Ligation/major artery/extremity 37618 at Lee County Community Hospital
127 HEALTHCARE DRIVE, PENNINGTON GAP, VA · Balladhealth · · NPI 1205488996
$632.50
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.
$2,750.00
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.
$605.00 with AMBETTER vs $4,022.38 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 |
|---|---|---|---|
| AMBETTER | AMBETTER | $605.00 | ↓ -4% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $605.00 | ↓ -4% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $605.00 | ↓ -4% |
| AETNA | AETNA HEALTHCARE MEDICARE | $605.00 | ↓ -4% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $605.00 | ↓ -4% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $605.00 | ↓ -4% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $605.00 | ↓ -4% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $605.00 | ↓ -4% |
| SENTARA HEALTH | SENTARA MEDICARE | $605.00 | ↓ -4% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $605.00 | ↓ -4% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $605.00 | ↓ -4% |
| HUMANA | HUMANA MEDICARE | $614.68 | ↓ -3% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $623.15 | ↓ -1% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $629.20 | ↓ -1% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $635.25 | ↑ +0% |
| NHC ADVANTAGE | NHC ADVANTAGE | $635.25 | ↑ +0% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $635.25 | ↑ +0% |
| BLUE CROSS | BLUE CROSS MEDICARE | $641.30 | ↑ +1% |
| SENTARA HEALTH | SENTARA HEALTH | $709.78 | ↑ +12% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $948.00 | ↑ +50% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,107.00 | ↑ +75% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,452.00 | ↑ +130% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,621.00 | ↑ +156% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,850.00 | ↑ +192% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,910.14 | ↑ +202% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,221.11 | ↑ +251% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,221.11 | ↑ +251% |
| BLUE CROSS | ANTHEM HMO | $2,229.85 | ↑ +253% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $2,372.19 | ↑ +275% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,397.00 | ↑ +279% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,750.00 | ↑ +335% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $2,750.00 | ↑ +335% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,750.00 | ↑ +335% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,750.00 | ↑ +335% |
| BLUE CROSS | TENNCARE BLUE SELECT | $2,750.00 | ↑ +335% |
| BLUE CROSS | TENNCARE BLUE CARE | $2,750.00 | ↑ +335% |
| MEDCOST | MEDCOST VHN | $2,750.00 | ↑ +335% |
| AETNA | AETNA | $2,750.00 | ↑ +335% |
| AMERIGROUP | AMERIGROUP | $2,750.00 | ↑ +335% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $3,867.67 | ↑ +511% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $3,867.67 | ↑ +511% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $3,983.70 | ↑ +530% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $4,022.38 | ↑ +536% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $4,022.38 | ↑ +536% |
Visitor-reported prices
Comments
Ligation/major artery/extremity 37618 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $644.55 | $2,031.89 – $2,841.71 |
| Russell County Hospital | LEBANON | $644.55 | $2,050.27 – $2,841.74 |
| Sentara Martha Jefferson Hospital | Charlottesville | $2,946.50 | $1,547.00 – $1,547.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $1,870.00 | $1,972.00 – $3,988.00 |
| Lonesome Pine Hospital | BIG STONE GAP | $644.55 | $1,995.49 – $2,841.71 |
| Smyth County Community Hospital | MARION | $644.55 | $1,798.65 – $2,814.65 |
| Sentara Halifax Regional Hospital | South Boston | $2,215.50 | not published |
| Sentara Leigh Hospital | Norfolk | $1,870.00 | $5,169.00 – $5,220.00 |