Colonoscopy (with biopsy) at Smyth County Community Hospital
245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377
$484.05
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.
$3,227.00
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.
$897.75 with SENTARA HEALTH vs $3,227.00 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 →
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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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $897.75 | ↑ +85% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $948.00 | ↑ +96% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,107.00 | ↑ +129% |
| MEDCOST | MEDCOST VHN | $1,129.45 | ↑ +133% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,167.54 | ↑ +141% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,167.54 | ↑ +141% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,167.54 | ↑ +141% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,167.54 | ↑ +141% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,167.54 | ↑ +141% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,167.54 | ↑ +141% |
| HUMANA | HUMANA MEDICARE | $1,167.54 | ↑ +141% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,167.54 | ↑ +141% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,202.57 | ↑ +148% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,202.57 | ↑ +148% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,214.25 | ↑ +151% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,214.25 | ↑ +151% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,225.92 | ↑ +153% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,225.92 | ↑ +153% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,225.92 | ↑ +153% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,270.10 | ↑ +162% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,270.10 | ↑ +162% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,308.20 | ↑ +170% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,320.90 | ↑ +173% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,320.90 | ↑ +173% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,621.00 | ↑ +235% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,695.00 | ↑ +250% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,695.00 | ↑ +250% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,850.00 | ↑ +282% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,882.00 | ↑ +289% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,956.00 | ↑ +304% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,397.00 | ↑ +395% |
| AMBETTER | AMBETTER | $2,545.25 | ↑ +426% |
| AETNA | AETNA | $2,742.95 | ↑ +467% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,227.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $3,227.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $3,227.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $3,227.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $3,227.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $3,227.00 | ↑ +567% |
| AMERIGROUP | AMERIGROUP | $3,227.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,227.00 | ↑ +567% |
Visitor-reported prices
Comments
Colonoscopy (with biopsy) at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $484.05 | $930.02 – $2,545.25 |
| Russell County Hospital | LEBANON | $484.05 | $1,167.54 – $2,545.25 |
| Lonesome Pine Hospital | BIG STONE GAP | $484.05 | $1,167.54 – $2,802.11 |
| Dickenson Community Hospital | CLINTWOOD | $474.95 | $1,815.08 – $1,887.69 |
| Lee County Community Hospital | PENNINGTON GAP | $474.95 | $1,815.08 – $1,887.69 |
| Inova Alexandria Hospital | Alexandria | not published | $1,179.08 – $2,485.00 |
| Inova Fairfax Hospital | Falls Church | not published | $1,179.08 – $2,485.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | not published | $1,179.08 – $2,485.00 |