Iron dextran 50 mg/ml injection solution 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

$19.69

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.

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What you pay up front if you don't use insurance.

$131.27

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.

$10.65 with UNITED HEALTHCARE vs $141.17 with AETNA — 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
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $10.65 ↓ -46%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $12.63 ↓ -36%
UNITED HEALTHCARE UHC HERITAGE SELECT $17.99 ↓ -9%
UNITED HEALTHCARE UNITED HEALTHCARE $17.99 ↓ -9%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $17.99 ↓ -9%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $18.08 ↓ -8%
SENTARA HEALTH SENTARA MEDICARE $18.08 ↓ -8%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $18.08 ↓ -8%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $18.08 ↓ -8%
AETNA AETNA HEALTHCARE MEDICARE $18.08 ↓ -8%
MANAGED MEDICAIRE MANAGED MEDICAIRE $18.08 ↓ -8%
HUMANA HUMANA MEDICARE $18.08 ↓ -8%
ALLCARE MEDICARE ALLCARE MEDICARE $18.08 ↓ -8%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $18.62 ↓ -5%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $18.62 ↓ -5%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $18.80 ↓ -5%
BLUE CROSS BLUE CROSS MEDICARE $18.80 ↓ -5%
CIGNA HEALTHCARE CIGNA MEDICARE $18.99 ↓ -4%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $18.99 ↓ -4%
NHC ADVANTAGE NHC ADVANTAGE $18.99 ↓ -4%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $31.87 ↑ +62%
SENTARA HEALTH SENTARA HEALTH $36.52 ↑ +85%
AMBETTER AMBETTER $39.42 ↑ +100%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $42.38 ↑ +115%
CIGNA HEALTHCARE CIGNA HMO $42.38 ↑ +115%
CIGNA HEALTHCARE CIGNA PPO $42.38 ↑ +115%
MEDCOST MEDCOST VHN $45.94 ↑ +133%
BLUE CROSS ANTHEM HMO $63.39 ↑ +222%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $63.39 ↑ +222%
BLUE CROSS ANTHEM EXCHANGE $63.39 ↑ +222%
AETNA AETNA $111.58 ↑ +467%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $131.27 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $131.27 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $131.27 ↑ +567%
AMERIGROUP AMERIGROUP $131.27 ↑ +567%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $131.27 ↑ +567%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $131.27 ↑ +567%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $135.74 ↑ +589%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $135.74 ↑ +589%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $141.17 ↑ +617%
AETNA AETNA BETTER HEALTH OF VIRGINIA $141.17 ↑ +617%

Visitor-reported prices

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Iron dextran 50 mg/ml injection solution at other Virginia hospitals

Hospital City Cash price Negotiated range
Russell County Hospital LEBANON $19.69 $10.65 – $135.74
Lonesome Pine Hospital BIG STONE GAP $32.43 $5.92 – $139.95
Lee County Community Hospital PENNINGTON GAP $30.19 $10.65 – $201.74
Rappahannock General Hospital Kilmarnock $90.00 not published
Maryview Hospital Portsmouth $90.00 not published
St Mary's Hospital Richmond $90.00 not published
Mary Immaculate Hospital Newport News $90.00 not published
Harbour View Medical Center Suffolk $90.00 not published

All Virginia hospitals for this procedure →