Resp virus 6-11 targets at Smyth County Community Hospital
245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377
$373.80
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.
$2,492.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$188.84 with UNITED HEALTHCARE vs $2,492.00 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 →
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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 | UNITED HEALTHCARE MEDICAID VIRGINIA | $188.84 | ↓ -49% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $188.84 | ↓ -49% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $194.51 | ↓ -48% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $196.39 | ↓ -47% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $196.40 | ↓ -47% |
| SENTARA HEALTH | SENTARA MEDICARE | $218.06 | ↓ -42% |
| AETNA | AETNA HEALTHCARE MEDICARE | $218.06 | ↓ -42% |
| HUMANA | HUMANA MEDICARE | $218.06 | ↓ -42% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $218.06 | ↓ -42% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $218.06 | ↓ -42% |
| BLUE CROSS | ANTHEM EXCHANGE | $218.06 | ↓ -42% |
| BLUE CROSS | ANTHEM HMO | $218.06 | ↓ -42% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $218.06 | ↓ -42% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $218.06 | ↓ -42% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $218.06 | ↓ -42% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $218.06 | ↓ -42% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $218.06 | ↓ -42% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $218.06 | ↓ -42% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $218.06 | ↓ -42% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $224.60 | ↓ -40% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $224.60 | ↓ -40% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $226.78 | ↓ -39% |
| BLUE CROSS | BLUE CROSS MEDICARE | $226.78 | ↓ -39% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $228.96 | ↓ -39% |
| NHC ADVANTAGE | NHC ADVANTAGE | $228.96 | ↓ -39% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $228.96 | ↓ -39% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $264.03 | ↓ -29% |
| AMBETTER | AMBETTER | $475.37 | ↑ +27% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $480.71 | ↑ +29% |
| SENTARA HEALTH | SENTARA HEALTH | $693.27 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $872.20 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA HMO | $966.90 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $966.90 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,203.64 | ↑ +222% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,744.40 | ↑ +367% |
| AETNA | AETNA | $2,118.20 | ↑ +467% |
| AMERIGROUP | AMERIGROUP | $2,492.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $2,492.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,492.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,492.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $2,492.00 | ↑ +567% |
Visitor-reported prices
Comments
Resp virus 6-11 targets at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $2,354.50 | $213.69 – $2,962.43 |
| Inova Fairfax Hospital | Falls Church | $2,354.50 | $213.69 – $2,962.43 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $2,354.50 | $213.69 – $2,962.43 |
| Inova Loudoun Hospital | Leesburg | $2,354.50 | $213.69 – $2,962.43 |
| Inova Mount Vernon Hospital | Alexandria | $2,354.50 | $213.69 – $2,962.43 |
| Johnston Memorial Hospital | ABINGDON | $373.80 | $109.03 – $475.37 |
| Russell County Hospital | LEBANON | $373.80 | $188.84 – $475.37 |
| Sentara Martha Jefferson Hospital | Charlottesville | $859.00 | $222.42 – $352.04 |