Octreotide,microspheres ER 20 mg intramuscular susp, extended release 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

$7,070.42

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.

$47,136.10

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.

$74.64 with BLUE CROSS vs $31,478.05 with SEVEN CORNERS, INC. — 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 $74.64 ↓ -99%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $107.36 ↓ -98%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $199.17 ↓ -97%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $199.17 ↓ -97%
SENTARA HEALTH SENTARA MEDICARE $199.17 ↓ -97%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $199.17 ↓ -97%
ALLCARE MEDICARE ALLCARE MEDICARE $199.17 ↓ -97%
MANAGED MEDICAIRE MANAGED MEDICAIRE $199.17 ↓ -97%
AETNA AETNA HEALTHCARE MEDICARE $199.17 ↓ -97%
HUMANA HUMANA MEDICARE $199.17 ↓ -97%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $205.15 ↓ -97%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $205.15 ↓ -97%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $207.14 ↓ -97%
BLUE CROSS BLUE CROSS MEDICARE $207.14 ↓ -97%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $209.13 ↓ -97%
CIGNA HEALTHCARE CIGNA MEDICARE $209.13 ↓ -97%
NHC ADVANTAGE NHC ADVANTAGE $209.13 ↓ -97%
UNITED HEALTHCARE UNITED HEALTHCARE $215.48 ↓ -97%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $215.48 ↓ -97%
UNITED HEALTHCARE UHC HERITAGE SELECT $215.48 ↓ -97%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $358.30 ↓ -95%
AMBETTER AMBETTER $434.19 ↓ -94%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $476.38 ↓ -93%
CIGNA HEALTHCARE CIGNA HMO $476.38 ↓ -93%
CIGNA HEALTHCARE CIGNA PPO $476.38 ↓ -93%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $712.53 ↓ -90%
BLUE CROSS ANTHEM HMO $712.53 ↓ -90%
BLUE CROSS ANTHEM EXCHANGE $712.53 ↓ -90%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $6,096.19 ↓ -14%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $6,096.19 ↓ -14%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $6,279.07 ↓ -11%
AETNA AETNA BETTER HEALTH OF VIRGINIA $6,340.03 ↓ -10%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $6,340.04 ↓ -10%
SENTARA HEALTH SENTARA HEALTH $8,757.19 ↑ +24%
MEDCOST MEDCOST VHN $11,017.32 ↑ +56%
AETNA AETNA $26,756.34 ↑ +278%
BLUE CROSS TENNCARE BLUE SELECT $31,478.05 ↑ +345%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $31,478.05 ↑ +345%
AMERIGROUP AMERIGROUP $31,478.05 ↑ +345%
BLUE CROSS TENNCARE BLUE CARE $31,478.05 ↑ +345%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $31,478.05 ↑ +345%

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Octreotide,microspheres ER 20 mg intramuscular susp, extended release at other Virginia hospitals

Hospital City Cash price Negotiated range
Johnston Memorial Hospital ABINGDON $7,070.42 $74.64 – $6,096.19
Russell County Hospital LEBANON $4,721.71 $74.64 – $6,096.26
Lonesome Pine Hospital BIG STONE GAP $7,070.42 $59.65 – $6,285.17
LEWISGALE HOSPITAL-MONTGOMERY CHRISTIANSBURG $1,473.00 $173.90 – $527.80
RESTON HOSPITAL CENTER VIENNA $24,883.60 $186.18 – $527.80
Rappahannock General Hospital Kilmarnock $12,442.61 not published
Maryview Hospital Portsmouth $27,166.36 not published
St Mary's Hospital Richmond $34,009.80 not published

All Virginia hospitals for this procedure →