Treatment of ankle fracture at Smyth County Community Hospital
245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377
$3,081.15
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.
$20,541.00
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.
$1,082.00 with BLUE CROSS vs $20,541.00 with BLUE CROSS — 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 | $1,082.00 | ↓ -65% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,943.00 | ↓ -37% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,943.00 | ↓ -37% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,160.00 | ↓ -30% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $2,246.00 | ↓ -27% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $3,257.00 | ↑ +6% |
| SENTARA HEALTH | SENTARA HEALTH | $5,714.51 | ↑ +85% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $6,917.10 | ↑ +124% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $6,917.10 | ↑ +124% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $7,079.78 | ↑ +130% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $7,079.78 | ↑ +130% |
| AETNA | AETNA HEALTHCARE MEDICARE | $7,079.78 | ↑ +130% |
| HUMANA | HUMANA MEDICARE | $7,079.78 | ↑ +130% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $7,079.78 | ↑ +130% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $7,079.78 | ↑ +130% |
| SENTARA HEALTH | SENTARA MEDICARE | $7,079.78 | ↑ +130% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $7,079.78 | ↑ +130% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $7,124.61 | ↑ +131% |
| MEDCOST | MEDCOST VHN | $7,189.35 | ↑ +133% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $7,193.78 | ↑ +133% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $7,193.79 | ↑ +133% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $7,292.17 | ↑ +137% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $7,292.17 | ↑ +137% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $7,362.97 | ↑ +139% |
| BLUE CROSS | BLUE CROSS MEDICARE | $7,362.97 | ↑ +139% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $7,433.77 | ↑ +141% |
| NHC ADVANTAGE | NHC ADVANTAGE | $7,433.77 | ↑ +141% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $7,433.77 | ↑ +141% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $8,387.00 | ↑ +172% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $9,572.00 | ↑ +211% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $12,407.00 | ↑ +303% |
| AMBETTER | AMBETTER | $15,433.92 | ↑ +401% |
| AETNA | AETNA | $17,459.85 | ↑ +467% |
| BLUE CROSS | ANTHEM EXCHANGE | $20,541.00 | ↑ +567% |
| AMERIGROUP | AMERIGROUP | $20,541.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $20,541.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $20,541.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $20,541.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $20,541.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $20,541.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $20,541.00 | ↑ +567% |
Visitor-reported prices
Comments
Treatment of ankle fracture at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $3,081.15 | $5,568.30 – $15,433.92 |
| Russell County Hospital | LEBANON | $3,081.15 | $6,917.18 – $15,433.92 |
| Lonesome Pine Hospital | BIG STONE GAP | $3,081.15 | $7,079.78 – $16,991.47 |
| Dickenson Community Hospital | CLINTWOOD | $3,023.58 | $9,885.14 – $10,280.55 |
| Lee County Community Hospital | PENNINGTON GAP | $3,023.58 | $9,885.14 – $10,280.55 |
| Rappahannock General Hospital | Kilmarnock | $17,398.50 | not published |
| Southampton Medical Center | Franklin | $24,213.68 | $7,582.44 – $7,734.09 |
| Maryview Hospital | Portsmouth | $55,693.99 | $7,079.78 – $7,221.37 |