Ewhfo w/joint(s) cf at Smyth County Community Hospital
245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377
$676.50
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.
$4,510.00
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.
$721.60 with UNITED HEALTHCARE vs $4,551.39 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 |
|---|---|---|---|
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $721.60 | ↑ +7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $784.74 | ↑ +16% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $820.82 | ↑ +21% |
| SENTARA HEALTH | SENTARA HEALTH | $1,254.68 | ↑ +85% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,482.24 | ↑ +119% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,482.24 | ↑ +119% |
| BLUE CROSS | ANTHEM HMO | $1,482.24 | ↑ +119% |
| MEDCOST | MEDCOST VHN | $1,578.50 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,583.01 | ↑ +134% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,583.01 | ↑ +134% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,804.00 | ↑ +167% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,024.99 | ↑ +199% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2,087.79 | ↑ +209% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2,087.79 | ↑ +209% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2,087.79 | ↑ +209% |
| HUMANA | HUMANA MEDICARE | $2,087.79 | ↑ +209% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $2,087.79 | ↑ +209% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2,087.79 | ↑ +209% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $2,087.79 | ↑ +209% |
| SENTARA HEALTH | SENTARA MEDICARE | $2,087.79 | ↑ +209% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,150.43 | ↑ +218% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $2,150.43 | ↑ +218% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $2,171.30 | ↑ +221% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,171.30 | ↑ +221% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $2,192.18 | ↑ +224% |
| NHC ADVANTAGE | NHC ADVANTAGE | $2,192.18 | ↑ +224% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $2,192.18 | ↑ +224% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $2,255.00 | ↑ +233% |
| AETNA | AETNA | $3,833.50 | ↑ +467% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $4,510.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $4,510.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $4,510.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $4,510.00 | ↑ +567% |
| AMERIGROUP | AMERIGROUP | $4,510.00 | ↑ +567% |
| AMBETTER | AMBETTER | $4,551.39 | ↑ +573% |
Visitor-reported prices
Comments
Ewhfo w/joint(s) cf at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $676.50 | $1,482.24 – $4,551.39 |
| Russell County Hospital | LEBANON | $676.50 | $1,482.24 – $4,551.39 |
| Sentara Martha Jefferson Hospital | Charlottesville | $332.76 | not published |
| Sentara Northern Virginia Medical Center | Woodbridge | $649.46 | not published |
| Lonesome Pine Hospital | BIG STONE GAP | $676.50 | $1,482.24 – $4,551.39 |
| Sentara Halifax Regional Hospital | South Boston | $649.46 | not published |
| Sentara Leigh Hospital | Norfolk | $649.46 | $1,511.88 – $1,556.35 |
| Sentara RMH Medical Center | Harrisonburg | $332.76 | $1,511.88 – $1,556.35 |