Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr at Lee County Community Hospital

127 HEALTHCARE DRIVE, PENNINGTON GAP, VA · Balladhealth · · NPI 1205488996

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$12.71

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$55.27

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$4.17 with CIGNA HEALTHCARE vs $32.28 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 →

Payer
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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
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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
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $4.17 ↓ -67%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $7.10 ↓ -44%
AETNA AETNA HEALTHCARE MEDICARE $7.10 ↓ -44%
AMBETTER AMBETTER $7.10 ↓ -44%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $7.10 ↓ -44%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $7.10 ↓ -44%
ALLCARE MEDICARE ALLCARE MEDICARE $7.10 ↓ -44%
MANAGED MEDICAIRE MANAGED MEDICAIRE $7.10 ↓ -44%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $7.10 ↓ -44%
SENTARA HEALTH SENTARA MEDICARE $7.10 ↓ -44%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $7.10 ↓ -44%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA MEDICARE $7.10 ↓ -44%
HUMANA HUMANA MEDICARE $7.21 ↓ -43%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $7.31 ↓ -42%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $7.38 ↓ -42%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $7.46 ↓ -41%
NHC ADVANTAGE NHC ADVANTAGE $7.46 ↓ -41%
CIGNA HEALTHCARE CIGNA MEDICARE $7.46 ↓ -41%
BLUE CROSS BLUE CROSS MEDICARE $7.53 ↓ -41%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $7.99 ↓ -37%
SENTARA HEALTH SENTARA HEALTH $8.33 ↓ -34%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $17.04 ↑ +34%
BLUE CROSS TENNCARE BLUE CARE $32.28 ↑ +154%
CIGNA HEALTHCARE CIGNA PPO $32.28 ↑ +154%
AETNA AETNA $32.28 ↑ +154%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $32.28 ↑ +154%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $32.28 ↑ +154%
MEDCOST MEDCOST VHN $32.28 ↑ +154%
AMERIGROUP AMERIGROUP $32.28 ↑ +154%
BLUE CROSS TENNCARE BLUE SELECT $32.28 ↑ +154%

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Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $22.49 $3.25 – $7.05
Inova Fairfax Hospital Falls Church $22.49 $3.25 – $7.05
Inova Fair Oaks Hospital VA 22033-1709 $22.49 $3.25 – $7.05
Inova Loudoun Hospital Leesburg $22.49 $3.25 – $7.05
Inova Mount Vernon Hospital Alexandria $22.49 $3.25 – $7.05
Johnston Memorial Hospital ABINGDON $142.03 $4.17 – $7.99
Russell County Hospital LEBANON $53.78 $4.17 – $7.99
Lonesome Pine Hospital BIG STONE GAP $8.29 $4.17 – $7.99

All Virginia hospitals for this procedure →