Appendix Removal (Laparoscopic) at Smyth County Community Hospital
245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377
$2,401.65
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.
$16,011.00
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.
$1,523.00 with BLUE CROSS vs $16,011.00 with BLUE CROSS — 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 | $1,523.00 | ↓ -37% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,367.00 | ↓ -1% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,367.00 | ↓ -1% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,631.00 | ↑ +10% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $2,733.00 | ↑ +14% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $3,257.00 | ↑ +36% |
| SENTARA HEALTH | SENTARA HEALTH | $4,454.26 | ↑ +85% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $5,152.60 | ↑ +115% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $5,152.60 | ↑ +115% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $5,307.17 | ↑ +121% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $5,358.70 | ↑ +123% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $5,358.70 | ↑ +123% |
| MEDCOST | MEDCOST VHN | $5,603.85 | ↑ +133% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $5,898.53 | ↑ +146% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $5,898.53 | ↑ +146% |
| AETNA | AETNA HEALTHCARE MEDICARE | $5,898.53 | ↑ +146% |
| HUMANA | HUMANA MEDICARE | $5,898.53 | ↑ +146% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $5,898.53 | ↑ +146% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $5,898.53 | ↑ +146% |
| SENTARA HEALTH | SENTARA MEDICARE | $5,898.53 | ↑ +146% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $5,898.53 | ↑ +146% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $6,075.48 | ↑ +153% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $6,075.48 | ↑ +153% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $6,134.47 | ↑ +155% |
| BLUE CROSS | BLUE CROSS MEDICARE | $6,134.47 | ↑ +155% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $6,193.46 | ↑ +158% |
| NHC ADVANTAGE | NHC ADVANTAGE | $6,193.46 | ↑ +158% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $6,193.46 | ↑ +158% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $8,387.00 | ↑ +249% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $9,572.00 | ↑ +299% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $12,407.00 | ↑ +417% |
| AMBETTER | AMBETTER | $12,858.79 | ↑ +435% |
| AETNA | AETNA | $13,609.35 | ↑ +467% |
| BLUE CROSS | ANTHEM EXCHANGE | $16,011.00 | ↑ +567% |
| AMERIGROUP | AMERIGROUP | $16,011.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $16,011.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $16,011.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $16,011.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $16,011.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $16,011.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $16,011.00 | ↑ +567% |
Visitor-reported prices
Comments
Appendix Removal (Laparoscopic) at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $2,401.65 | $4,458.16 – $12,858.79 |
| Russell County Hospital | LEBANON | $2,401.65 | $5,152.66 – $12,858.79 |
| Lonesome Pine Hospital | BIG STONE GAP | $2,401.65 | $5,307.17 – $14,156.47 |
| Dickenson Community Hospital | CLINTWOOD | $2,357.04 | $7,363.51 – $7,658.05 |
| Lee County Community Hospital | PENNINGTON GAP | $2,357.04 | $7,363.51 – $7,658.05 |
| Inova Alexandria Hospital | Alexandria | not published | $3,508.00 – $9,927.00 |
| Inova Fairfax Hospital | Falls Church | not published | $3,508.00 – $9,927.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | not published | $3,508.00 – $9,927.00 |