE SELECT $320.00 ↑ +340%
AETNA AETNA $351.20 ↑ +383%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $364.00 ↑ +400%
UNITED HEALTHCARE UNITED HEALTHCARE $439.00 ↑ +503%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $439.00 ↑ +503%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $439.00 ↑ +503%

Visitor-reported prices

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X-ray toe(s) > 2 views (both sides) at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $264.00 $80.04 – $347.95
Inova Fairfax Hospital Falls Church $264.00 $80.04 – $347.95
Inova Fair Oaks Hospital VA 22033-1709 $264.00 $80.04 – $347.95
Inova Loudoun Hospital Leesburg $264.00 $80.04 – $347.95
Inova Mount Vernon Hospital Alexandria $264.00 $80.04 – $347.95
Johnston Memorial Hospital ABINGDON $72.75 $13.86 – $92.55
Sentara Martha Jefferson Hospital Charlottesville $102.00 $86.61 – $89.15
Sentara Northern Virginia Medical Center Woodbridge $251.00 $81.57 – $89.15

All Virginia hospitals for this procedure →