Exchange biliary drg cath at Smyth County Community Hospital
245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377
$1,105.80
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.
$7,372.00
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.
$1,523.00 with BLUE CROSS vs $7,615.49 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 | $1,523.00 | ↑ +38% |
| SENTARA HEALTH | SENTARA HEALTH | $2,050.89 | ↑ +85% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $2,146.00 | ↑ +94% |
| MEDCOST | MEDCOST VHN | $2,580.20 | ↑ +133% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,921.59 | ↑ +164% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,921.59 | ↑ +164% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $3,009.24 | ↑ +172% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $3,038.45 | ↑ +175% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $3,038.46 | ↑ +175% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,493.34 | ↑ +216% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,493.34 | ↑ +216% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,493.34 | ↑ +216% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,493.34 | ↑ +216% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,493.34 | ↑ +216% |
| HUMANA | HUMANA MEDICARE | $3,493.34 | ↑ +216% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,493.34 | ↑ +216% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,493.34 | ↑ +216% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,598.14 | ↑ +225% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,598.14 | ↑ +225% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,633.08 | ↑ +229% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,633.08 | ↑ +229% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,668.01 | ↑ +232% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,668.01 | ↑ +232% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,668.01 | ↑ +232% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $5,125.00 | ↑ +363% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $5,238.00 | ↑ +374% |
| CIGNA HEALTHCARE | CIGNA HMO | $5,238.00 | ↑ +374% |
| CIGNA HEALTHCARE | CIGNA PPO | $5,820.00 | ↑ +426% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $5,849.00 | ↑ +429% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $6,048.00 | ↑ +447% |
| AETNA | AETNA | $6,266.20 | ↑ +467% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $7,372.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $7,372.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $7,372.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $7,372.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $7,372.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $7,372.00 | ↑ +567% |
| AMERIGROUP | AMERIGROUP | $7,372.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $7,372.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $7,372.00 | ↑ +567% |
| AMBETTER | AMBETTER | $7,615.49 | ↑ +589% |
Visitor-reported prices
Comments
Exchange biliary drg cath at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $4,143.00 | $943.00 – $3,670.22 |
| Inova Fairfax Hospital | Falls Church | $4,143.00 | $943.00 – $3,670.22 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $4,143.00 | $943.00 – $3,670.22 |
| Inova Loudoun Hospital | Leesburg | $4,143.00 | $943.00 – $3,670.22 |
| Inova Mount Vernon Hospital | Alexandria | $4,143.00 | $943.00 – $3,670.22 |
| Johnston Memorial Hospital | ABINGDON | $1,105.80 | $2,891.36 – $7,615.49 |
| Russell County Hospital | LEBANON | $1,105.80 | $2,921.63 – $7,615.49 |
| Sentara Martha Jefferson Hospital | Charlottesville | $3,931.00 | $2,670.00 – $8,246.00 |