X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation 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

$119.55

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.

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

$797.00

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.

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

$98.68 with BLUE CROSS vs $797.00 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 →

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
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $98.68 ↓ -17%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $101.22 ↓ -15%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $147.87 ↑ +24%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $147.87 ↑ +24%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $152.31 ↑ +27%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $153.78 ↑ +29%
AETNA AETNA BETTER HEALTH OF VIRGINIA $153.79 ↑ +29%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $165.47 ↑ +38%
SENTARA HEALTH SENTARA HEALTH $221.73 ↑ +85%
CIGNA HEALTHCARE CIGNA PPO $278.33 ↑ +133%
CIGNA HEALTHCARE CIGNA HMO $278.33 ↑ +133%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $278.33 ↑ +133%
MEDCOST MEDCOST VHN $278.95 ↑ +133%
UNITED HEALTHCARE UHC HERITAGE SELECT $320.00 ↑ +168%
SENTARA HEALTH SENTARA MEDICARE $340.39 ↑ +185%
HUMANA HUMANA MEDICARE $340.39 ↑ +185%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $340.39 ↑ +185%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $340.39 ↑ +185%
AETNA AETNA HEALTHCARE MEDICARE $340.39 ↑ +185%
MANAGED MEDICAIRE MANAGED MEDICAIRE $340.39 ↑ +185%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $340.39 ↑ +185%
ALLCARE MEDICARE ALLCARE MEDICARE $340.39 ↑ +185%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $350.60 ↑ +193%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $350.60 ↑ +193%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $354.01 ↑ +196%
BLUE CROSS BLUE CROSS MEDICARE $354.01 ↑ +196%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $357.41 ↑ +199%
NHC ADVANTAGE NHC ADVANTAGE $357.41 ↑ +199%
CIGNA HEALTHCARE CIGNA MEDICARE $357.41 ↑ +199%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $364.00 ↑ +204%
UNITED HEALTHCARE UNITED HEALTHCARE $472.00 ↑ +295%
AETNA AETNA $677.45 ↑ +467%
AMBETTER AMBETTER $742.05 ↑ +521%
BLUE CROSS ANTHEM HMO $797.00 ↑ +567%
BLUE CROSS ANTHEM EXCHANGE $797.00 ↑ +567%
AMERIGROUP AMERIGROUP $797.00 ↑ +567%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $797.00 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $797.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $797.00 ↑ +567%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $797.00 ↑ +567%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $797.00 ↑ +567%

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X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $754.50 $167.33 – $994.43
Inova Fairfax Hospital Falls Church $754.50 $167.33 – $994.43
Inova Fair Oaks Hospital VA 22033-1709 $754.50 $167.33 – $994.43
Inova Loudoun Hospital Leesburg $754.50 $167.33 – $994.43
Inova Mount Vernon Hospital Alexandria $754.50 $167.33 – $994.43
Johnston Memorial Hospital ABINGDON $119.55 $86.29 – $742.05
Russell County Hospital LEBANON $119.55 $98.68 – $742.05
Sentara Martha Jefferson Hospital Charlottesville $517.00 $347.20 – $357.41

All Virginia hospitals for this procedure →