Formoterol fumarate, inh at Lee County Community Hospital
127 HEALTHCARE DRIVE, PENNINGTON GAP, VA · Balladhealth · · NPI 1205488996
$31.74
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.
$138.02
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.
$2.20 with BLUE CROSS vs $146.30 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 |
|---|---|---|---|
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $2.20 | ↓ -93% |
| BLUE CROSS | ANTHEM HMO | $2.20 | ↓ -93% |
| BLUE CROSS | ANTHEM EXCHANGE | $2.20 | ↓ -93% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2.20 | ↓ -93% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2.20 | ↓ -93% |
| SENTARA HEALTH | SENTARA HEALTH | $35.62 | ↑ +12% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $53.97 | ↑ +70% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $64.04 | ↑ +102% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $64.73 | ↑ +104% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $64.73 | ↑ +104% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $96.61 | ↑ +204% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $138.02 | ↑ +335% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $138.02 | ↑ +335% |
| AETNA | AETNA | $138.02 | ↑ +335% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $138.02 | ↑ +335% |
| AETNA | AETNA HEALTHCARE MEDICARE | $138.02 | ↑ +335% |
| AMBETTER | AMBETTER | $138.02 | ↑ +335% |
| AMERIGROUP | AMERIGROUP | $138.02 | ↑ +335% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $138.02 | ↑ +335% |
| BLUE CROSS | TENNCARE BLUE CARE | $138.02 | ↑ +335% |
| BLUE CROSS | TENNCARE BLUE SELECT | $138.02 | ↑ +335% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $138.02 | ↑ +335% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $138.02 | ↑ +335% |
| MEDCOST | MEDCOST VHN | $138.02 | ↑ +335% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $138.02 | ↑ +335% |
| SENTARA HEALTH | SENTARA MEDICARE | $138.02 | ↑ +335% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $138.02 | ↑ +335% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $138.02 | ↑ +335% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $138.02 | ↑ +335% |
| CIGNA HEALTHCARE | CIGNA PPO | $138.02 | ↑ +335% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $138.02 | ↑ +335% |
| HUMANA | HUMANA MEDICARE | $140.23 | ↑ +342% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $142.16 | ↑ +348% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $143.54 | ↑ +352% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $144.92 | ↑ +357% |
| NHC ADVANTAGE | NHC ADVANTAGE | $144.92 | ↑ +357% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $144.92 | ↑ +357% |
| BLUE CROSS | BLUE CROSS MEDICARE | $146.30 | ↑ +361% |
Visitor-reported prices
Comments
Formoterol fumarate, inh at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $109.00 | $1.44 – $5.83 |
| Johnston Memorial Hospital | ABINGDON | $20.70 | $2.20 – $300.91 |
| Lonesome Pine Hospital | BIG STONE GAP | $20.70 | $2.20 – $300.88 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $53.00 | $1.44 – $5.83 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | $129.00 | $1.27 – $5.83 |
| LEWISGALE MEDICAL CENTER | ROANOKE | $122.00 | $1.44 – $6.60 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg | $311.04 | $1.65 – $5.83 |
| STONESPRINGS HOSPITAL CENTER | Dulles | $63.75 | $1.27 – $5.83 |