Heterogeneous LLM serving stacks split scheduling into two layers that optimize in isolation: model routers pick a model from quality and cost signals while ignoring instance load, and serving load balancers optimize queues while ignoring quality. We present RouteBalance, a serving-aware scheduling layer that fuses both into a single online assignment over concrete model instances, jointly trading off quality, latency, and cost. A batched in-process predictor stack and dead-reckoned instance state keep the joint decision cheap on the request hot path ($\approx$32 ms at 12 req/s). On a 13-instance, 28-GPU heterogeneous cluster serving four model sizes, a single deployed RouteBalance stack traces the upper region of the three-way quality-cost-throughput frontier. Sweeping one weight vector reaches both the highest routing-decision quality (DeepEval $0.419$, $+0.013$ over the strongest baseline, $95\%$ CI $[{+}0.005,{+}0.022]$; the ordering holds when a second judge re-scores the actually served text) and, at its cost-priority corner, per-request cost that ties the cheapest baseline. With router engineering equalized against concurrent-scoring baseline variants we build, its balanced preset serves at $2.8$ s and $30$ req/s, leading $2.6$ to $4.1\times$ ahead of enhanced BEST-Route at high load. (Deploying those routers as published, one serial scoring call per request, makes them collapse $23\times$ under load, a deployment-architecture effect we isolate separately, not the routing result.) A four-arm isolation shows the benefit follows from pricing latency at model-selection time; the learned predictors contribute calibration and SLO headroom rather than the headline frontier. Code: https://github.com/AKafakA/route-balance

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