Rituximab-pvvr 10 mg/ml intravenous solution at Smyth County Community Hospital
245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377
$5,571.86
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.
$37,145.75
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.
$13.27 with ALLCARE MEDICARE vs $7,455.89 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 |
|---|---|---|---|
| ALLCARE MEDICARE | ALLCARE MEDICARE | $13.27 | ↓ -100% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $13.27 | ↓ -100% |
| SENTARA HEALTH | SENTARA MEDICARE | $13.27 | ↓ -100% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $13.27 | ↓ -100% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $13.27 | ↓ -100% |
| AETNA | AETNA HEALTHCARE MEDICARE | $13.27 | ↓ -100% |
| HUMANA | HUMANA MEDICARE | $13.27 | ↓ -100% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $13.27 | ↓ -100% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $13.67 | ↓ -100% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $13.67 | ↓ -100% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $13.80 | ↓ -100% |
| BLUE CROSS | BLUE CROSS MEDICARE | $13.80 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $13.93 | ↓ -100% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $13.93 | ↓ -100% |
| NHC ADVANTAGE | NHC ADVANTAGE | $13.93 | ↓ -100% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $19.25 | ↓ -100% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $19.25 | ↓ -100% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $19.25 | ↓ -100% |
| AMBETTER | AMBETTER | $28.93 | ↓ -99% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $49.02 | ↓ -99% |
| CIGNA HEALTHCARE | CIGNA HMO | $65.17 | ↓ -99% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $65.17 | ↓ -99% |
| CIGNA HEALTHCARE | CIGNA PPO | $65.17 | ↓ -99% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $66.45 | ↓ -99% |
| BLUE CROSS | ANTHEM EXCHANGE | $97.48 | ↓ -98% |
| BLUE CROSS | ANTHEM HMO | $97.48 | ↓ -98% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $97.48 | ↓ -98% |
| SENTARA HEALTH | SENTARA HEALTH | $2,074.23 | ↓ -63% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,213.69 | ↓ -60% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,213.69 | ↓ -60% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,280.10 | ↓ -59% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,302.24 | ↓ -59% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,302.24 | ↓ -59% |
| MEDCOST | MEDCOST VHN | $2,609.56 | ↓ -53% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $5,219.12 | ↓ -6% |
| AETNA | AETNA | $6,337.51 | ↑ +14% |
| BLUE CROSS | TENNCARE BLUE SELECT | $7,455.89 | ↑ +34% |
| AMERIGROUP | AMERIGROUP | $7,455.89 | ↑ +34% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $7,455.89 | ↑ +34% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $7,455.89 | ↑ +34% |
| BLUE CROSS | TENNCARE BLUE CARE | $7,455.89 | ↑ +34% |
Visitor-reported prices
Comments
Rituximab-pvvr 10 mg/ml intravenous solution at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Russell County Hospital | LEBANON | $5,571.86 | $13.27 – $2,213.71 |
| Rappahannock General Hospital | Kilmarnock | $6,451.20 | not published |
| Maryview Hospital | Portsmouth | $14,085.12 | not published |
| St Mary's Hospital | Richmond | $17,633.28 | not published |
| Mary Immaculate Hospital | Newport News | $14,837.76 | not published |
| Harbour View Medical Center | Suffolk | $14,085.12 | not published |
| Richmond Community Hospital | Richmond | $15,762.43 | not published |
| St Francis Medical Center | Midlothian | $20,428.80 | not published |