Tc-99m labeled rbc at Smyth County Community Hospital
245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377
$209.85
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.
$1,399.00
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.
$106.48 with BLUE CROSS vs $1,269.00 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $106.48 | ↓ -49% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $167.68 | ↓ -20% |
| SENTARA HEALTH | SENTARA HEALTH | $353.04 | ↑ +68% |
| MEDCOST | MEDCOST VHN | $444.15 | ↑ +112% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $492.37 | ↑ +135% |
| CIGNA HEALTHCARE | CIGNA HMO | $492.37 | ↑ +135% |
| CIGNA HEALTHCARE | CIGNA PPO | $612.93 | ↑ +192% |
| AETNA | AETNA | $1,078.65 | ↑ +414% |
| BLUE CROSS | TENNCARE BLUE SELECT | $1,269.00 | ↑ +505% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,269.00 | ↑ +505% |
| BLUE CROSS | TENNCARE BLUE CARE | $1,269.00 | ↑ +505% |
| AMERIGROUP | AMERIGROUP | $1,269.00 | ↑ +505% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,269.00 | ↑ +505% |
Visitor-reported prices
Comments
Tc-99m labeled rbc at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $2,561.00 | $288.56 – $288.56 |
| Johnston Memorial Hospital | ABINGDON | $209.85 | $106.48 – $167.68 |
| Russell County Hospital | LEBANON | $209.85 | $106.48 – $167.68 |
| Sentara Martha Jefferson Hospital | Charlottesville | $219.00 | not published |
| Sentara Northern Virginia Medical Center | Woodbridge | $120.50 | not published |
| Lonesome Pine Hospital | BIG STONE GAP | $209.85 | $106.48 – $167.68 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $1,603.00 | $100.03 – $288.56 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $1,034.00 | $288.56 – $288.56 |