Acetylcysteine 200 mg/ml (20 %) intravenous solution at Smyth County Community Hospital

245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$458.52

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.

$3,056.81

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.

$0.67 with CIGNA HEALTHCARE vs $3,056.81 with AMERIGROUP — 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
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $0.67 ↓ -100%
CIGNA HEALTHCARE CIGNA HMO $0.89 ↓ -100%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $0.89 ↓ -100%
CIGNA HEALTHCARE CIGNA PPO $0.89 ↓ -100%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $1.73 ↓ -100%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $2.52 ↓ -99%
SENTARA HEALTH SENTARA HEALTH $850.40 ↑ +85%
MEDCOST MEDCOST VHN $1,069.88 ↑ +133%
AETNA AETNA $2,598.29 ↑ +467%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $3,056.81 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $3,056.81 ↑ +567%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $3,056.81 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $3,056.81 ↑ +567%
AMERIGROUP AMERIGROUP $3,056.81 ↑ +567%

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Acetylcysteine 200 mg/ml (20 %) intravenous solution at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $2,151.00 $0.38 – $0.98
Johnston Memorial Hospital ABINGDON $458.52 $0.59 – $2.52
Russell County Hospital LEBANON $458.52 $0.67 – $2.52
Lonesome Pine Hospital BIG STONE GAP $536.58 $0.67 – $1.73
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $1,032.00 $0.38 – $0.98
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $1,193.00 $0.38 – $0.98
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg $294.52 $0.44 – $0.98
Dickenson Community Hospital CLINTWOOD $822.76 $0.67 – $2.52

All Virginia hospitals for this procedure →