Controller infinity pt dbs at Lee County Community Hospital
127 HEALTHCARE DRIVE, PENNINGTON GAP, VA · Balladhealth · · NPI 1205488996
$3,339.46
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.
?
What you pay up front if you don't use insurance.
$14,519.40
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2,970.67 with MANAGED MEDICAIRE vs $13,503.04 with BLUE CROSS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $2,970.67 | ↓ -11% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $2,970.67 | ↓ -11% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2,970.67 | ↓ -11% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2,970.67 | ↓ -11% |
| SENTARA HEALTH | SENTARA MEDICARE | $2,970.67 | ↓ -11% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,970.67 | ↓ -11% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2,970.67 | ↓ -11% |
| AMBETTER | AMBETTER | $2,970.67 | ↓ -11% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $2,970.67 | ↓ -11% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $2,970.67 | ↓ -11% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2,970.67 | ↓ -11% |
| HUMANA | HUMANA MEDICARE | $3,018.20 | ↓ -10% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,059.79 | ↓ -8% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,089.50 | ↓ -7% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,119.20 | ↓ -7% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,119.20 | ↓ -7% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,119.20 | ↓ -7% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,148.91 | ↓ -6% |
| SENTARA HEALTH | SENTARA HEALTH | $3,485.13 | ↑ +4% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $5,279.69 | ↑ +58% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $6,265.41 | ↑ +88% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $6,332.93 | ↑ +90% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $6,332.93 | ↑ +90% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $7,129.61 | ↑ +113% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $9,452.13 | ↑ +183% |
| MEDCOST | MEDCOST VHN | $13,503.04 | ↑ +304% |
| CIGNA HEALTHCARE | CIGNA PPO | $13,503.04 | ↑ +304% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $13,503.04 | ↑ +304% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $13,503.04 | ↑ +304% |
| BLUE CROSS | TENNCARE BLUE CARE | $13,503.04 | ↑ +304% |
| AMERIGROUP | AMERIGROUP | $13,503.04 | ↑ +304% |
| AETNA | AETNA | $13,503.04 | ↑ +304% |
| BLUE CROSS | TENNCARE BLUE SELECT | $13,503.04 | ↑ +304% |
Visitor-reported prices
Comments
Controller infinity pt dbs at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $1,400.00 | $1,315.08 – $1,315.08 |
| Inova Fairfax Hospital | Falls Church | $1,400.00 | $1,315.08 – $1,315.08 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $1,400.00 | $1,315.08 – $1,315.08 |
| Inova Loudoun Hospital | Leesburg | $1,400.00 | $1,315.08 – $1,315.08 |
| Inova Mount Vernon Hospital | Alexandria | $1,400.00 | $1,315.08 – $1,315.08 |
| Johnston Memorial Hospital | ABINGDON | $2,177.91 | $5,023.13 – $5,023.13 |
| Russell County Hospital | LEBANON | $2,177.91 | $5,023.13 – $5,023.13 |
| Sentara Martha Jefferson Hospital | Charlottesville | $1,368.27 | not published |