Whfo w/joint(s) custom fab at Smyth County Community Hospital
245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377
$95.55
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.
$637.00
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.
$101.92 with UNITED HEALTHCARE vs $1,142.56 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 |
|---|---|---|---|
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $101.92 | ↑ +7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $110.84 | ↑ +16% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $115.93 | ↑ +21% |
| SENTARA HEALTH | SENTARA HEALTH | $177.21 | ↑ +85% |
| MEDCOST | MEDCOST VHN | $222.95 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA HMO | $223.59 | ↑ +134% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $223.59 | ↑ +134% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $254.80 | ↑ +167% |
| CIGNA HEALTHCARE | CIGNA PPO | $286.01 | ↑ +199% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $318.50 | ↑ +233% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $495.89 | ↑ +419% |
| BLUE CROSS | ANTHEM EXCHANGE | $495.89 | ↑ +419% |
| BLUE CROSS | ANTHEM HMO | $495.89 | ↑ +419% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $524.11 | ↑ +449% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $524.11 | ↑ +449% |
| AETNA | AETNA HEALTHCARE MEDICARE | $524.11 | ↑ +449% |
| HUMANA | HUMANA MEDICARE | $524.11 | ↑ +449% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $524.11 | ↑ +449% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $524.11 | ↑ +449% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $524.11 | ↑ +449% |
| SENTARA HEALTH | SENTARA MEDICARE | $524.11 | ↑ +449% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $539.84 | ↑ +465% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $539.84 | ↑ +465% |
| AETNA | AETNA | $541.45 | ↑ +467% |
| BLUE CROSS | BLUE CROSS MEDICARE | $545.08 | ↑ +470% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $545.08 | ↑ +470% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $550.32 | ↑ +476% |
| NHC ADVANTAGE | NHC ADVANTAGE | $550.32 | ↑ +476% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $550.32 | ↑ +476% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $637.00 | ↑ +567% |
| AMERIGROUP | AMERIGROUP | $637.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $637.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $637.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $637.00 | ↑ +567% |
| AMBETTER | AMBETTER | $1,142.56 | ↑ +1096% |
Visitor-reported prices
Comments
Whfo w/joint(s) custom fab at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $95.55 | $495.89 – $1,142.56 |
| Russell County Hospital | LEBANON | $95.55 | $495.89 – $1,142.56 |
| Sentara Martha Jefferson Hospital | Charlottesville | $267.03 | not published |
| Sentara Northern Virginia Medical Center | Woodbridge | $218.38 | not published |
| Lonesome Pine Hospital | BIG STONE GAP | $95.55 | $487.42 – $1,142.56 |
| Sentara Halifax Regional Hospital | South Boston | $218.38 | not published |
| Sentara Leigh Hospital | Norfolk | $218.38 | $505.81 – $520.68 |
| Sentara RMH Medical Center | Harrisonburg | $267.03 | $505.81 – $520.68 |