Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution 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

$24.08

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.

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What you pay up front if you don't use insurance.

$160.56

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.

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The hospital's undiscounted list price — almost no one pays this.

$7.69 with BLUE CROSS vs $48.38 with AMERIGROUP — 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 $7.69 ↓ -68%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $12.46 ↓ -48%
SENTARA HEALTH SENTARA HEALTH $13.46 ↓ -44%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $16.57 ↓ -31%
CIGNA HEALTHCARE CIGNA HMO $16.57 ↓ -31%
CIGNA HEALTHCARE CIGNA PPO $16.57 ↓ -31%
MEDCOST MEDCOST VHN $16.93 ↓ -30%
UNITED HEALTHCARE UNITED HEALTHCARE $18.00 ↓ -25%
UNITED HEALTHCARE UHC HERITAGE SELECT $18.92 ↓ -21%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $18.92 ↓ -21%
AETNA AETNA $41.12 ↑ +71%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $48.38 ↑ +101%
BLUE CROSS TENNCARE BLUE SELECT $48.38 ↑ +101%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $48.38 ↑ +101%
BLUE CROSS TENNCARE BLUE CARE $48.38 ↑ +101%
AMERIGROUP AMERIGROUP $48.38 ↑ +101%

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Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $23.67 $9.89 – $33.27
Inova Fairfax Hospital Falls Church $23.67 $9.89 – $33.27
Inova Fair Oaks Hospital VA 22033-1709 $23.67 $9.89 – $33.27
Inova Loudoun Hospital Leesburg $23.67 $9.89 – $33.27
Inova Mount Vernon Hospital Alexandria $23.67 $9.89 – $33.27
Johnston Memorial Hospital ABINGDON $24.08 $7.69 – $18.00
Russell County Hospital LEBANON $24.08 $7.69 – $12.46
Lonesome Pine Hospital BIG STONE GAP $24.08 $7.69 – $12.46

All Virginia hospitals for this procedure →