Cath steerable flex adv 12f at Lee County Community Hospital
127 HEALTHCARE DRIVE, PENNINGTON GAP, VA · Balladhealth · · NPI 1205488996
$4,174.33
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.
$18,149.25
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.
$2,016.95 with MANAGED MEDICAIRE vs $9,167.96 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 |
|---|---|---|---|
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $2,016.95 | ↓ -52% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $2,016.95 | ↓ -52% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2,016.95 | ↓ -52% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2,016.95 | ↓ -52% |
| SENTARA HEALTH | SENTARA MEDICARE | $2,016.95 | ↓ -52% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,016.95 | ↓ -52% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2,016.95 | ↓ -52% |
| AMBETTER | AMBETTER | $2,016.95 | ↓ -52% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $2,016.95 | ↓ -52% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $2,016.95 | ↓ -52% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2,016.95 | ↓ -52% |
| HUMANA | HUMANA MEDICARE | $2,049.22 | ↓ -51% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $2,077.46 | ↓ -50% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $2,097.63 | ↓ -50% |
| NHC ADVANTAGE | NHC ADVANTAGE | $2,117.80 | ↓ -49% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $2,117.80 | ↓ -49% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $2,117.80 | ↓ -49% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,137.97 | ↓ -49% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,157.17 | ↓ -48% |
| SENTARA HEALTH | SENTARA HEALTH | $2,366.25 | ↓ -43% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,669.50 | ↓ -36% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,804.32 | ↓ -33% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $4,253.93 | ↑ +2% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $4,840.68 | ↑ +16% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $6,417.57 | ↑ +54% |
| MEDCOST | MEDCOST VHN | $9,167.96 | ↑ +120% |
| CIGNA HEALTHCARE | CIGNA PPO | $9,167.96 | ↑ +120% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $9,167.96 | ↑ +120% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $9,167.96 | ↑ +120% |
| BLUE CROSS | TENNCARE BLUE CARE | $9,167.96 | ↑ +120% |
| AMERIGROUP | AMERIGROUP | $9,167.96 | ↑ +120% |
| AETNA | AETNA | $9,167.96 | ↑ +120% |
| BLUE CROSS | TENNCARE BLUE SELECT | $9,167.96 | ↑ +120% |
Visitor-reported prices
Comments
Cath steerable flex adv 12f at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $3,565.00 | $1,276.69 – $3,017.63 |
| Inova Fairfax Hospital | Falls Church | $3,565.00 | $1,276.69 – $3,017.63 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $3,565.00 | $1,276.69 – $3,017.63 |
| Inova Loudoun Hospital | Leesburg | $3,565.00 | $1,276.69 – $3,017.63 |
| Inova Mount Vernon Hospital | Alexandria | $3,565.00 | $1,276.69 – $3,017.63 |
| Johnston Memorial Hospital | ABINGDON | $2,722.39 | $3,410.48 – $3,410.48 |
| Russell County Hospital | LEBANON | $2,722.39 | $3,410.48 – $3,410.48 |
| Sentara Martha Jefferson Hospital | Charlottesville | $1,152.99 | not published |