Cltx scap fx w/mnpj +-tractj at Lee County Community Hospital

127 HEALTHCARE DRIVE, PENNINGTON GAP, VA · Balladhealth · · NPI 1205488996

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$710.01

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.

$3,087.00

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.

$171.00 with UNITED HEALTHCARE vs $3,087.00 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
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $171.00 ↓ -76%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $246.49 ↓ -65%
UNITED HEALTHCARE UHC HERITAGE SELECT $398.00 ↓ -44%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $455.00 ↓ -36%
UNITED HEALTHCARE UNITED HEALTHCARE $589.00 ↓ -17%
AMBETTER AMBETTER $679.14 ↓ -4%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $679.14 ↓ -4%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $679.14 ↓ -4%
AETNA AETNA HEALTHCARE MEDICARE $679.14 ↓ -4%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $679.14 ↓ -4%
ALLCARE MEDICARE ALLCARE MEDICARE $679.14 ↓ -4%
MANAGED MEDICAIRE MANAGED MEDICAIRE $679.14 ↓ -4%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $679.14 ↓ -4%
SENTARA HEALTH SENTARA MEDICARE $679.14 ↓ -4%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $679.14 ↓ -4%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA MEDICARE $679.14 ↓ -4%
HUMANA HUMANA MEDICARE $690.01 ↓ -3%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $699.51 ↓ -1%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $706.31 ↓ -1%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $713.10 ↑ +0%
NHC ADVANTAGE NHC ADVANTAGE $713.10 ↑ +0%
CIGNA HEALTHCARE CIGNA MEDICARE $713.10 ↑ +0%
BLUE CROSS BLUE CROSS MEDICARE $719.89 ↑ +1%
SENTARA HEALTH SENTARA HEALTH $796.75 ↑ +12%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $884.51 ↑ +25%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $884.51 ↑ +25%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $911.04 ↑ +28%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $919.89 ↑ +30%
AETNA AETNA BETTER HEALTH OF VIRGINIA $919.89 ↑ +30%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $1,629.94 ↑ +130%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $3,087.00 ↑ +335%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $3,087.00 ↑ +335%
BLUE CROSS BLUE CROSS P NETWORK $3,087.00 ↑ +335%
BLUE CROSS BLUE CROSS S NETWORK $3,087.00 ↑ +335%
BLUE CROSS TENNCARE BLUE CARE $3,087.00 ↑ +335%
BLUE CROSS TENNCARE BLUE SELECT $3,087.00 ↑ +335%
CIGNA HEALTHCARE CIGNA PPO $3,087.00 ↑ +335%
BLUE CROSS ANTHEM HMO $3,087.00 ↑ +335%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $3,087.00 ↑ +335%
MEDCOST MEDCOST VHN $3,087.00 ↑ +335%
AETNA AETNA $3,087.00 ↑ +335%
AMERIGROUP AMERIGROUP $3,087.00 ↑ +335%
BLUE CROSS ANTHEM EXCHANGE $3,087.00 ↑ +335%

Visitor-reported prices

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Cltx scap fx w/mnpj +-tractj at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $5,261.00 $700.38 – $2,485.00
Inova Fairfax Hospital Falls Church $5,261.00 $700.38 – $2,485.00
Inova Fair Oaks Hospital VA 22033-1709 $5,261.00 $700.38 – $2,485.00
Inova Loudoun Hospital Leesburg $5,261.00 $700.38 – $2,485.00
Inova Mount Vernon Hospital Alexandria $5,261.00 $700.38 – $2,485.00
Johnston Memorial Hospital ABINGDON $723.45 $246.49 – $3,420.19
Russell County Hospital LEBANON $723.45 $246.49 – $3,420.19
Sentara Martha Jefferson Hospital Charlottesville $1,278.50 $511.00 – $1,647.34

All Virginia hospitals for this procedure →