Angioplasty/iliac/init ves/unilat 37220 at Smyth County Community Hospital
245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377
$2,483.55
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.
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What you pay up front if you don't use insurance.
$16,557.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$2,990.98 with BLUE CROSS vs $16,557.00 with FIRST HEALTH COVENTRY — 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 →
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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 ?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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $2,990.98 | ↑ +20% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $3,257.00 | ↑ +31% |
| SENTARA HEALTH | SENTARA HEALTH | $4,606.16 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $5,794.95 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $6,424.12 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $6,424.12 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $7,682.45 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $7,997.03 | ↑ +222% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $8,354.86 | ↑ +236% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $8,354.86 | ↑ +236% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $8,387.00 | ↑ +238% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $8,605.51 | ↑ +247% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $8,689.05 | ↑ +250% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $8,689.06 | ↑ +250% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $9,572.00 | ↑ +285% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $12,407.00 | ↑ +400% |
| AETNA | AETNA | $14,073.45 | ↑ +467% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $16,557.00 | ↑ +567% |
| AMERIGROUP | AMERIGROUP | $16,557.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $16,557.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $16,557.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $16,557.00 | ↑ +567% |
Visitor-reported prices
Comments
Angioplasty/iliac/init ves/unilat 37220 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $2,483.55 | $2,990.98 – $8,772.60 |
| Russell County Hospital | LEBANON | $2,483.55 | $2,990.98 – $8,772.71 |
| Sentara Martha Jefferson Hospital | Charlottesville | $7,596.00 | $3,338.00 – $13,397.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $9,197.00 | $3,988.00 – $11,640.00 |
| Lonesome Pine Hospital | BIG STONE GAP | $2,483.55 | $2,990.98 – $8,772.60 |
| Sentara Halifax Regional Hospital | South Boston | $10,895.00 | not published |
| Sentara Leigh Hospital | Norfolk | $9,197.00 | $5,220.00 – $26,244.00 |
| Sentara RMH Medical Center | Harrisonburg | $7,596.00 | not published |