Tc-99m disofenin at Lee County Community Hospital
127 HEALTHCARE DRIVE, PENNINGTON GAP, VA · Balladhealth · · NPI 1205488996
$35.65
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.
$155.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$34.10 with UNITED HEALTHCARE vs $155.00 with AMERIGROUP — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $34.10 | ↓ -4% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $34.10 | ↓ -4% |
| AETNA | AETNA HEALTHCARE MEDICARE | $34.10 | ↓ -4% |
| AMBETTER | AMBETTER | $34.10 | ↓ -4% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $34.10 | ↓ -4% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $34.10 | ↓ -4% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $34.10 | ↓ -4% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $34.10 | ↓ -4% |
| SENTARA HEALTH | SENTARA MEDICARE | $34.10 | ↓ -4% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $34.10 | ↓ -4% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA MEDICARE | $34.10 | ↓ -4% |
| HUMANA | HUMANA MEDICARE | $34.65 | ↓ -3% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $35.12 | ↓ -1% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $35.46 | ↓ -1% |
| NHC ADVANTAGE | NHC ADVANTAGE | $35.81 | ↑ +0% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $35.81 | ↑ +0% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $35.81 | ↑ +0% |
| BLUE CROSS | BLUE CROSS MEDICARE | $36.15 | ↑ +1% |
| SENTARA HEALTH | SENTARA HEALTH | $40.01 | ↑ +12% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $62.42 | ↑ +75% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $81.84 | ↑ +130% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $125.66 | ↑ +252% |
| AETNA | AETNA | $155.00 | ↑ +335% |
| BLUE CROSS | TENNCARE BLUE SELECT | $155.00 | ↑ +335% |
| CIGNA HEALTHCARE | CIGNA PPO | $155.00 | ↑ +335% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $155.00 | ↑ +335% |
| BLUE CROSS | TENNCARE BLUE CARE | $155.00 | ↑ +335% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $155.00 | ↑ +335% |
| MEDCOST | MEDCOST VHN | $155.00 | ↑ +335% |
| AMERIGROUP | AMERIGROUP | $155.00 | ↑ +335% |
Visitor-reported prices
Comments
Tc-99m disofenin at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Lonesome Pine Hospital | BIG STONE GAP | $36.45 | $62.42 – $125.66 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $1,152.00 | $74.97 – $163.74 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $573.00 | $163.74 – $163.74 |
| LEWISGALE MEDICAL CENTER | ROANOKE | $281.00 | $185.37 – $185.37 |
| TRICITIES HOSPITAL | HOPEWELL | $1,152.00 | $74.97 – $163.74 |
| RESTON HOSPITAL CENTER | VIENNA | $145.90 | $64.97 – $163.74 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg | $153.36 | $74.97 – $163.74 |
| STONESPRINGS HOSPITAL CENTER | Dulles | $132.74 | $64.97 – $163.74 |