Cholinesterase 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

$13.65

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.

$91.00

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.

$5.72 with UNITED HEALTHCARE vs $91.00 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 $5.72 ↓ -58%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $5.72 ↓ -58%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $5.89 ↓ -57%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $5.95 ↓ -56%
AETNA AETNA BETTER HEALTH OF VIRGINIA $5.95 ↓ -56%
SENTARA HEALTH SENTARA MEDICARE $7.87 ↓ -42%
AETNA AETNA HEALTHCARE MEDICARE $7.87 ↓ -42%
HUMANA HUMANA MEDICARE $7.87 ↓ -42%
UNITED HEALTHCARE UNITED HEALTHCARE $7.87 ↓ -42%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $7.87 ↓ -42%
BLUE CROSS ANTHEM EXCHANGE $7.87 ↓ -42%
BLUE CROSS ANTHEM HMO $7.87 ↓ -42%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $7.87 ↓ -42%
ALLCARE MEDICARE ALLCARE MEDICARE $7.87 ↓ -42%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $7.87 ↓ -42%
UNITED HEALTHCARE UHC HERITAGE SELECT $7.87 ↓ -42%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $7.87 ↓ -42%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $7.87 ↓ -42%
MANAGED MEDICAIRE MANAGED MEDICAIRE $7.87 ↓ -42%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $8.11 ↓ -41%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $8.11 ↓ -41%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $8.18 ↓ -40%
BLUE CROSS BLUE CROSS MEDICARE $8.18 ↓ -40%
CIGNA HEALTHCARE CIGNA MEDICARE $8.26 ↓ -39%
NHC ADVANTAGE NHC ADVANTAGE $8.26 ↓ -39%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $8.26 ↓ -39%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $10.04 ↓ -26%
AMBETTER AMBETTER $17.16 ↑ +26%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $17.32 ↑ +27%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $25.29 ↑ +85%
SENTARA HEALTH SENTARA HEALTH $25.32 ↑ +85%
CIGNA HEALTHCARE CIGNA PPO $31.27 ↑ +129%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $31.27 ↑ +129%
CIGNA HEALTHCARE CIGNA HMO $31.27 ↑ +129%
MEDCOST MEDCOST VHN $31.85 ↑ +133%
AETNA AETNA $77.35 ↑ +467%
BLUE CROSS TENNCARE BLUE SELECT $91.00 ↑ +567%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $91.00 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $91.00 ↑ +567%
AMERIGROUP AMERIGROUP $91.00 ↑ +567%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $91.00 ↑ +567%

Visitor-reported prices

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Cholinesterase at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $165.00 $6.85 – $11.41
Inova Alexandria Hospital Alexandria $116.50 $6.47 – $146.58
Inova Fairfax Hospital Falls Church $116.50 $6.47 – $146.58
Inova Fair Oaks Hospital VA 22033-1709 $116.50 $6.47 – $146.58
Inova Loudoun Hospital Leesburg $116.50 $6.47 – $146.58
Inova Mount Vernon Hospital Alexandria $116.50 $6.47 – $146.58
Johnston Memorial Hospital ABINGDON $13.65 $3.94 – $17.16
Russell County Hospital LEBANON $13.65 $5.72 – $17.16

All Virginia hospitals for this procedure →