Fibrinolytic plasminogen at Lee County Community Hospital
127 HEALTHCARE DRIVE, PENNINGTON GAP, VA · Balladhealth · · NPI 1205488996
$28.52
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.
$124.00
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.
$6.63 with OPTIMA HEALTH vs $124.00 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 →
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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 |
|---|---|---|---|
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $6.63 | ↓ -77% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $6.63 | ↓ -77% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $6.83 | ↓ -76% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $6.89 | ↓ -76% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $6.90 | ↓ -76% |
| BLUE CROSS | BLUE CROSS P NETWORK | $17.19 | ↓ -40% |
| BLUE CROSS | ANTHEM EXCHANGE | $17.19 | ↓ -40% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $17.19 | ↓ -40% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $17.19 | ↓ -40% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $17.19 | ↓ -40% |
| BLUE CROSS | ANTHEM HMO | $17.19 | ↓ -40% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $17.19 | ↓ -40% |
| BLUE CROSS | BLUE CROSS S NETWORK | $17.19 | ↓ -40% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $21.92 | ↓ -23% |
| AMBETTER | AMBETTER | $27.28 | ↓ -4% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $27.28 | ↓ -4% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $27.28 | ↓ -4% |
| AETNA | AETNA HEALTHCARE MEDICARE | $27.28 | ↓ -4% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $27.28 | ↓ -4% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $27.28 | ↓ -4% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $27.28 | ↓ -4% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $27.28 | ↓ -4% |
| SENTARA HEALTH | SENTARA MEDICARE | $27.28 | ↓ -4% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $27.28 | ↓ -4% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $27.28 | ↓ -4% |
| HUMANA | HUMANA MEDICARE | $27.72 | ↓ -3% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $28.10 | ↓ -1% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $28.37 | ↓ -1% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $28.64 | ↑ +0% |
| NHC ADVANTAGE | NHC ADVANTAGE | $28.64 | ↑ +0% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $28.64 | ↑ +0% |
| BLUE CROSS | BLUE CROSS MEDICARE | $28.92 | ↑ +1% |
| SENTARA HEALTH | SENTARA HEALTH | $32.00 | ↑ +12% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $37.53 | ↑ +32% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $65.47 | ↑ +130% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $65.51 | ↑ +130% |
| BLUE CROSS | TENNCARE BLUE SELECT | $124.00 | ↑ +335% |
| AETNA | AETNA | $124.00 | ↑ +335% |
| CIGNA HEALTHCARE | CIGNA PPO | $124.00 | ↑ +335% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $124.00 | ↑ +335% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $124.00 | ↑ +335% |
| MEDCOST | MEDCOST VHN | $124.00 | ↑ +335% |
| AMERIGROUP | AMERIGROUP | $124.00 | ↑ +335% |
| BLUE CROSS | TENNCARE BLUE CARE | $124.00 | ↑ +335% |
Visitor-reported prices
Comments
Fibrinolytic plasminogen at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $160.50 | $5.25 – $201.94 |
| Inova Fairfax Hospital | Falls Church | $160.50 | $5.25 – $201.94 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $160.50 | $5.25 – $201.94 |
| Inova Loudoun Hospital | Leesburg | $160.50 | $5.25 – $201.94 |
| Inova Mount Vernon Hospital | Alexandria | $160.50 | $5.25 – $201.94 |
| Johnston Memorial Hospital | ABINGDON | $28.95 | $4.64 – $37.47 |
| Russell County Hospital | LEBANON | $28.95 | $4.64 – $37.47 |
| Sentara Martha Jefferson Hospital | Charlottesville | $88.00 | $17.53 – $28.82 |