Drug test def 8-14 classes 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

$157.80

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.

$1,052.00

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.

$110.69 with UNITED HEALTHCARE vs $1,052.00 with FIRST HEALTH COVENTRY — 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 TENNCARE UNITED HEALTHCARE $110.69 ↓ -30%
BLUE CROSS ANTHEM HMO $156.59 ↓ -1%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $156.59 ↓ -1%
UNITED HEALTHCARE UHC HERITAGE SELECT $156.59 ↓ -1%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $156.59 ↓ -1%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $156.59 ↓ -1%
SENTARA HEALTH SENTARA MEDICARE $156.59 ↓ -1%
UNITED HEALTHCARE UNITED HEALTHCARE $156.59 ↓ -1%
AETNA AETNA HEALTHCARE MEDICARE $156.59 ↓ -1%
MANAGED MEDICAIRE MANAGED MEDICAIRE $156.59 ↓ -1%
HUMANA HUMANA MEDICARE $156.59 ↓ -1%
ALLCARE MEDICARE ALLCARE MEDICARE $156.59 ↓ -1%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $156.59 ↓ -1%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $156.59 ↓ -1%
BLUE CROSS ANTHEM EXCHANGE $156.59 ↓ -1%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $161.29 ↑ +2%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $161.29 ↑ +2%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $162.85 ↑ +3%
BLUE CROSS BLUE CROSS MEDICARE $162.85 ↑ +3%
CIGNA HEALTHCARE CIGNA MEDICARE $164.42 ↑ +4%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $164.42 ↑ +4%
NHC ADVANTAGE NHC ADVANTAGE $164.42 ↑ +4%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $168.74 ↑ +7%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $168.74 ↑ +7%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $173.81 ↑ +10%
AETNA AETNA BETTER HEALTH OF VIRGINIA $175.49 ↑ +11%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $175.49 ↑ +11%
SENTARA HEALTH SENTARA HEALTH $292.67 ↑ +85%
AMBETTER AMBETTER $341.37 ↑ +116%
MEDCOST MEDCOST VHN $368.20 ↑ +133%
CIGNA HEALTHCARE CIGNA HMO $408.18 ↑ +159%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $408.18 ↑ +159%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $450.26 ↑ +185%
CIGNA HEALTHCARE CIGNA PPO $508.12 ↑ +222%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $736.40 ↑ +367%
AETNA AETNA $894.20 ↑ +467%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $1,052.00 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $1,052.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $1,052.00 ↑ +567%
AMERIGROUP AMERIGROUP $1,052.00 ↑ +567%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $1,052.00 ↑ +567%

Visitor-reported prices

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Drug test def 8-14 classes at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $621.00 $156.59 – $781.34
Inova Fairfax Hospital Falls Church $621.00 $156.59 – $781.34
Inova Fair Oaks Hospital VA 22033-1709 $621.00 $156.59 – $781.34
Inova Loudoun Hospital Leesburg $621.00 $156.59 – $781.34
Inova Mount Vernon Hospital Alexandria $621.00 $156.59 – $781.34
Johnston Memorial Hospital ABINGDON $157.80 $78.30 – $341.37
Russell County Hospital LEBANON $157.80 $110.69 – $341.37
Lonesome Pine Hospital BIG STONE GAP $157.80 $61.50 – $375.82

All Virginia hospitals for this procedure →