Tc-99m exame autol wbc diag per dose at Smyth County Community Hospital
245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377
$902.70
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.
$6,018.00
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.
$934.13 with AMERIGROUP vs $5,458.00 with AMERIGROUP — 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $934.13 | ↑ +3% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $934.13 | ↑ +3% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $934.13 | ↑ +3% |
| SENTARA HEALTH | SENTARA MEDICARE | $934.13 | ↑ +3% |
| AETNA | AETNA HEALTHCARE MEDICARE | $934.13 | ↑ +3% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $934.13 | ↑ +3% |
| HUMANA | HUMANA MEDICARE | $934.13 | ↑ +3% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $934.13 | ↑ +3% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $936.29 | ↑ +4% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $962.15 | ↑ +7% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $962.15 | ↑ +7% |
| BLUE CROSS | BLUE CROSS MEDICARE | $971.50 | ↑ +8% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $971.50 | ↑ +8% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $980.84 | ↑ +9% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $980.84 | ↑ +9% |
| NHC ADVANTAGE | NHC ADVANTAGE | $980.84 | ↑ +9% |
| SENTARA HEALTH | SENTARA HEALTH | $1,518.42 | ↑ +68% |
| MEDCOST | MEDCOST VHN | $1,910.30 | ↑ +112% |
| AMBETTER | AMBETTER | $2,036.40 | ↑ +126% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,117.70 | ↑ +135% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,117.70 | ↑ +135% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,636.21 | ↑ +192% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,076.92 | ↑ +241% |
| BLUE CROSS | ANTHEM EXCHANGE | $3,641.12 | ↑ +303% |
| BLUE CROSS | ANTHEM HMO | $3,641.12 | ↑ +303% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $3,641.12 | ↑ +303% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $3,820.60 | ↑ +323% |
| AETNA | AETNA | $4,639.30 | ↑ +414% |
| BLUE CROSS | TENNCARE BLUE SELECT | $5,458.00 | ↑ +505% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $5,458.00 | ↑ +505% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $5,458.00 | ↑ +505% |
| BLUE CROSS | TENNCARE BLUE CARE | $5,458.00 | ↑ +505% |
| AMERIGROUP | AMERIGROUP | $5,458.00 | ↑ +505% |
Visitor-reported prices
Comments
Tc-99m exame autol wbc diag per dose at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $902.70 | $934.13 – $2,036.40 |
| Russell County Hospital | LEBANON | $902.70 | $934.13 – $2,036.40 |
| Sentara Martha Jefferson Hospital | Charlottesville | $1,132.00 | $952.81 – $980.84 |
| Sentara Northern Virginia Medical Center | Woodbridge | $998.00 | $952.81 – $980.84 |
| Lonesome Pine Hospital | BIG STONE GAP | $902.70 | $520.16 – $2,241.91 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $4,997.00 | $1,835.66 – $2,475.44 |
| Sentara Halifax Regional Hospital | South Boston | $1,002.00 | $952.81 – $980.84 |
| TRICITIES HOSPITAL | HOPEWELL | $4,997.00 | $1,835.66 – $2,475.44 |