Artery x-rays lung 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

$1,357.80

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.

$9,052.00

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.

$132.29 with CIGNA HEALTHCARE vs $9,052.00 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 →

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 $132.29 ↓ -90%
UNITED HEALTHCARE UHC HERITAGE SELECT $320.00 ↓ -76%
CIGNA HEALTHCARE CIGNA PPO $358.72 ↓ -74%
CIGNA HEALTHCARE CIGNA HMO $358.72 ↓ -74%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $358.72 ↓ -74%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $364.00 ↓ -73%
UNITED HEALTHCARE UNITED HEALTHCARE $472.00 ↓ -65%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $792.35 ↓ -42%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $1,877.97 ↑ +38%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $2,213.30 ↑ +63%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $2,213.30 ↑ +63%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $2,279.70 ↑ +68%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $2,301.83 ↑ +70%
AETNA AETNA BETTER HEALTH OF VIRGINIA $2,301.83 ↑ +70%
SENTARA HEALTH SENTARA HEALTH $2,518.27 ↑ +85%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $3,080.71 ↑ +127%
AETNA AETNA HEALTHCARE MEDICARE $3,080.71 ↑ +127%
HUMANA HUMANA MEDICARE $3,080.71 ↑ +127%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $3,080.71 ↑ +127%
ALLCARE MEDICARE ALLCARE MEDICARE $3,080.71 ↑ +127%
MANAGED MEDICAIRE MANAGED MEDICAIRE $3,080.71 ↑ +127%
SENTARA HEALTH SENTARA MEDICARE $3,080.71 ↑ +127%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $3,080.71 ↑ +127%
MEDCOST MEDCOST VHN $3,168.20 ↑ +133%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $3,173.13 ↑ +134%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $3,173.13 ↑ +134%
BLUE CROSS BLUE CROSS MEDICARE $3,203.93 ↑ +136%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $3,203.93 ↑ +136%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $3,234.74 ↑ +138%
NHC ADVANTAGE NHC ADVANTAGE $3,234.74 ↑ +138%
CIGNA HEALTHCARE CIGNA MEDICARE $3,234.74 ↑ +138%
AMBETTER AMBETTER $6,715.94 ↑ +395%
AETNA AETNA $7,694.20 ↑ +467%
BLUE CROSS TENNCARE BLUE SELECT $9,052.00 ↑ +567%
BLUE CROSS ANTHEM HMO $9,052.00 ↑ +567%
BLUE CROSS ANTHEM EXCHANGE $9,052.00 ↑ +567%
AMERIGROUP AMERIGROUP $9,052.00 ↑ +567%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $9,052.00 ↑ +567%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $9,052.00 ↑ +567%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $9,052.00 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $9,052.00 ↑ +567%

Visitor-reported prices

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Artery x-rays lung at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $1,646.50 $1,468.02 – $2,604.74
Inova Fairfax Hospital Falls Church $1,646.50 $1,468.02 – $2,604.74
Inova Fair Oaks Hospital VA 22033-1709 $1,646.50 $1,468.02 – $2,604.74
Inova Loudoun Hospital Leesburg $1,646.50 $1,468.02 – $2,604.74
Inova Mount Vernon Hospital Alexandria $1,646.50 $1,468.02 – $2,604.74
Johnston Memorial Hospital ABINGDON $1,357.80 $132.29 – $6,715.94
Russell County Hospital LEBANON $1,357.80 $132.29 – $6,715.94
Sentara Martha Jefferson Hospital Charlottesville $3,421.50 $3,142.32 – $3,234.74

All Virginia hospitals for this procedure →