Abdominal CT scan (with and without contrast) at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$617.10
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.
$4,114.00
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.
$167.05 with UNITED HEALTHCARE vs $4,114.00 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 | $167.05 | ↓ -73% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $171.14 | ↓ -72% |
| SENTARA HEALTH | SENTARA MEDICARE | $171.14 | ↓ -72% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $171.14 | ↓ -72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $171.14 | ↓ -72% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $171.14 | ↓ -72% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $171.14 | ↓ -72% |
| AETNA | AETNA HEALTHCARE MEDICARE | $171.14 | ↓ -72% |
| HUMANA | HUMANA MEDICARE | $171.14 | ↓ -72% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $176.27 | ↓ -71% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $176.27 | ↓ -71% |
| BLUE CROSS | BLUE CROSS MEDICARE | $177.98 | ↓ -71% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $179.69 | ↓ -71% |
| NHC ADVANTAGE | NHC ADVANTAGE | $179.69 | ↓ -71% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $179.69 | ↓ -71% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $179.69 | ↓ -71% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $179.69 | ↓ -71% |
| WELLCARE | WELLCARE MEDICARE | $181.40 | ↓ -71% |
| AMBETTER | AMBETTER | $373.08 | ↓ -40% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $410.73 | ↓ -33% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $420.22 | ↓ -32% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $420.22 | ↓ -32% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $420.63 | ↓ -32% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $424.30 | ↓ -31% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $427.00 | ↓ -31% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $428.38 | ↓ -31% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $515.24 | ↓ -17% |
| BLUE CROSS | ANTHEM EXCHANGE | $564.17 | ↓ -9% |
| CIGNA HEALTHCARE | CIGNA PPO | $618.00 | ↑ +0% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $642.00 | ↑ +4% |
| CIGNA HEALTHCARE | CIGNA HMO | $642.00 | ↑ +4% |
| BLUE CROSS | ANTHEM HMO | $654.35 | ↑ +6% |
| BLUE CROSS | BLUE CROSS S NETWORK | $696.49 | ↑ +13% |
| BLUE CROSS | BLUE CROSS P NETWORK | $696.49 | ↑ +13% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $769.36 | ↑ +25% |
| SENTARA HEALTH | SENTARA HEALTH | $1,041.66 | ↑ +69% |
| AETNA | AETNA | $1,756.68 | ↑ +185% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,835.00 | ↑ +197% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,919.00 | ↑ +211% |
| MEDCOST | MEDCOST VHN | $1,957.85 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,026.00 | ↑ +390% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,702.60 | ↑ +500% |
| BLUE CROSS | TENNCARE BLUE CARE | $4,114.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $4,114.00 | ↑ +567% |
Visitor-reported prices
Comments
Abdominal CT scan (with and without contrast) at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $6,723.00 | $331.10 – $401.74 |
| Inova Alexandria Hospital | Alexandria | $1,051.50 | $178.02 – $1,476.69 |
| Inova Fairfax Hospital | Falls Church | $1,051.50 | $178.02 – $1,476.69 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $1,051.50 | $178.02 – $1,476.69 |
| Inova Loudoun Hospital | Leesburg | $1,051.50 | $178.02 – $1,476.69 |
| Inova Mount Vernon Hospital | Alexandria | $1,051.50 | $178.02 – $1,476.69 |
| Johnston Memorial Hospital | ABINGDON | $617.10 | $171.14 – $407.98 |
| Russell County Hospital | LEBANON | $617.10 | $171.14 – $407.99 |