Ghs sleep study unattended at Smyth County Community Hospital
245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377
$184.80
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.
$1,232.00
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.
$139.22 with BLUE CROSS vs $1,232.00 with AMERIGROUP — 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 | $139.22 | ↓ -25% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $153.06 | ↓ -17% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $194.95 | ↑ +5% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $194.95 | ↑ +5% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $200.80 | ↑ +9% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $202.75 | ↑ +10% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $202.75 | ↑ +10% |
| SENTARA HEALTH | SENTARA MEDICARE | $210.67 | ↑ +14% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $210.67 | ↑ +14% |
| AETNA | AETNA HEALTHCARE MEDICARE | $210.67 | ↑ +14% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $210.67 | ↑ +14% |
| HUMANA | HUMANA MEDICARE | $210.67 | ↑ +14% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $210.67 | ↑ +14% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $210.67 | ↑ +14% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $210.67 | ↑ +14% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $216.99 | ↑ +17% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $216.99 | ↑ +17% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $219.10 | ↑ +19% |
| BLUE CROSS | BLUE CROSS MEDICARE | $219.10 | ↑ +19% |
| NHC ADVANTAGE | NHC ADVANTAGE | $221.21 | ↑ +20% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $221.21 | ↑ +20% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $221.21 | ↑ +20% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $307.55 | ↑ +66% |
| CIGNA HEALTHCARE | CIGNA HMO | $307.55 | ↑ +66% |
| CIGNA HEALTHCARE | CIGNA PPO | $307.55 | ↑ +66% |
| SENTARA HEALTH | SENTARA HEALTH | $342.74 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $431.20 | ↑ +133% |
| AMBETTER | AMBETTER | $459.27 | ↑ +149% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $571.65 | ↑ +209% |
| BLUE CROSS | ANTHEM EXCHANGE | $626.01 | ↑ +239% |
| BLUE CROSS | ANTHEM HMO | $684.19 | ↑ +270% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $727.82 | ↑ +294% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $940.00 | ↑ +409% |
| AETNA | AETNA | $1,047.20 | ↑ +467% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,073.00 | ↑ +481% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,232.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,232.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $1,232.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $1,232.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,232.00 | ↑ +567% |
| AMERIGROUP | AMERIGROUP | $1,232.00 | ↑ +567% |
Visitor-reported prices
Comments
Ghs sleep study unattended at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $184.80 | $139.22 – $459.27 |
| Russell County Hospital | LEBANON | $184.80 | $139.22 – $459.27 |
| Sentara Martha Jefferson Hospital | Charlottesville | $696.50 | $214.89 – $221.21 |
| Sentara Northern Virginia Medical Center | Woodbridge | $483.00 | $214.89 – $221.21 |
| Lonesome Pine Hospital | BIG STONE GAP | $184.80 | $85.04 – $505.62 |
| Sentara Halifax Regional Hospital | South Boston | $458.00 | $216.59 – $222.96 |
| Sentara Leigh Hospital | Norfolk | $483.00 | $214.89 – $221.21 |
| Sentara RMH Medical Center | Harrisonburg | $696.50 | $214.89 – $221.21 |