Injection carpal tunnel therapeutic (both sides) 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

$165.90

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.

$1,106.00

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.

$56.91 with BLUE CROSS vs $652.88 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 →

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
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $56.91 ↓ -66%
SENTARA HEALTH SENTARA HEALTH $105.44 ↓ -36%
MEDCOST MEDCOST VHN $132.65 ↓ -20%
UNITED HEALTHCARE UNITED HEALTHCARE $140.99 ↓ -15%
CIGNA HEALTHCARE CIGNA HMO $147.05 ↓ -11%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $147.05 ↓ -11%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $148.19 ↓ -11%
UNITED HEALTHCARE UHC HERITAGE SELECT $148.19 ↓ -11%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $175.86 ↑ +6%
CIGNA HEALTHCARE CIGNA PPO $180.40 ↑ +9%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $190.09 ↑ +15%
MANAGED MEDICAIRE MANAGED MEDICAIRE $299.49 ↑ +81%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $299.49 ↑ +81%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $299.49 ↑ +81%
AETNA AETNA HEALTHCARE MEDICARE $299.49 ↑ +81%
HUMANA HUMANA MEDICARE $299.49 ↑ +81%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $299.49 ↑ +81%
ALLCARE MEDICARE ALLCARE MEDICARE $299.49 ↑ +81%
SENTARA HEALTH SENTARA MEDICARE $299.49 ↑ +81%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $308.47 ↑ +86%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $308.47 ↑ +86%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $311.47 ↑ +88%
BLUE CROSS BLUE CROSS MEDICARE $311.47 ↑ +88%
CIGNA HEALTHCARE CIGNA MEDICARE $314.46 ↑ +90%
NHC ADVANTAGE NHC ADVANTAGE $314.46 ↑ +90%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $314.46 ↑ +90%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $315.38 ↑ +90%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $315.38 ↑ +90%
AETNA AETNA $322.15 ↑ +94%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $324.84 ↑ +96%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $328.00 ↑ +98%
AETNA AETNA BETTER HEALTH OF VIRGINIA $328.00 ↑ +98%
AMERIGROUP AMERIGROUP $379.00 ↑ +128%
BLUE CROSS TENNCARE BLUE SELECT $379.00 ↑ +128%
BLUE CROSS ANTHEM HMO $379.00 ↑ +128%
BLUE CROSS TENNCARE BLUE CARE $379.00 ↑ +128%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $379.00 ↑ +128%
BLUE CROSS ANTHEM EXCHANGE $379.00 ↑ +128%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $379.00 ↑ +128%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $379.00 ↑ +128%
AMBETTER AMBETTER $652.88 ↑ +294%

Visitor-reported prices

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Injection carpal tunnel therapeutic (both sides) at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $967.00 $295.19 – $1,509.00
Inova Fairfax Hospital Falls Church $967.00 $295.19 – $1,509.00
Inova Fair Oaks Hospital VA 22033-1709 $967.00 $295.19 – $1,509.00
Inova Loudoun Hospital Leesburg $967.00 $295.19 – $1,509.00
Inova Mount Vernon Hospital Alexandria $967.00 $295.19 – $1,509.00
Johnston Memorial Hospital ABINGDON $165.90 $56.91 – $652.88
Russell County Hospital LEBANON $165.90 $56.91 – $652.88
Sentara Martha Jefferson Hospital Charlottesville $282.50 $305.48 – $1,010.00

All Virginia hospitals for this procedure →