Revision tips at Smyth County Community Hospital
245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377
$2,983.35
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.
$19,889.00
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.
$948.00 with UNITED HEALTHCARE vs $19,889.00 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 →
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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 | UHC HERITAGE SELECT | $948.00 | ↓ -68% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↓ -49% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,774.00 | ↓ -7% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,774.00 | ↓ -7% |
| CIGNA HEALTHCARE | CIGNA PPO | $3,083.00 | ↑ +3% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,204.00 | ↑ +7% |
| SENTARA HEALTH | SENTARA HEALTH | $5,533.12 | ↑ +85% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $5,553.17 | ↑ +86% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $5,553.17 | ↑ +86% |
| AETNA | AETNA HEALTHCARE MEDICARE | $5,553.17 | ↑ +86% |
| HUMANA | HUMANA MEDICARE | $5,553.17 | ↑ +86% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $5,553.17 | ↑ +86% |
| SENTARA HEALTH | SENTARA MEDICARE | $5,553.17 | ↑ +86% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $5,553.17 | ↑ +86% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $5,553.17 | ↑ +86% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $5,719.77 | ↑ +92% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $5,719.77 | ↑ +92% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $5,775.30 | ↑ +94% |
| BLUE CROSS | BLUE CROSS MEDICARE | $5,775.30 | ↑ +94% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $5,830.83 | ↑ +95% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $5,830.83 | ↑ +95% |
| NHC ADVANTAGE | NHC ADVANTAGE | $5,830.83 | ↑ +95% |
| MEDCOST | MEDCOST VHN | $6,961.15 | ↑ +133% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $7,181.00 | ↑ +141% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $8,354.86 | ↑ +180% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $8,354.86 | ↑ +180% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $8,605.51 | ↑ +188% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $8,689.05 | ↑ +191% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $8,689.06 | ↑ +191% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $10,806.00 | ↑ +262% |
| AMBETTER | AMBETTER | $12,105.92 | ↑ +306% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $14,004.00 | ↑ +369% |
| BLUE CROSS | ANTHEM EXCHANGE | $16,500.86 | ↑ +453% |
| AETNA | AETNA | $16,905.65 | ↑ +467% |
| BLUE CROSS | ANTHEM HMO | $18,034.48 | ↑ +505% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $19,184.53 | ↑ +543% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $19,889.00 | ↑ +567% |
| AMERIGROUP | AMERIGROUP | $19,889.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $19,889.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $19,889.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $19,889.00 | ↑ +567% |
Visitor-reported prices
Comments
Revision tips at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $7,622.00 | $4,588.00 – $11,913.00 |
| Inova Fairfax Hospital | Falls Church | $7,622.00 | $4,588.00 – $11,913.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $7,622.00 | $4,588.00 – $11,913.00 |
| Inova Loudoun Hospital | Leesburg | $7,622.00 | $4,588.00 – $11,913.00 |
| Inova Mount Vernon Hospital | Alexandria | $7,622.00 | $4,588.00 – $11,913.00 |
| Johnston Memorial Hospital | ABINGDON | $2,983.35 | $5,050.42 – $12,105.92 |
| Russell County Hospital | LEBANON | $2,983.35 | $5,553.17 – $12,105.92 |
| Sentara Martha Jefferson Hospital | Charlottesville | $7,066.50 | $5,664.24 – $29,725.00 |