Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) at Lee County Community Hospital
127 HEALTHCARE DRIVE, PENNINGTON GAP, VA · Balladhealth · · NPI 1205488996
$289.57
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.
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What you pay up front if you don't use insurance.
$1,259.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$157.00 with UNITED HEALTHCARE vs $1,259.00 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 →
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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 ?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 |
|---|---|---|---|
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $157.00 | ↓ -46% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $180.00 | ↓ -38% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $193.00 | ↓ -33% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $231.00 | ↓ -20% |
| AMBETTER | AMBETTER | $276.98 | ↓ -4% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $276.98 | ↓ -4% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $276.98 | ↓ -4% |
| AETNA | AETNA HEALTHCARE MEDICARE | $276.98 | ↓ -4% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $276.98 | ↓ -4% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $276.98 | ↓ -4% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $276.98 | ↓ -4% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $276.98 | ↓ -4% |
| SENTARA HEALTH | SENTARA MEDICARE | $276.98 | ↓ -4% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $276.98 | ↓ -4% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $276.98 | ↓ -4% |
| HUMANA | HUMANA MEDICARE | $281.41 | ↓ -3% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $285.29 | ↓ -1% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $288.06 | ↓ -1% |
| NHC ADVANTAGE | NHC ADVANTAGE | $290.83 | ↑ +0% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $290.83 | ↑ +0% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $290.83 | ↑ +0% |
| BLUE CROSS | BLUE CROSS MEDICARE | $293.60 | ↑ +1% |
| SENTARA HEALTH | SENTARA HEALTH | $324.95 | ↑ +12% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $450.71 | ↑ +56% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $450.71 | ↑ +56% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $464.23 | ↑ +60% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $468.73 | ↑ +62% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $468.74 | ↑ +62% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $664.75 | ↑ +130% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $704.00 | ↑ +143% |
| BLUE CROSS | ANTHEM EXCHANGE | $945.07 | ↑ +226% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,098.93 | ↑ +280% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,098.93 | ↑ +280% |
| BLUE CROSS | ANTHEM HMO | $1,103.25 | ↑ +281% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,173.68 | ↑ +305% |
| BLUE CROSS | TENNCARE BLUE SELECT | $1,259.00 | ↑ +335% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,259.00 | ↑ +335% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,259.00 | ↑ +335% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,259.00 | ↑ +335% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,259.00 | ↑ +335% |
| MEDCOST | MEDCOST VHN | $1,259.00 | ↑ +335% |
| AETNA | AETNA | $1,259.00 | ↑ +335% |
| AMERIGROUP | AMERIGROUP | $1,259.00 | ↑ +335% |
| BLUE CROSS | TENNCARE BLUE CARE | $1,259.00 | ↑ +335% |
Visitor-reported prices
Comments
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $956.00 | $295.19 – $1,509.00 |
| Inova Fairfax Hospital | Falls Church | $956.00 | $295.19 – $1,509.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $956.00 | $295.19 – $1,509.00 |
| Inova Loudoun Hospital | Leesburg | $956.00 | $295.19 – $1,509.00 |
| Inova Mount Vernon Hospital | Alexandria | $956.00 | $295.19 – $1,509.00 |
| Johnston Memorial Hospital | ABINGDON | $295.05 | $23.55 – $652.88 |
| Russell County Hospital | LEBANON | $295.05 | $51.80 – $652.88 |
| Sentara Martha Jefferson Hospital | Charlottesville | $268.00 | $305.48 – $1,010.00 |