99391 periodic comp preventive med less than 1 year est at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$56.85
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.
$379.00
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.
$33.87 with UNITED HEALTHCARE vs $364.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $33.87 | ↓ -40% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $49.62 | ↓ -13% |
| SENTARA HEALTH | SENTARA HEALTH | $92.16 | ↑ +62% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $111.75 | ↑ +97% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $117.57 | ↑ +107% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $117.57 | ↑ +107% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $151.79 | ↑ +167% |
| CIGNA HEALTHCARE | CIGNA HMO | $151.79 | ↑ +167% |
| CIGNA HEALTHCARE | CIGNA PPO | $151.79 | ↑ +167% |
| AETNA | AETNA | $155.43 | ↑ +173% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $168.90 | ↑ +197% |
| MEDCOST | MEDCOST VHN | $173.23 | ↑ +205% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $327.60 | ↑ +476% |
| BLUE CROSS | TENNCARE BLUE CARE | $364.00 | ↑ +540% |
| BLUE CROSS | TENNCARE BLUE SELECT | $364.00 | ↑ +540% |
Visitor-reported prices
Comments
99391 periodic comp preventive med less than 1 year est at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $45.74 – $52.20 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $45.74 – $53.81 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $45.74 – $52.20 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | not published | $40.36 – $48.43 |
| LEWISGALE MEDICAL CENTER | ROANOKE | not published | $45.74 – $52.20 |
| TRICITIES HOSPITAL | HOPEWELL | not published | $45.74 – $53.81 |
| RESTON HOSPITAL CENTER | VIENNA | not published | $57.97 – $59.76 |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER | Fredericksburg | not published | $52.20 – $53.81 |