N-invas est c ffr sw aly cta 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

$1,372.35

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.

$9,149.00

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.

$502.68 with OPTIMA HEALTH vs $9,149.00 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 →

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 $502.68 ↓ -63%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $502.68 ↓ -63%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $517.76 ↓ -62%
AETNA AETNA BETTER HEALTH OF VIRGINIA $522.78 ↓ -62%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $522.79 ↓ -62%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $837.86 ↓ -39%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $837.86 ↓ -39%
SENTARA HEALTH SENTARA MEDICARE $837.86 ↓ -39%
ALLCARE MEDICARE ALLCARE MEDICARE $837.86 ↓ -39%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $837.86 ↓ -39%
AETNA AETNA HEALTHCARE MEDICARE $837.86 ↓ -39%
MANAGED MEDICAIRE MANAGED MEDICAIRE $837.86 ↓ -39%
HUMANA HUMANA MEDICARE $837.86 ↓ -39%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $863.00 ↓ -37%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $863.00 ↓ -37%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $871.37 ↓ -37%
BLUE CROSS BLUE CROSS MEDICARE $871.37 ↓ -37%
CIGNA HEALTHCARE CIGNA MEDICARE $879.75 ↓ -36%
NHC ADVANTAGE NHC ADVANTAGE $879.75 ↓ -36%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $879.75 ↓ -36%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $896.56 ↓ -35%
UNITED HEALTHCARE UHC HERITAGE SELECT $1,279.00 ↓ -7%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $1,460.00 ↑ +6%
AMBETTER AMBETTER $1,826.53 ↑ +33%
UNITED HEALTHCARE UNITED HEALTHCARE $1,892.00 ↑ +38%
BLUE CROSS ANTHEM EXCHANGE $2,489.64 ↑ +81%
SENTARA HEALTH SENTARA HEALTH $2,545.25 ↑ +85%
BLUE CROSS ANTHEM HMO $2,721.03 ↑ +98%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $2,894.55 ↑ +111%
MEDCOST MEDCOST VHN $3,202.15 ↑ +133%
CIGNA HEALTHCARE CIGNA HMO $3,549.81 ↑ +159%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $3,549.81 ↑ +159%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $4,245.14 ↑ +209%
CIGNA HEALTHCARE CIGNA PPO $4,418.97 ↑ +222%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $6,404.30 ↑ +367%
AETNA AETNA $7,776.65 ↑ +467%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $9,149.00 ↑ +567%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $9,149.00 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $9,149.00 ↑ +567%
AMERIGROUP AMERIGROUP $9,149.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $9,149.00 ↑ +567%

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N-invas est c ffr sw aly cta at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $5,209.50 $568.82 – $6,866.12
Inova Fairfax Hospital Falls Church $5,209.50 $568.82 – $6,866.12
Inova Fair Oaks Hospital VA 22033-1709 $5,209.50 $568.82 – $6,866.12
Inova Loudoun Hospital Leesburg $5,209.50 $568.82 – $6,866.12
Inova Mount Vernon Hospital Alexandria $5,209.50 $568.82 – $6,866.12
Johnston Memorial Hospital ABINGDON $1,372.35 $502.68 – $1,826.53
Russell County Hospital LEBANON $1,372.35 $502.68 – $1,826.53
Lonesome Pine Hospital BIG STONE GAP $1,372.35 $498.09 – $2,010.86

All Virginia hospitals for this procedure →