Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im 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

$35.45

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.

$154.11

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.

$17.47 with UNITED HEALTHCARE vs $154.11 with AMERIGROUP — 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
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $17.47 ↓ -51%
UNITED HEALTHCARE UNITED HEALTHCARE $22.35 ↓ -37%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $22.35 ↓ -37%
UNITED HEALTHCARE UHC HERITAGE SELECT $22.35 ↓ -37%
AMBETTER AMBETTER $33.90 ↓ -4%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $33.90 ↓ -4%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $33.90 ↓ -4%
AETNA AETNA HEALTHCARE MEDICARE $33.90 ↓ -4%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $33.90 ↓ -4%
ALLCARE MEDICARE ALLCARE MEDICARE $33.90 ↓ -4%
MANAGED MEDICAIRE MANAGED MEDICAIRE $33.90 ↓ -4%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $33.90 ↓ -4%
SENTARA HEALTH SENTARA MEDICARE $33.90 ↓ -4%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $33.90 ↓ -4%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA MEDICARE $33.90 ↓ -4%
HUMANA HUMANA MEDICARE $34.44 ↓ -3%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $34.92 ↓ -1%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $35.26 ↓ -1%
CIGNA HEALTHCARE CIGNA MEDICARE $35.60 ↑ +0%
NHC ADVANTAGE NHC ADVANTAGE $35.60 ↑ +0%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $35.60 ↑ +0%
BLUE CROSS BLUE CROSS MEDICARE $35.93 ↑ +1%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $38.90 ↑ +10%
SENTARA HEALTH SENTARA HEALTH $39.78 ↑ +12%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $46.29 ↑ +31%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $46.29 ↑ +31%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $47.67 ↑ +34%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $48.14 ↑ +36%
AETNA AETNA BETTER HEALTH OF VIRGINIA $48.14 ↑ +36%
BLUE CROSS BLUE CROSS S NETWORK $69.06 ↑ +95%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $69.06 ↑ +95%
BLUE CROSS ANTHEM HMO $69.06 ↑ +95%
BLUE CROSS ANTHEM EXCHANGE $69.06 ↑ +95%
BLUE CROSS BLUE CROSS P NETWORK $69.06 ↑ +95%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $81.36 ↑ +130%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $107.88 ↑ +204%
BLUE CROSS TENNCARE BLUE SELECT $154.11 ↑ +335%
CIGNA HEALTHCARE CIGNA PPO $154.11 ↑ +335%
BLUE CROSS TENNCARE BLUE CARE $154.11 ↑ +335%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $154.11 ↑ +335%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $154.11 ↑ +335%
MEDCOST MEDCOST VHN $154.11 ↑ +335%
AETNA AETNA $154.11 ↑ +335%
AMERIGROUP AMERIGROUP $154.11 ↑ +335%

Visitor-reported prices

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Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im at other Virginia hospitals

Hospital City Cash price Negotiated range
Johnston Memorial Hospital ABINGDON $23.12 $17.47 – $38.90
Russell County Hospital LEBANON $23.12 $17.47 – $67.19
Lonesome Pine Hospital BIG STONE GAP $23.12 $9.71 – $70.27
Smyth County Community Hospital MARION $23.12 $17.47 – $38.90
HENRICO DOCTORS HOSPITAL RICHMOND $99.00 $23.21 – $23.21
Dickenson Community Hospital CLINTWOOD $37.15 $17.47 – $48.14
Sentara Martha Jefferson Hospital Charlottesville not published $37.29 – $37.29
Sentara Northern Virginia Medical Center Woodbridge not published $30.57 – $38.08

All Virginia hospitals for this procedure →