Catecholamines,fractionated, urine 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

$14.40

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.

$96.00

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.

$13.91 with UNITED HEALTHCARE vs $96.00 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
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $13.91 ↓ -3%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $13.91 ↓ -3%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $14.33 ↓ -0%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $14.47 ↑ +0%
AETNA AETNA BETTER HEALTH OF VIRGINIA $14.47 ↑ +0%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $21.92 ↑ +52%
SENTARA HEALTH SENTARA HEALTH $26.71 ↑ +85%
SENTARA HEALTH SENTARA MEDICARE $27.30 ↑ +90%
MANAGED MEDICAIRE MANAGED MEDICAIRE $27.30 ↑ +90%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $27.30 ↑ +90%
BLUE CROSS ANTHEM EXCHANGE $27.30 ↑ +90%
BLUE CROSS ANTHEM HMO $27.30 ↑ +90%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $27.30 ↑ +90%
HUMANA HUMANA MEDICARE $27.30 ↑ +90%
ALLCARE MEDICARE ALLCARE MEDICARE $27.30 ↑ +90%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $27.30 ↑ +90%
UNITED HEALTHCARE UHC HERITAGE SELECT $27.30 ↑ +90%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $27.30 ↑ +90%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $27.30 ↑ +90%
AETNA AETNA HEALTHCARE MEDICARE $27.30 ↑ +90%
UNITED HEALTHCARE UNITED HEALTHCARE $27.30 ↑ +90%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $28.12 ↑ +95%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $28.12 ↑ +95%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $28.39 ↑ +97%
BLUE CROSS BLUE CROSS MEDICARE $28.39 ↑ +97%
CIGNA HEALTHCARE CIGNA MEDICARE $28.67 ↑ +99%
NHC ADVANTAGE NHC ADVANTAGE $28.67 ↑ +99%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $28.67 ↑ +99%
MEDCOST MEDCOST VHN $33.60 ↑ +133%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $55.46 ↑ +285%
AMBETTER AMBETTER $59.51 ↑ +313%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $59.91 ↑ +316%
CIGNA HEALTHCARE CIGNA HMO $68.22 ↑ +374%
CIGNA HEALTHCARE CIGNA PPO $68.22 ↑ +374%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $68.22 ↑ +374%
AETNA AETNA $81.60 ↑ +467%
BLUE CROSS TENNCARE BLUE CARE $96.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $96.00 ↑ +567%
AMERIGROUP AMERIGROUP $96.00 ↑ +567%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $96.00 ↑ +567%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $96.00 ↑ +567%

Visitor-reported prices

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Catecholamines,fractionated, urine at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $181.50 $15.74 – $228.36
Inova Fairfax Hospital Falls Church $181.50 $15.74 – $228.36
Inova Fair Oaks Hospital VA 22033-1709 $181.50 $15.74 – $228.36
Inova Loudoun Hospital Leesburg $181.50 $15.74 – $228.36
Inova Mount Vernon Hospital Alexandria $181.50 $15.74 – $228.36
Johnston Memorial Hospital ABINGDON $14.40 $13.65 – $59.51
Russell County Hospital LEBANON $14.40 $13.91 – $59.51
Lonesome Pine Hospital BIG STONE GAP $14.40 $12.18 – $65.52

All Virginia hospitals for this procedure →