Aco ccm; at least 20 min 99490aco 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

$38.55

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.

$257.00

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.

$26.85 with UNITED HEALTHCARE vs $257.00 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
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $26.85 ↓ -30%
SENTARA HEALTH SENTARA HEALTH $65.07 ↑ +69%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $76.19 ↑ +98%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $76.19 ↑ +98%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $76.27 ↑ +98%
AETNA AETNA BETTER HEALTH OF VIRGINIA $76.93 ↑ +100%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $77.68 ↑ +102%
UNITED HEALTHCARE UHC HERITAGE SELECT $78.90 ↑ +105%
UNITED HEALTHCARE UNITED HEALTHCARE $83.01 ↑ +115%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $83.01 ↑ +115%
ALLCARE MEDICARE ALLCARE MEDICARE $99.12 ↑ +157%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $99.12 ↑ +157%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $99.12 ↑ +157%
SENTARA HEALTH SENTARA MEDICARE $99.12 ↑ +157%
AETNA AETNA HEALTHCARE MEDICARE $99.12 ↑ +157%
HUMANA HUMANA MEDICARE $99.12 ↑ +157%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $99.12 ↑ +157%
MANAGED MEDICAIRE MANAGED MEDICAIRE $99.12 ↑ +157%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $102.09 ↑ +165%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $102.09 ↑ +165%
BLUE CROSS BLUE CROSS MEDICARE $103.08 ↑ +167%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $104.08 ↑ +170%
NHC ADVANTAGE NHC ADVANTAGE $104.08 ↑ +170%
CIGNA HEALTHCARE CIGNA MEDICARE $104.08 ↑ +170%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $104.08 ↑ +170%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $104.08 ↑ +170%
WELLCARE WELLCARE MEDICARE $105.07 ↑ +173%
CIGNA HEALTHCARE CIGNA HMO $107.17 ↑ +178%
CIGNA HEALTHCARE CIGNA PPO $107.17 ↑ +178%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $107.17 ↑ +178%
AETNA AETNA $109.74 ↑ +185%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $119.25 ↑ +209%
MEDCOST MEDCOST VHN $122.31 ↑ +217%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $179.90 ↑ +367%
AMBETTER AMBETTER $216.08 ↑ +461%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $231.30 ↑ +500%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $237.89 ↑ +517%
BLUE CROSS ANTHEM HMO $257.00 ↑ +567%
BLUE CROSS ANTHEM EXCHANGE $257.00 ↑ +567%
BLUE CROSS BLUE CROSS S NETWORK $257.00 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $257.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $257.00 ↑ +567%
BLUE CROSS BLUE CROSS P NETWORK $257.00 ↑ +567%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $257.00 ↑ +567%

Visitor-reported prices

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Aco ccm; at least 20 min 99490aco at other Virginia hospitals

Hospital City Cash price Negotiated range
Sentara Martha Jefferson Hospital Charlottesville $87.00 not published
Sentara Northern Virginia Medical Center Woodbridge $91.00 not published
Sentara Halifax Regional Hospital South Boston $99.00 $101.90 – $104.90
Sentara Leigh Hospital Norfolk $91.00 not published
Sentara RMH Medical Center Harrisonburg $87.00 not published
Sentara CarePlex Hospital Hampton $91.00 not published
Sentara Norfolk General Hospital Norfolk $91.00 not published
Sentara Princess Anne Hospital Virginia Beach $91.00 not published

All Virginia hospitals for this procedure →