Cath ablt clsfast 7fx100cmx at Lee County Community Hospital
127 HEALTHCARE DRIVE, PENNINGTON GAP, VA · Balladhealth · · NPI 1205488996
$4,770.66
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.
$20,742.00
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.
$1,244.52 with UNITED HEALTHCARE vs $7,778.25 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 →
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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 | $1,244.52 | ↓ -74% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,540.09 | ↓ -68% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,617.88 | ↓ -66% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,711.22 | ↓ -64% |
| AMBETTER | AMBETTER | $1,711.22 | ↓ -64% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $1,711.22 | ↓ -64% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,711.22 | ↓ -64% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,711.22 | ↓ -64% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,711.22 | ↓ -64% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,711.22 | ↓ -64% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,711.22 | ↓ -64% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $1,711.22 | ↓ -64% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,711.22 | ↓ -64% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,711.22 | ↓ -64% |
| HUMANA | HUMANA MEDICARE | $1,738.60 | ↓ -64% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,762.56 | ↓ -63% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,779.67 | ↓ -63% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,796.78 | ↓ -62% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,796.78 | ↓ -62% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,796.78 | ↓ -62% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,813.89 | ↓ -62% |
| SENTARA HEALTH | SENTARA HEALTH | $2,007.57 | ↓ -58% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,111.30 | ↓ -35% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $3,889.13 | ↓ -18% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $4,106.93 | ↓ -14% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $7,778.25 | ↑ +63% |
| BLUE CROSS | TENNCARE BLUE SELECT | $7,778.25 | ↑ +63% |
| CIGNA HEALTHCARE | CIGNA PPO | $7,778.25 | ↑ +63% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $7,778.25 | ↑ +63% |
| BLUE CROSS | TENNCARE BLUE CARE | $7,778.25 | ↑ +63% |
| AETNA | AETNA | $7,778.25 | ↑ +63% |
| MEDCOST | MEDCOST VHN | $7,778.25 | ↑ +63% |
| AMERIGROUP | AMERIGROUP | $7,778.25 | ↑ +63% |
Visitor-reported prices
Comments
Cath ablt clsfast 7fx100cmx at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $3,111.30 | $7,716.02 – $7,716.02 |
| Russell County Hospital | LEBANON | $3,111.30 | $7,716.02 – $7,716.02 |
| Sentara Martha Jefferson Hospital | Charlottesville | $1,332.04 | not published |
| Sentara Northern Virginia Medical Center | Woodbridge | $1,332.04 | not published |
| Lonesome Pine Hospital | BIG STONE GAP | $3,111.30 | $815.09 – $815.09 |
| Smyth County Community Hospital | MARION | $3,111.30 | $7,716.02 – $7,716.02 |
| Sentara Halifax Regional Hospital | South Boston | $1,332.04 | not published |
| Sentara Leigh Hospital | Norfolk | $1,332.04 | not published |