Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution at Smyth County Community Hospital
245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377
$253.57
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.
$1,690.47
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.
$4.47 with CIGNA HEALTHCARE vs $1,690.47 with FIRST HEALTH COVENTRY — 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 |
|---|---|---|---|
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $4.47 | ↓ -98% |
| CIGNA HEALTHCARE | CIGNA HMO | $5.94 | ↓ -98% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $5.94 | ↓ -98% |
| CIGNA HEALTHCARE | CIGNA PPO | $5.94 | ↓ -98% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $6.95 | ↓ -97% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $27.35 | ↓ -89% |
| SENTARA HEALTH | SENTARA HEALTH | $470.29 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $591.66 | ↑ +133% |
| AETNA | AETNA | $1,436.90 | ↑ +467% |
| BLUE CROSS | TENNCARE BLUE SELECT | $1,690.47 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,690.47 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $1,690.47 | ↑ +567% |
| AMERIGROUP | AMERIGROUP | $1,690.47 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,690.47 | ↑ +567% |
Visitor-reported prices
Comments
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Russell County Hospital | LEBANON | $191.12 | $4.47 – $27.35 |
| RESTON HOSPITAL CENTER | VIENNA | $2,455.57 | $1.16 – $3.31 |
| Rappahannock General Hospital | Kilmarnock | $249.41 | not published |
| Southampton Medical Center | Franklin | $523.76 | not published |
| Maryview Hospital | Portsmouth | $544.54 | not published |
| St Mary's Hospital | Richmond | $681.72 | not published |
| Harbour View Medical Center | Suffolk | $544.54 | not published |
| Richmond Community Hospital | Richmond | $216.25 | not published |