Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im at Smyth County Community Hospital

245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$56.09

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$373.91

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$32.39 with UNITED HEALTHCARE vs $373.91 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 →

Payer
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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
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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 $32.39 ↓ -42%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $32.39 ↓ -42%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $33.36 ↓ -41%
AETNA AETNA BETTER HEALTH OF VIRGINIA $33.68 ↓ -40%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $33.69 ↓ -40%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $54.90 ↓ -2%
UNITED HEALTHCARE UNITED HEALTHCARE $77.36 ↑ +38%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $77.36 ↑ +38%
UNITED HEALTHCARE UHC HERITAGE SELECT $77.36 ↑ +38%
SENTARA HEALTH SENTARA HEALTH $104.02 ↑ +85%
MEDCOST MEDCOST VHN $130.87 ↑ +133%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $134.01 ↑ +139%
CIGNA HEALTHCARE CIGNA PPO $178.17 ↑ +218%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $178.17 ↑ +218%
CIGNA HEALTHCARE CIGNA HMO $178.17 ↑ +218%
BLUE CROSS ANTHEM EXCHANGE $237.93 ↑ +324%
BLUE CROSS ANTHEM HMO $237.93 ↑ +324%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $237.93 ↑ +324%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $261.74 ↑ +367%
AETNA AETNA $317.82 ↑ +467%
AMERIGROUP AMERIGROUP $373.91 ↑ +567%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $373.91 ↑ +567%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $373.91 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $373.91 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $373.91 ↑ +567%

Visitor-reported prices

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Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im at other Virginia hospitals

Hospital City Cash price Negotiated range
Sentara Martha Jefferson Hospital Charlottesville not published $128.48 – $128.48
Sentara Northern Virginia Medical Center Woodbridge not published $105.82 – $131.20
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD not published $79.95 – $79.95
Sentara Halifax Regional Hospital South Boston not published $133.24 – $133.24
TRICITIES HOSPITAL HOPEWELL not published $79.95 – $79.95
RESTON HOSPITAL CENTER VIENNA not published $69.29 – $69.29
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg not published $79.95 – $79.95
STONESPRINGS HOSPITAL CENTER Dulles not published $69.29 – $69.29

All Virginia hospitals for this procedure →