Gadobutrol 1 mmol/ml intravenous solution (wrapper) at Lee County Community Hospital
127 HEALTHCARE DRIVE, PENNINGTON GAP, VA · Balladhealth · · NPI 1205488996
$89.79
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.
$390.37
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.
$64.75 with MANAGED MEDICAIRE vs $294.32 with AETNA — 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 |
|---|---|---|---|
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $64.75 | ↓ -28% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $64.75 | ↓ -28% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $64.75 | ↓ -28% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $64.75 | ↓ -28% |
| SENTARA HEALTH | SENTARA MEDICARE | $64.75 | ↓ -28% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $64.75 | ↓ -28% |
| AETNA | AETNA HEALTHCARE MEDICARE | $64.75 | ↓ -28% |
| AMBETTER | AMBETTER | $64.75 | ↓ -28% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $64.75 | ↓ -28% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $64.75 | ↓ -28% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $64.75 | ↓ -28% |
| HUMANA | HUMANA MEDICARE | $65.79 | ↓ -27% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $66.69 | ↓ -26% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $67.34 | ↓ -25% |
| NHC ADVANTAGE | NHC ADVANTAGE | $67.99 | ↓ -24% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $67.99 | ↓ -24% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $67.99 | ↓ -24% |
| BLUE CROSS | BLUE CROSS MEDICARE | $68.64 | ↓ -24% |
| SENTARA HEALTH | SENTARA HEALTH | $75.96 | ↓ -15% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $115.08 | ↑ +28% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $138.04 | ↑ +54% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $138.04 | ↑ +54% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $155.40 | ↑ +73% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $206.02 | ↑ +129% |
| BLUE CROSS | TENNCARE BLUE SELECT | $294.32 | ↑ +228% |
| MEDCOST | MEDCOST VHN | $294.32 | ↑ +228% |
| CIGNA HEALTHCARE | CIGNA PPO | $294.32 | ↑ +228% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $294.32 | ↑ +228% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $294.32 | ↑ +228% |
| BLUE CROSS | TENNCARE BLUE CARE | $294.32 | ↑ +228% |
| AMERIGROUP | AMERIGROUP | $294.32 | ↑ +228% |
| AETNA | AETNA | $294.32 | ↑ +228% |
Visitor-reported prices
Comments
Gadobutrol 1 mmol/ml intravenous solution (wrapper) at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $58.56 | $109.49 – $109.49 |
| Russell County Hospital | LEBANON | $47.34 | $109.49 – $109.49 |
| Lonesome Pine Hospital | BIG STONE GAP | $44.15 | $90.36 – $90.36 |
| Smyth County Community Hospital | MARION | $44.15 | $109.49 – $109.49 |
| LEWISGALE MEDICAL CENTER | ROANOKE | $603.00 | $0.22 – $0.84 |
| Rappahannock General Hospital | Kilmarnock | $536.54 | not published |
| Mary Immaculate Hospital | Newport News | $482.20 | not published |
| Richmond Community Hospital | Richmond | $709.65 | not published |