Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution 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

$25.91

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.

$112.65

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.

$0.30 with BLUE CROSS vs $112.65 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
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $0.30 ↓ -99%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $1.76 ↓ -93%
AETNA AETNA HEALTHCARE MEDICARE $24.78 ↓ -4%
AMBETTER AMBETTER $24.78 ↓ -4%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $24.78 ↓ -4%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $24.78 ↓ -4%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $24.78 ↓ -4%
ALLCARE MEDICARE ALLCARE MEDICARE $24.78 ↓ -4%
MANAGED MEDICAIRE MANAGED MEDICAIRE $24.78 ↓ -4%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $24.78 ↓ -4%
SENTARA HEALTH SENTARA MEDICARE $24.78 ↓ -4%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $24.78 ↓ -4%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA MEDICARE $24.78 ↓ -4%
HUMANA HUMANA MEDICARE $25.18 ↓ -3%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $25.52 ↓ -2%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $25.77 ↓ -1%
NHC ADVANTAGE NHC ADVANTAGE $26.02 ↑ +0%
CIGNA HEALTHCARE CIGNA MEDICARE $26.02 ↑ +0%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $26.02 ↑ +0%
BLUE CROSS BLUE CROSS MEDICARE $26.27 ↑ +1%
SENTARA HEALTH SENTARA HEALTH $29.08 ↑ +12%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $59.47 ↑ +130%
MEDCOST MEDCOST VHN $112.65 ↑ +335%
AMERIGROUP AMERIGROUP $112.65 ↑ +335%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $112.65 ↑ +335%
AETNA AETNA $112.65 ↑ +335%
CIGNA HEALTHCARE CIGNA PPO $112.65 ↑ +335%
BLUE CROSS TENNCARE BLUE CARE $112.65 ↑ +335%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $112.65 ↑ +335%
BLUE CROSS TENNCARE BLUE SELECT $112.65 ↑ +335%

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Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $82.00 $0.57 – $1.70
Inova Alexandria Hospital Alexandria $18.03 $1.41 – $24.02
Inova Fairfax Hospital Falls Church $18.03 $1.41 – $24.02
Inova Fair Oaks Hospital VA 22033-1709 $18.03 $1.41 – $24.02
Inova Loudoun Hospital Leesburg $18.03 $1.41 – $24.02
Inova Mount Vernon Hospital Alexandria $18.03 $1.41 – $24.02
Johnston Memorial Hospital ABINGDON $17.09 $0.30 – $1.76
Russell County Hospital LEBANON $17.09 $0.30 – $1.76

All Virginia hospitals for this procedure →