X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views 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

$69.30

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.

$462.00

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.

Full explanation →

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

$70.73 with UNITED HEALTHCARE vs $462.00 with AMERIGROUP — 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 $70.73 ↑ +2%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $70.73 ↑ +2%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $72.85 ↑ +5%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $73.56 ↑ +6%
AETNA AETNA BETTER HEALTH OF VIRGINIA $73.56 ↑ +6%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $90.62 ↑ +31%
MANAGED MEDICAIRE MANAGED MEDICAIRE $102.00 ↑ +47%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $102.00 ↑ +47%
AETNA AETNA HEALTHCARE MEDICARE $102.00 ↑ +47%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $102.00 ↑ +47%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $102.00 ↑ +47%
SENTARA HEALTH SENTARA MEDICARE $102.00 ↑ +47%
ALLCARE MEDICARE ALLCARE MEDICARE $102.00 ↑ +47%
HUMANA HUMANA MEDICARE $102.00 ↑ +47%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $103.73 ↑ +50%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $105.06 ↑ +52%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $105.06 ↑ +52%
BLUE CROSS BLUE CROSS MEDICARE $106.08 ↑ +53%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $106.08 ↑ +53%
CIGNA HEALTHCARE CIGNA MEDICARE $107.10 ↑ +55%
NHC ADVANTAGE NHC ADVANTAGE $107.10 ↑ +55%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $107.10 ↑ +55%
SENTARA HEALTH SENTARA HEALTH $128.53 ↑ +85%
MEDCOST MEDCOST VHN $161.70 ↑ +133%
AMBETTER AMBETTER $222.37 ↑ +221%
BLUE CROSS ANTHEM EXCHANGE $303.09 ↑ +337%
UNITED HEALTHCARE UHC HERITAGE SELECT $320.00 ↑ +362%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $323.40 ↑ +367%
BLUE CROSS ANTHEM HMO $331.26 ↑ +378%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $352.39 ↑ +408%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $364.00 ↑ +425%
AETNA AETNA $392.70 ↑ +467%
BLUE CROSS TENNCARE BLUE CARE $462.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $462.00 ↑ +567%
UNITED HEALTHCARE UNITED HEALTHCARE $462.00 ↑ +567%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $462.00 ↑ +567%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $462.00 ↑ +567%
AMERIGROUP AMERIGROUP $462.00 ↑ +567%

Visitor-reported prices

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X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $2,112.00 $77.61 – $245.18
Inova Alexandria Hospital Alexandria $346.50 $80.04 – $456.69
Inova Fairfax Hospital Falls Church $346.50 $80.04 – $456.69
Inova Fair Oaks Hospital VA 22033-1709 $346.50 $80.04 – $456.69
Inova Loudoun Hospital Leesburg $346.50 $80.04 – $456.69
Inova Mount Vernon Hospital Alexandria $346.50 $80.04 – $456.69
Johnston Memorial Hospital ABINGDON $69.30 $38.96 – $222.37
Russell County Hospital LEBANON $69.30 $70.73 – $222.37

All Virginia hospitals for this procedure →