Pet image w/ct lmtd at Smyth County Community Hospital
245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377
$1,405.50
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.
?
What you pay up front if you don't use insurance.
$9,370.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$933.26 with UNITED HEALTHCARE vs $9,370.00 with SEVEN CORNERS, INC. — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $933.26 | ↓ -34% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,346.49 | ↓ -4% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,395.18 | ↓ -1% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,395.18 | ↓ -1% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,395.18 | ↓ -1% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,395.18 | ↓ -1% |
| HUMANA | HUMANA MEDICARE | $1,395.18 | ↓ -1% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,395.18 | ↓ -1% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,395.18 | ↓ -1% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,395.18 | ↓ -1% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,437.03 | ↑ +2% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,437.03 | ↑ +2% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,450.99 | ↑ +3% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,450.99 | ↑ +3% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,464.94 | ↑ +4% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,464.94 | ↑ +4% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,464.94 | ↑ +4% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,775.17 | ↑ +26% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,775.17 | ↑ +26% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,814.00 | ↑ +29% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,828.43 | ↑ +30% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,846.18 | ↑ +31% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,846.18 | ↑ +31% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,170.00 | ↑ +54% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,170.00 | ↑ +54% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,170.00 | ↑ +54% |
| SENTARA HEALTH | SENTARA HEALTH | $2,606.73 | ↑ +85% |
| AMBETTER | AMBETTER | $3,041.49 | ↑ +116% |
| MEDCOST | MEDCOST VHN | $3,279.50 | ↑ +133% |
| BLUE CROSS | ANTHEM EXCHANGE | $4,145.68 | ↑ +195% |
| BLUE CROSS | ANTHEM HMO | $4,530.99 | ↑ +222% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $4,819.93 | ↑ +243% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $5,915.00 | ↑ +321% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $6,751.00 | ↑ +380% |
| AETNA | AETNA | $7,964.50 | ↑ +467% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $8,749.00 | ↑ +522% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $9,370.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $9,370.00 | ↑ +567% |
| AMERIGROUP | AMERIGROUP | $9,370.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $9,370.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $9,370.00 | ↑ +567% |
Visitor-reported prices
Comments
Pet image w/ct lmtd at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $4,911.00 | $1,458.59 – $4,496.00 |
| Inova Fairfax Hospital | Falls Church | $4,911.00 | $1,458.59 – $4,496.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $4,911.00 | $1,458.59 – $4,496.00 |
| Inova Loudoun Hospital | Leesburg | $4,911.00 | $1,458.59 – $4,496.00 |
| Inova Mount Vernon Hospital | Alexandria | $4,911.00 | $1,458.59 – $4,496.00 |
| Johnston Memorial Hospital | ABINGDON | $1,405.50 | $877.32 – $3,041.49 |
| Russell County Hospital | LEBANON | $1,405.50 | $933.26 – $3,041.49 |
| Sentara Martha Jefferson Hospital | Charlottesville | $4,409.00 | $1,423.08 – $1,464.94 |