General health panel 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

$49.20

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.

$328.00

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.

$9.51 with OPTIMA HEALTH vs $328.00 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
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $9.51 ↓ -81%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $9.51 ↓ -81%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $9.79 ↓ -80%
AETNA AETNA BETTER HEALTH OF VIRGINIA $9.89 ↓ -80%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $9.89 ↓ -80%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $35.53 ↓ -28%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $47.28 ↓ -4%
UNITED HEALTHCARE UNITED HEALTHCARE $47.28 ↓ -4%
UNITED HEALTHCARE UHC HERITAGE SELECT $47.28 ↓ -4%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $69.30 ↑ +41%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $87.34 ↑ +78%
SENTARA HEALTH SENTARA HEALTH $91.25 ↑ +85%
CIGNA HEALTHCARE CIGNA PPO $109.91 ↑ +123%
CIGNA HEALTHCARE CIGNA HMO $109.91 ↑ +123%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $109.91 ↑ +123%
MEDCOST MEDCOST VHN $114.80 ↑ +133%
AETNA AETNA $278.80 ↑ +467%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $328.00 ↑ +567%
AMERIGROUP AMERIGROUP $328.00 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $328.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $328.00 ↑ +567%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $328.00 ↑ +567%

Visitor-reported prices

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General health panel at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $1,535.00 $45.36 – $256.06
Johnston Memorial Hospital ABINGDON $49.20 $9.51 – $87.34
Russell County Hospital LEBANON $49.20 $9.51 – $87.34
Lonesome Pine Hospital BIG STONE GAP $49.20 $9.79 – $87.34
LEWISGALE MEDICAL CENTER ROANOKE $394.00 $45.36 – $254.65
Dickenson Community Hospital CLINTWOOD $48.30 $13.59 – $87.34
Lee County Community Hospital PENNINGTON GAP $48.30 $13.59 – $87.34
Sentara Martha Jefferson Hospital Charlottesville not published $51.84 – $115.23

All Virginia hospitals for this procedure →