Acetylcholinesterase assay at Lonesome Pine Hospital

1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716

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

$19.50

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.

$130.00

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.

$6.15 with AMERIGROUP vs $130.00 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 →

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
AMERIGROUP AMERIGROUP $6.15 ↓ -68%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $7.91 ↓ -59%
AETNA AETNA HEALTHCARE MEDICARE $12.29 ↓ -37%
UNITED HEALTHCARE UHC HERITAGE SELECT $12.29 ↓ -37%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $12.29 ↓ -37%
UNITED HEALTHCARE UNITED HEALTHCARE $12.29 ↓ -37%
HUMANA HUMANA MEDICARE $12.29 ↓ -37%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $12.29 ↓ -37%
BLUE CROSS ANTHEM EXCHANGE $12.29 ↓ -37%
BLUE CROSS ANTHEM HMO $12.29 ↓ -37%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $12.29 ↓ -37%
BLUE CROSS BLUE CROSS P NETWORK $12.29 ↓ -37%
BLUE CROSS BLUE CROSS S NETWORK $12.29 ↓ -37%
ALLCARE MEDICARE ALLCARE MEDICARE $12.29 ↓ -37%
MANAGED MEDICAIRE MANAGED MEDICAIRE $12.29 ↓ -37%
SENTARA HEALTH SENTARA MEDICARE $12.29 ↓ -37%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $12.29 ↓ -37%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $12.66 ↓ -35%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $12.66 ↓ -35%
BLUE CROSS BLUE CROSS MEDICARE $12.78 ↓ -34%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $12.78 ↓ -34%
NHC ADVANTAGE NHC ADVANTAGE $12.90 ↓ -34%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $12.90 ↓ -34%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $12.90 ↓ -34%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $12.90 ↓ -34%
CIGNA HEALTHCARE CIGNA MEDICARE $12.90 ↓ -34%
WELLCARE WELLCARE MEDICARE $13.03 ↓ -33%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $13.06 ↓ -33%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $13.06 ↓ -33%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $13.07 ↓ -33%
AETNA AETNA BETTER HEALTH OF VIRGINIA $13.18 ↓ -32%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $13.31 ↓ -32%
AMBETTER AMBETTER $26.79 ↑ +37%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $27.43 ↑ +41%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $29.50 ↑ +51%
SENTARA HEALTH SENTARA HEALTH $32.92 ↑ +69%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $35.90 ↑ +84%
CIGNA HEALTHCARE CIGNA PPO $44.92 ↑ +130%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $44.92 ↑ +130%
CIGNA HEALTHCARE CIGNA HMO $44.92 ↑ +130%
AETNA AETNA $55.51 ↑ +185%
MEDCOST MEDCOST VHN $61.87 ↑ +217%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $117.00 ↑ +500%
BLUE CROSS TENNCARE BLUE SELECT $130.00 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $130.00 ↑ +567%

Visitor-reported prices

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Acetylcholinesterase assay at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $168.00 $12.29 – $211.38
Inova Fairfax Hospital Falls Church $168.00 $12.29 – $211.38
Inova Fair Oaks Hospital VA 22033-1709 $168.00 $12.29 – $211.38
Inova Loudoun Hospital Leesburg $168.00 $12.29 – $211.38
Inova Mount Vernon Hospital Alexandria $168.00 $12.29 – $211.38
LEWISGALE HOSPITAL-PULASKI PULASKI $341.00 $9.44 – $13.15
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $10.69 – $17.82
Sentara Martha Jefferson Hospital Charlottesville not published $12.54 – $18.73

All Virginia hospitals for this procedure →