Tib/per revasc stent & ather 37231 at Smyth County Community Hospital
245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377
$7,850.85
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.
$52,339.00
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.
$12,697.12 with BLUE CROSS vs $52,339.00 with FIRST HEALTH COVENTRY — 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $12,697.12 | ↑ +62% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $13,967.54 | ↑ +78% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $13,967.54 | ↑ +78% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $14,200.00 | ↑ +81% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $14,386.57 | ↑ +83% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $14,526.24 | ↑ +85% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $14,526.24 | ↑ +85% |
| SENTARA HEALTH | SENTARA HEALTH | $14,560.71 | ↑ +85% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $16,209.00 | ↑ +106% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $16,419.00 | ↑ +109% |
| MEDCOST | MEDCOST VHN | $18,318.65 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA HMO | $20,307.53 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $20,307.53 | ↑ +159% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $21,005.00 | ↑ +168% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $24,285.30 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $25,279.74 | ↑ +222% |
| AETNA | AETNA | $44,488.15 | ↑ +467% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $52,339.00 | ↑ +567% |
| AMERIGROUP | AMERIGROUP | $52,339.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $52,339.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $52,339.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $52,339.00 | ↑ +567% |
Visitor-reported prices
Comments
Tib/per revasc stent & ather 37231 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $7,850.85 | $12,697.12 – $14,665.92 |
| Russell County Hospital | LEBANON | $7,850.85 | $12,697.12 – $14,666.10 |
| Sentara Martha Jefferson Hospital | Charlottesville | $19,374.50 | $3,338.00 – $62,241.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $21,678.50 | $3,988.00 – $33,082.00 |
| Lonesome Pine Hospital | BIG STONE GAP | $7,850.85 | $12,697.12 – $14,665.92 |
| Sentara Halifax Regional Hospital | South Boston | $33,910.50 | not published |
| Sentara Leigh Hospital | Norfolk | $21,678.50 | $5,220.00 – $45,353.00 |
| Sentara RMH Medical Center | Harrisonburg | $19,374.50 | not published |