Special radiation treatment 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

$560.40

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.

$3,736.00

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.

$67.15 with CIGNA HEALTHCARE vs $3,736.00 with UNITED HEALTHCARE — 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
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $67.15 ↓ -88%
CIGNA HEALTHCARE CIGNA HMO $196.69 ↓ -65%
CIGNA HEALTHCARE CIGNA PPO $196.69 ↓ -65%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $196.69 ↓ -65%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $355.05 ↓ -37%
AETNA AETNA HEALTHCARE MEDICARE $539.11 ↓ -4%
HUMANA HUMANA MEDICARE $539.11 ↓ -4%
ALLCARE MEDICARE ALLCARE MEDICARE $539.11 ↓ -4%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $539.11 ↓ -4%
SENTARA HEALTH SENTARA MEDICARE $539.11 ↓ -4%
MANAGED MEDICAIRE MANAGED MEDICAIRE $539.11 ↓ -4%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $539.11 ↓ -4%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $539.11 ↓ -4%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $555.28 ↓ -1%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $555.28 ↓ -1%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $560.67 ↑ +0%
BLUE CROSS BLUE CROSS MEDICARE $560.67 ↑ +0%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $566.06 ↑ +1%
NHC ADVANTAGE NHC ADVANTAGE $566.06 ↑ +1%
CIGNA HEALTHCARE CIGNA MEDICARE $566.06 ↑ +1%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $604.86 ↑ +8%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $604.86 ↑ +8%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $623.01 ↑ +11%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $629.05 ↑ +12%
AETNA AETNA BETTER HEALTH OF VIRGINIA $629.06 ↑ +12%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $629.38 ↑ +12%
SENTARA HEALTH SENTARA HEALTH $1,039.36 ↑ +85%
AMBETTER AMBETTER $1,175.25 ↑ +110%
MEDCOST MEDCOST VHN $1,307.60 ↑ +133%
BLUE CROSS ANTHEM EXCHANGE $1,601.91 ↑ +186%
BLUE CROSS ANTHEM HMO $1,750.79 ↑ +212%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $1,862.44 ↑ +232%
UNITED HEALTHCARE UHC HERITAGE SELECT $3,100.00 ↑ +453%
AETNA AETNA $3,175.60 ↑ +467%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $3,539.00 ↑ +532%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $3,736.00 ↑ +567%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $3,736.00 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $3,736.00 ↑ +567%
AMERIGROUP AMERIGROUP $3,736.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $3,736.00 ↑ +567%
UNITED HEALTHCARE UNITED HEALTHCARE $3,736.00 ↑ +567%

Visitor-reported prices

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Special radiation treatment at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $2,538.50 $578.47 – $3,345.74
Inova Fairfax Hospital Falls Church $2,538.50 $578.47 – $3,345.74
Inova Fair Oaks Hospital VA 22033-1709 $2,538.50 $578.47 – $3,345.74
Inova Loudoun Hospital Leesburg $2,538.50 $578.47 – $3,345.74
Inova Mount Vernon Hospital Alexandria $2,538.50 $578.47 – $3,345.74
Johnston Memorial Hospital ABINGDON $560.40 $67.15 – $1,175.25
Russell County Hospital LEBANON $560.40 $67.15 – $1,175.25
Sentara Martha Jefferson Hospital Charlottesville $1,894.50 $549.89 – $566.06

All Virginia hospitals for this procedure →