Blink reflex test 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

$66.15

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.

$441.00

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.

$15.90 with BLUE CROSS vs $441.00 with SEVEN CORNERS, INC. — 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
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $15.90 ↓ -76%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $39.75 ↓ -40%
SENTARA HEALTH SENTARA MEDICARE $57.56 ↓ -13%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $57.56 ↓ -13%
AETNA AETNA HEALTHCARE MEDICARE $57.56 ↓ -13%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $57.56 ↓ -13%
MANAGED MEDICAIRE MANAGED MEDICAIRE $57.56 ↓ -13%
HUMANA HUMANA MEDICARE $57.56 ↓ -13%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $57.56 ↓ -13%
ALLCARE MEDICARE ALLCARE MEDICARE $57.56 ↓ -13%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $59.28 ↓ -10%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $59.28 ↓ -10%
BLUE CROSS BLUE CROSS MEDICARE $59.86 ↓ -10%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $59.86 ↓ -10%
CIGNA HEALTHCARE CIGNA MEDICARE $60.44 ↓ -9%
NHC ADVANTAGE NHC ADVANTAGE $60.44 ↓ -9%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $60.44 ↓ -9%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $101.88 ↑ +54%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $101.88 ↑ +54%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $104.94 ↑ +59%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $105.96 ↑ +60%
AETNA AETNA BETTER HEALTH OF VIRGINIA $105.96 ↑ +60%
SENTARA HEALTH SENTARA HEALTH $122.69 ↑ +85%
AMBETTER AMBETTER $125.48 ↑ +90%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $141.74 ↑ +114%
CIGNA HEALTHCARE CIGNA PPO $141.74 ↑ +114%
CIGNA HEALTHCARE CIGNA HMO $141.74 ↑ +114%
MEDCOST MEDCOST VHN $154.35 ↑ +133%
BLUE CROSS ANTHEM EXCHANGE $171.03 ↑ +159%
BLUE CROSS ANTHEM HMO $186.92 ↑ +183%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $198.84 ↑ +201%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $204.62 ↑ +209%
AETNA AETNA $374.85 ↑ +467%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $441.00 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $441.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $441.00 ↑ +567%
UNITED HEALTHCARE UNITED HEALTHCARE $441.00 ↑ +567%
AMERIGROUP AMERIGROUP $441.00 ↑ +567%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $441.00 ↑ +567%
UNITED HEALTHCARE UHC HERITAGE SELECT $441.00 ↑ +567%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $441.00 ↑ +567%

Visitor-reported prices

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Blink reflex test at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $315.00 $59.40 – $396.33
Inova Fairfax Hospital Falls Church $315.00 $59.40 – $396.33
Inova Fair Oaks Hospital VA 22033-1709 $315.00 $59.40 – $396.33
Inova Loudoun Hospital Leesburg $315.00 $59.40 – $396.33
Inova Mount Vernon Hospital Alexandria $315.00 $59.40 – $396.33
Johnston Memorial Hospital ABINGDON $66.15 $15.90 – $125.48
Russell County Hospital LEBANON $66.15 $15.90 – $125.48
Sentara Martha Jefferson Hospital Charlottesville $190.00 $58.71 – $60.44

All Virginia hospitals for this procedure →