Diagnostic anoscopy spx 46600 at Lee County Community Hospital
127 HEALTHCARE DRIVE, PENNINGTON GAP, VA · Balladhealth · · NPI 1205488996
$135.70
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.
$590.00
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.
$31.22 with BLUE CROSS vs $678.40 with MOLINA HEALTHCARE — 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $31.22 | ↓ -77% |
| AMBETTER | AMBETTER | $129.80 | ↓ -4% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $129.80 | ↓ -4% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $129.80 | ↓ -4% |
| AETNA | AETNA HEALTHCARE MEDICARE | $129.80 | ↓ -4% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $129.80 | ↓ -4% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $129.80 | ↓ -4% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $129.80 | ↓ -4% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $129.80 | ↓ -4% |
| SENTARA HEALTH | SENTARA MEDICARE | $129.80 | ↓ -4% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $129.80 | ↓ -4% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $129.80 | ↓ -4% |
| HUMANA | HUMANA MEDICARE | $131.88 | ↓ -3% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $133.69 | ↓ -1% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $134.99 | ↓ -1% |
| NHC ADVANTAGE | NHC ADVANTAGE | $136.29 | ↑ +0% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $136.29 | ↑ +0% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $136.29 | ↑ +0% |
| BLUE CROSS | BLUE CROSS MEDICARE | $137.59 | ↑ +1% |
| SENTARA HEALTH | SENTARA HEALTH | $152.28 | ↑ +12% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $171.00 | ↑ +26% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $311.52 | ↑ +130% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $398.00 | ↑ +193% |
| BLUE CROSS | ANTHEM EXCHANGE | $409.65 | ↑ +202% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $455.00 | ↑ +235% |
| BLUE CROSS | BLUE CROSS P NETWORK | $476.35 | ↑ +251% |
| BLUE CROSS | BLUE CROSS S NETWORK | $476.35 | ↑ +251% |
| BLUE CROSS | ANTHEM HMO | $478.22 | ↑ +252% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $508.75 | ↑ +275% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $589.00 | ↑ +334% |
| CIGNA HEALTHCARE | CIGNA PPO | $590.00 | ↑ +335% |
| BLUE CROSS | TENNCARE BLUE CARE | $590.00 | ↑ +335% |
| BLUE CROSS | TENNCARE BLUE SELECT | $590.00 | ↑ +335% |
| AMERIGROUP | AMERIGROUP | $590.00 | ↑ +335% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $590.00 | ↑ +335% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $590.00 | ↑ +335% |
| MEDCOST | MEDCOST VHN | $590.00 | ↑ +335% |
| AETNA | AETNA | $590.00 | ↑ +335% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $652.31 | ↑ +381% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $652.31 | ↑ +381% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $671.88 | ↑ +395% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $678.40 | ↑ +400% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $678.40 | ↑ +400% |
Visitor-reported prices
Comments
Diagnostic anoscopy spx 46600 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $162.50 | $128.90 – $1,509.00 |
| Inova Fairfax Hospital | Falls Church | $162.50 | $128.90 – $1,509.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $162.50 | $128.90 – $1,509.00 |
| Inova Loudoun Hospital | Leesburg | $162.50 | $128.90 – $1,509.00 |
| Inova Mount Vernon Hospital | Alexandria | $162.50 | $128.90 – $1,509.00 |
| Johnston Memorial Hospital | ABINGDON | $138.30 | $15.69 – $456.45 |
| Russell County Hospital | LEBANON | $138.30 | $31.22 – $456.46 |
| Sentara Martha Jefferson Hospital | Charlottesville | $155.00 | $132.41 – $2,845.00 |