Ipilimumab 5 mg/ml intravenous solution (wrapper) at Smyth County Community Hospital
245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377
$35,612.46
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.
$237,416.43
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.
$112.55 with UNITED HEALTHCARE vs $59,379.33 with BLUE CROSS — 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 | TENNCARE UNITED HEALTHCARE | $112.55 | ↓ -100% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $176.78 | ↓ -100% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $176.78 | ↓ -100% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $176.78 | ↓ -100% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $186.91 | ↓ -99% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $186.91 | ↓ -99% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $186.91 | ↓ -99% |
| SENTARA HEALTH | SENTARA MEDICARE | $186.91 | ↓ -99% |
| HUMANA | HUMANA MEDICARE | $186.91 | ↓ -99% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $186.91 | ↓ -99% |
| AETNA | AETNA HEALTHCARE MEDICARE | $186.91 | ↓ -99% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $186.91 | ↓ -99% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $192.52 | ↓ -99% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $192.52 | ↓ -99% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $194.39 | ↓ -99% |
| BLUE CROSS | BLUE CROSS MEDICARE | $194.39 | ↓ -99% |
| NHC ADVANTAGE | NHC ADVANTAGE | $196.26 | ↓ -99% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $196.26 | ↓ -99% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $196.26 | ↓ -99% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $322.92 | ↓ -99% |
| AMBETTER | AMBETTER | $407.47 | ↓ -99% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $429.34 | ↓ -99% |
| CIGNA HEALTHCARE | CIGNA HMO | $429.34 | ↓ -99% |
| CIGNA HEALTHCARE | CIGNA PPO | $429.34 | ↓ -99% |
| BLUE CROSS | ANTHEM HMO | $642.18 | ↓ -98% |
| BLUE CROSS | ANTHEM EXCHANGE | $642.18 | ↓ -98% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $642.18 | ↓ -98% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $9,692.68 | ↓ -73% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $9,692.68 | ↓ -73% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $9,983.46 | ↓ -72% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $10,080.38 | ↓ -72% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $10,080.39 | ↓ -72% |
| SENTARA HEALTH | SENTARA HEALTH | $16,519.33 | ↓ -54% |
| MEDCOST | MEDCOST VHN | $20,782.77 | ↓ -42% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $41,565.53 | ↑ +17% |
| AETNA | AETNA | $50,472.43 | ↑ +42% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $59,379.33 | ↑ +67% |
| BLUE CROSS | TENNCARE BLUE SELECT | $59,379.33 | ↑ +67% |
| AMERIGROUP | AMERIGROUP | $59,379.33 | ↑ +67% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $59,379.33 | ↑ +67% |
| BLUE CROSS | TENNCARE BLUE CARE | $59,379.33 | ↑ +67% |
Visitor-reported prices
Comments
Ipilimumab 5 mg/ml intravenous solution (wrapper) at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Rappahannock General Hospital | Kilmarnock | $65,193.98 | not published |
| Southampton Medical Center | Franklin | $108,656.64 | not published |
| Maryview Hospital | Portsmouth | $108,656.64 | not published |
| St Mary's Hospital | Richmond | $108,656.64 | not published |
| Mary Immaculate Hospital | Newport News | $108,656.64 | not published |
| Harbour View Medical Center | Suffolk | $108,656.64 | not published |
| Richmond Community Hospital | Richmond | $108,656.64 | not published |
| St Francis Medical Center | Midlothian | $108,656.64 | not published |