Transcath closure of asd at Smyth County Community Hospital
245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377
$3,076.95
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.
$20,513.00
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.
$992.08 with BLUE CROSS vs $38,991.26 with AMBETTER — 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 | $992.08 | ↓ -68% |
| SENTARA HEALTH | SENTARA HEALTH | $5,706.72 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $7,179.55 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $7,959.04 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $7,959.04 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $9,518.03 | ↑ +209% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $9,883.00 | ↑ +221% |
| CIGNA HEALTHCARE | CIGNA PPO | $9,907.78 | ↑ +222% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $11,360.00 | ↑ +269% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $12,967.00 | ↑ +321% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $16,803.00 | ↑ +446% |
| AETNA | AETNA | $17,436.05 | ↑ +467% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $17,885.90 | ↑ +481% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $17,885.90 | ↑ +481% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $17,885.90 | ↑ +481% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $17,885.90 | ↑ +481% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $17,885.90 | ↑ +481% |
| AETNA | AETNA HEALTHCARE MEDICARE | $17,885.90 | ↑ +481% |
| SENTARA HEALTH | SENTARA MEDICARE | $17,885.90 | ↑ +481% |
| HUMANA | HUMANA MEDICARE | $17,885.90 | ↑ +481% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $18,422.48 | ↑ +499% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $18,422.48 | ↑ +499% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $18,553.77 | ↑ +503% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $18,553.77 | ↑ +503% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $18,601.33 | ↑ +505% |
| BLUE CROSS | BLUE CROSS MEDICARE | $18,601.33 | ↑ +505% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $18,780.19 | ↑ +510% |
| NHC ADVANTAGE | NHC ADVANTAGE | $18,780.19 | ↑ +510% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $18,780.19 | ↑ +510% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $19,110.38 | ↑ +521% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $19,295.92 | ↑ +527% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $19,295.92 | ↑ +527% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $20,513.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $20,513.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $20,513.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $20,513.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $20,513.00 | ↑ +567% |
| AMERIGROUP | AMERIGROUP | $20,513.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $20,513.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $20,513.00 | ↑ +567% |
| AMBETTER | AMBETTER | $38,991.26 | ↑ +1167% |
Visitor-reported prices
Comments
Transcath closure of asd at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $18,837.00 | $4,385.00 – $49,316.46 |
| Inova Fairfax Hospital | Falls Church | $18,837.00 | $4,385.00 – $49,316.46 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $18,837.00 | $4,385.00 – $49,316.46 |
| Inova Loudoun Hospital | Leesburg | $18,837.00 | $4,385.00 – $49,316.46 |
| Inova Mount Vernon Hospital | Alexandria | $18,837.00 | $4,385.00 – $49,316.46 |
| Johnston Memorial Hospital | ABINGDON | $3,076.95 | $923.15 – $38,991.26 |
| Russell County Hospital | LEBANON | $3,076.95 | $992.08 – $38,991.26 |
| Sentara Martha Jefferson Hospital | Charlottesville | $8,740.50 | $5,700.00 – $39,612.00 |