Electrophysiology evaluation at Smyth County Community Hospital
245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377
$1,142.25
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.
$7,615.00
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.
$558.57 with BLUE CROSS vs $16,589.83 with AMBETTER — 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $558.57 | ↓ -51% |
| CIGNA HEALTHCARE | CIGNA PPO | $589.03 | ↓ -48% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $589.03 | ↓ -48% |
| CIGNA HEALTHCARE | CIGNA HMO | $589.03 | ↓ -48% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,279.00 | ↑ +12% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,460.00 | ↑ +28% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,892.00 | ↑ +66% |
| SENTARA HEALTH | SENTARA HEALTH | $2,118.49 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $2,665.25 | ↑ +133% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $3,383.06 | ↑ +196% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,533.36 | ↑ +209% |
| AETNA | AETNA | $6,472.75 | ↑ +467% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $7,610.01 | ↑ +566% |
| SENTARA HEALTH | SENTARA MEDICARE | $7,610.01 | ↑ +566% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $7,610.01 | ↑ +566% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $7,610.01 | ↑ +566% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $7,610.01 | ↑ +566% |
| HUMANA | HUMANA MEDICARE | $7,610.01 | ↑ +566% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $7,610.01 | ↑ +566% |
| AETNA | AETNA HEALTHCARE MEDICARE | $7,610.01 | ↑ +566% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $7,615.00 | ↑ +567% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $7,615.00 | ↑ +567% |
| AMERIGROUP | AMERIGROUP | $7,615.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $7,615.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $7,615.00 | ↑ +567% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $7,615.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $7,615.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $7,615.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $7,615.00 | ↑ +567% |
| NHC ADVANTAGE | NHC ADVANTAGE | $7,615.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $7,615.00 | ↑ +567% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $7,615.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $7,615.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $7,615.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $7,615.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS MEDICARE | $7,914.41 | ↑ +593% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $8,672.95 | ↑ +659% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $8,672.95 | ↑ +659% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $9,019.87 | ↑ +690% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $9,019.87 | ↑ +690% |
| AMBETTER | AMBETTER | $16,589.83 | ↑ +1352% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $4,958.00 | $1,496.64 – $12,223.00 |
| Inova Fairfax Hospital | Falls Church | $4,958.00 | $1,496.64 – $12,223.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $4,958.00 | $1,496.64 – $12,223.00 |
| Inova Loudoun Hospital | Leesburg | $4,958.00 | $1,496.64 – $12,223.00 |
| Inova Mount Vernon Hospital | Alexandria | $4,958.00 | $1,496.64 – $12,223.00 |
| Johnston Memorial Hospital | ABINGDON | $1,142.25 | $329.44 – $16,589.83 |
| Russell County Hospital | LEBANON | $1,142.25 | $558.57 – $16,589.83 |
| Sentara Martha Jefferson Hospital | Charlottesville | $4,138.00 | $5,980.00 – $7,971.49 |