Abdominal paracentesis w/image guidance at Smyth County Community Hospital
245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377
$324.60
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.
?
What you pay up front if you don't use insurance.
$2,164.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$602.02 with SENTARA HEALTH vs $2,164.00 with FIRST HEALTH COVENTRY — 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 →
?
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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $602.02 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $757.40 | ↑ +133% |
| SENTARA HEALTH | SENTARA MEDICARE | $884.93 | ↑ +173% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $884.93 | ↑ +173% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $884.93 | ↑ +173% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $884.93 | ↑ +173% |
| HUMANA | HUMANA MEDICARE | $884.93 | ↑ +173% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $884.93 | ↑ +173% |
| AETNA | AETNA HEALTHCARE MEDICARE | $884.93 | ↑ +173% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $884.93 | ↑ +173% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $911.48 | ↑ +181% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $911.48 | ↑ +181% |
| BLUE CROSS | BLUE CROSS MEDICARE | $920.33 | ↑ +184% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $920.33 | ↑ +184% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $929.18 | ↑ +186% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $929.18 | ↑ +186% |
| NHC ADVANTAGE | NHC ADVANTAGE | $929.18 | ↑ +186% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $936.63 | ↑ +189% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $936.63 | ↑ +189% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $964.73 | ↑ +197% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $974.10 | ↑ +200% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $974.10 | ↑ +200% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,107.00 | ↑ +241% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,266.00 | ↑ +290% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,266.00 | ↑ +290% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,406.00 | ↑ +333% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,463.00 | ↑ +351% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +369% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,621.00 | ↑ +399% |
| AETNA | AETNA | $1,839.40 | ↑ +467% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,850.00 | ↑ +470% |
| AMBETTER | AMBETTER | $1,929.15 | ↑ +494% |
| AMERIGROUP | AMERIGROUP | $2,164.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $2,164.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $2,164.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,164.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,164.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $2,164.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $2,164.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $2,164.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,164.00 | ↑ +567% |
Visitor-reported prices
Comments
Abdominal paracentesis w/image guidance at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $1,445.50 | $937.56 – $2,485.00 |
| Inova Fairfax Hospital | Falls Church | $1,445.50 | $937.56 – $2,485.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $1,445.50 | $937.56 – $2,485.00 |
| Inova Loudoun Hospital | Leesburg | $1,445.50 | $937.56 – $2,485.00 |
| Inova Mount Vernon Hospital | Alexandria | $1,445.50 | $937.56 – $2,485.00 |
| Johnston Memorial Hospital | ABINGDON | $324.60 | $738.43 – $1,929.15 |
| Russell County Hospital | LEBANON | $324.60 | $884.93 – $1,929.15 |
| Sentara Martha Jefferson Hospital | Charlottesville | $991.00 | $902.63 – $3,276.00 |