Scope uretscp lithovue dig disp at Lee County Community Hospital
127 HEALTHCARE DRIVE, PENNINGTON GAP, VA · Balladhealth · · NPI 1205488996
$8,336.73
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.
$36,246.65
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.
$3,422.43 with MANAGED MEDICAIRE vs $15,556.50 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 |
|---|---|---|---|
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,422.43 | ↓ -59% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $3,422.43 | ↓ -59% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,422.43 | ↓ -59% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,422.43 | ↓ -59% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,422.43 | ↓ -59% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,422.43 | ↓ -59% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,422.43 | ↓ -59% |
| AMBETTER | AMBETTER | $3,422.43 | ↓ -59% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3,422.43 | ↓ -59% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,422.43 | ↓ -59% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,422.43 | ↓ -59% |
| HUMANA | HUMANA MEDICARE | $3,477.19 | ↓ -58% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,525.10 | ↓ -58% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,559.33 | ↓ -57% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,593.55 | ↓ -57% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,593.55 | ↓ -57% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,593.55 | ↓ -57% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,627.78 | ↓ -56% |
| SENTARA HEALTH | SENTARA HEALTH | $4,015.13 | ↓ -52% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $6,082.59 | ↓ -27% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $7,218.22 | ↓ -13% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $7,296.00 | ↓ -12% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $7,296.00 | ↓ -12% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $8,213.83 | ↓ -1% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $10,889.55 | ↑ +31% |
| MEDCOST | MEDCOST VHN | $15,556.50 | ↑ +87% |
| CIGNA HEALTHCARE | CIGNA PPO | $15,556.50 | ↑ +87% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $15,556.50 | ↑ +87% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $15,556.50 | ↑ +87% |
| BLUE CROSS | TENNCARE BLUE CARE | $15,556.50 | ↑ +87% |
| AMERIGROUP | AMERIGROUP | $15,556.50 | ↑ +87% |
| AETNA | AETNA | $15,556.50 | ↑ +87% |
| BLUE CROSS | TENNCARE BLUE SELECT | $15,556.50 | ↑ +87% |
Visitor-reported prices
Comments
Scope uretscp lithovue dig disp at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $5,437.00 | $5,787.02 – $5,787.02 |
| Russell County Hospital | LEBANON | $5,437.00 | $5,787.02 – $5,787.02 |
| Lonesome Pine Hospital | BIG STONE GAP | $5,437.00 | $4,775.85 – $4,775.85 |
| Smyth County Community Hospital | MARION | $5,437.00 | $5,787.02 – $5,787.02 |
| Dickenson Community Hospital | CLINTWOOD | $8,336.73 | $6,082.59 – $6,082.59 |
| Southern Virginia Medical Center | Emporia | $15,575.62 | not published |
| Rappahannock General Hospital | Kilmarnock | $23,153.72 | not published |
| Southampton Medical Center | Franklin | $9,678.82 | not published |