X-ray of mammary ducts at Smyth County Community Hospital
245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377
$161.55
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.
?
What you pay up front if you don't use insurance.
$1,077.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$90.57 with CIGNA HEALTHCARE vs $1,077.00 with BLUE CROSS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $90.57 | ↓ -44% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $107.97 | ↓ -33% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $147.87 | ↓ -8% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $147.87 | ↓ -8% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $152.31 | ↓ -6% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $153.78 | ↓ -5% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $153.79 | ↓ -5% |
| CIGNA HEALTHCARE | CIGNA HMO | $179.64 | ↑ +11% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $179.64 | ↑ +11% |
| CIGNA HEALTHCARE | CIGNA PPO | $179.64 | ↑ +11% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $212.78 | ↑ +32% |
| HUMANA | HUMANA MEDICARE | $232.80 | ↑ +44% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $232.80 | ↑ +44% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $232.80 | ↑ +44% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $232.80 | ↑ +44% |
| SENTARA HEALTH | SENTARA MEDICARE | $232.80 | ↑ +44% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $232.80 | ↑ +44% |
| AETNA | AETNA HEALTHCARE MEDICARE | $232.80 | ↑ +44% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $232.80 | ↑ +44% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $239.78 | ↑ +48% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $239.78 | ↑ +48% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $242.11 | ↑ +50% |
| BLUE CROSS | BLUE CROSS MEDICARE | $242.11 | ↑ +50% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $244.44 | ↑ +51% |
| NHC ADVANTAGE | NHC ADVANTAGE | $244.44 | ↑ +51% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $244.44 | ↑ +51% |
| SENTARA HEALTH | SENTARA HEALTH | $299.62 | ↑ +85% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $320.00 | ↑ +98% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $364.00 | ↑ +125% |
| MEDCOST | MEDCOST VHN | $376.95 | ↑ +133% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $472.00 | ↑ +192% |
| AMBETTER | AMBETTER | $507.50 | ↑ +214% |
| BLUE CROSS | ANTHEM EXCHANGE | $691.74 | ↑ +328% |
| BLUE CROSS | ANTHEM HMO | $756.03 | ↑ +368% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $804.25 | ↑ +398% |
| AETNA | AETNA | $915.45 | ↑ +467% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,077.00 | ↑ +567% |
| AMERIGROUP | AMERIGROUP | $1,077.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $1,077.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,077.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $1,077.00 | ↑ +567% |
Visitor-reported prices
Comments
X-ray of mammary ducts at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $326.00 | $167.33 – $478.98 |
| Inova Fairfax Hospital | Falls Church | $326.00 | $167.33 – $478.98 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $326.00 | $167.33 – $478.98 |
| Inova Loudoun Hospital | Leesburg | $326.00 | $167.33 – $478.98 |
| Inova Mount Vernon Hospital | Alexandria | $326.00 | $167.33 – $478.98 |
| Johnston Memorial Hospital | ABINGDON | $161.55 | $90.57 – $507.50 |
| Russell County Hospital | LEBANON | $161.55 | $90.57 – $507.50 |
| Sentara Martha Jefferson Hospital | Charlottesville | $715.00 | $237.46 – $244.44 |