Zoledronic acid 4 mg/5 ml intravenous solution 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

$180.63

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.

Full explanation →

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

$1,204.20

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.

Full explanation →

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

$8.91 with CIGNA HEALTHCARE vs $717.33 with SEVEN CORNERS, INC. — same scan, same building. Share

Negotiated rates by payer
?

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
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $8.91 ↓ -95%
CIGNA HEALTHCARE CIGNA PPO $11.84 ↓ -93%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $11.84 ↓ -93%
CIGNA HEALTHCARE CIGNA HMO $11.84 ↓ -93%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $94.88 ↓ -47%
MEDCOST MEDCOST VHN $251.07 ↑ +39%
SENTARA HEALTH SENTARA HEALTH $261.25 ↑ +45%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $502.13 ↑ +178%
AETNA AETNA $573.86 ↑ +218%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $717.33 ↑ +297%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $717.33 ↑ +297%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Zoledronic acid 4 mg/5 ml intravenous solution at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $26.57 $7.06 – $31.81
Inova Fairfax Hospital Falls Church $26.57 $7.06 – $31.81
Inova Fair Oaks Hospital VA 22033-1709 $26.57 $7.06 – $31.81
Inova Loudoun Hospital Leesburg $26.57 $7.06 – $31.81
Inova Mount Vernon Hospital Alexandria $26.57 $7.06 – $31.81
Johnston Memorial Hospital ABINGDON $180.63 $8.91 – $94.88
Lonesome Pine Hospital BIG STONE GAP $183.41 $8.91 – $52.71
Smyth County Community Hospital MARION $141.49 $8.91 – $94.88

All Virginia hospitals for this procedure →