X-ray wrist 2 views (both sides) 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.

$27.27 with BLUE CROSS vs $417.00 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 $27.27 ↓ -61%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $35.36 ↓ -49%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $35.36 ↓ -49%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $36.43 ↓ -47%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $36.77 ↓ -47%
AETNA AETNA BETTER HEALTH OF VIRGINIA $36.78 ↓ -47%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $40.32 ↓ -42%
SENTARA HEALTH SENTARA MEDICARE $42.45 ↓ -39%
AETNA AETNA HEALTHCARE MEDICARE $42.45 ↓ -39%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $42.45 ↓ -39%
HUMANA HUMANA MEDICARE $42.45 ↓ -39%
MANAGED MEDICAIRE MANAGED MEDICAIRE $42.45 ↓ -39%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $42.45 ↓ -39%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $42.45 ↓ -39%
ALLCARE MEDICARE ALLCARE MEDICARE $42.45 ↓ -39%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $43.73 ↓ -37%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $43.73 ↓ -37%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $44.15 ↓ -36%
BLUE CROSS BLUE CROSS MEDICARE $44.15 ↓ -36%
NHC ADVANTAGE NHC ADVANTAGE $44.58 ↓ -36%
CIGNA HEALTHCARE CIGNA MEDICARE $44.58 ↓ -36%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $44.58 ↓ -36%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $48.61 ↓ -30%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $64.98 ↓ -6%
CIGNA HEALTHCARE CIGNA HMO $64.98 ↓ -6%
CIGNA HEALTHCARE CIGNA PPO $64.98 ↓ -6%
AMBETTER AMBETTER $92.55 ↑ +34%
SENTARA HEALTH SENTARA HEALTH $116.01 ↑ +67%
BLUE CROSS ANTHEM EXCHANGE $126.15 ↑ +82%
BLUE CROSS ANTHEM HMO $137.88 ↑ +99%
MEDCOST MEDCOST VHN $145.95 ↑ +111%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $146.67 ↑ +112%
UNITED HEALTHCARE UHC HERITAGE SELECT $320.00 ↑ +362%
AETNA AETNA $354.45 ↑ +411%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $364.00 ↑ +425%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $417.00 ↑ +502%
UNITED HEALTHCARE UNITED HEALTHCARE $417.00 ↑ +502%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $417.00 ↑ +502%
AMERIGROUP AMERIGROUP $417.00 ↑ +502%
BLUE CROSS TENNCARE BLUE CARE $417.00 ↑ +502%
BLUE CROSS TENNCARE BLUE SELECT $417.00 ↑ +502%

Visitor-reported prices

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X-ray wrist 2 views (both sides) at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $335.00 $80.04 – $441.53
Inova Fairfax Hospital Falls Church $335.00 $80.04 – $441.53
Inova Fair Oaks Hospital VA 22033-1709 $335.00 $80.04 – $441.53
Inova Loudoun Hospital Leesburg $335.00 $80.04 – $441.53
Inova Mount Vernon Hospital Alexandria $335.00 $80.04 – $441.53
Johnston Memorial Hospital ABINGDON $69.30 $16.48 – $92.55
Russell County Hospital LEBANON $69.30 $27.27 – $92.55
Sentara Martha Jefferson Hospital Charlottesville $171.00 $86.61 – $89.15

All Virginia hospitals for this procedure →