Test for urine cystines at Smyth County Community Hospital
245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377
$8.85
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.
?
What you pay up front if you don't use insurance.
$59.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$5.72 with UNITED HEALTHCARE vs $59.00 with SEVEN CORNERS, INC. — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | UNITED HEALTHCARE MEDICAID VIRGINIA | $5.72 | ↓ -35% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $5.72 | ↓ -35% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $5.89 | ↓ -33% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $5.95 | ↓ -33% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $5.95 | ↓ -33% |
| SENTARA HEALTH | SENTARA MEDICARE | $9.55 | ↑ +8% |
| AETNA | AETNA HEALTHCARE MEDICARE | $9.55 | ↑ +8% |
| HUMANA | HUMANA MEDICARE | $9.55 | ↑ +8% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $9.55 | ↑ +8% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $9.55 | ↑ +8% |
| BLUE CROSS | ANTHEM EXCHANGE | $9.55 | ↑ +8% |
| BLUE CROSS | ANTHEM HMO | $9.55 | ↑ +8% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $9.55 | ↑ +8% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $9.55 | ↑ +8% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $9.55 | ↑ +8% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $9.55 | ↑ +8% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $9.55 | ↑ +8% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $9.55 | ↑ +8% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $9.55 | ↑ +8% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $9.84 | ↑ +11% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $9.84 | ↑ +11% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $9.93 | ↑ +12% |
| BLUE CROSS | BLUE CROSS MEDICARE | $9.93 | ↑ +12% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $10.03 | ↑ +13% |
| NHC ADVANTAGE | NHC ADVANTAGE | $10.03 | ↑ +13% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $10.03 | ↑ +13% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $10.40 | ↑ +18% |
| SENTARA HEALTH | SENTARA HEALTH | $16.41 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $20.65 | ↑ +133% |
| AMBETTER | AMBETTER | $20.82 | ↑ +135% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $20.93 | ↑ +136% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $26.91 | ↑ +204% |
| CIGNA HEALTHCARE | CIGNA PPO | $32.22 | ↑ +264% |
| CIGNA HEALTHCARE | CIGNA HMO | $32.22 | ↑ +264% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $32.22 | ↑ +264% |
| AETNA | AETNA | $50.15 | ↑ +467% |
| BLUE CROSS | TENNCARE BLUE CARE | $59.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $59.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $59.00 | ↑ +567% |
| AMERIGROUP | AMERIGROUP | $59.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $59.00 | ↑ +567% |
Visitor-reported prices
Comments
Test for urine cystines at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $8.85 | $4.78 – $20.82 |
| Russell County Hospital | LEBANON | $8.85 | $5.72 – $20.82 |
| Lonesome Pine Hospital | BIG STONE GAP | $8.85 | $4.78 – $22.92 |
| Dickenson Community Hospital | CLINTWOOD | $8.74 | $8.17 – $20.93 |
| Lee County Community Hospital | PENNINGTON GAP | $8.74 | $8.17 – $20.93 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $8.31 – $13.85 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $9.74 – $13.69 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $7.15 – $43.05 |