Aco cmplx chron care without pt visit, 60 min 99487aco 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

$39.45

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.

$263.00

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.

$66.59 with SENTARA HEALTH vs $377.53 with AMBETTER — 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
SENTARA HEALTH SENTARA HEALTH $66.59 ↑ +69%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $76.19 ↑ +93%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $76.19 ↑ +93%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $76.27 ↑ +93%
AETNA AETNA BETTER HEALTH OF VIRGINIA $76.93 ↑ +95%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $77.68 ↑ +97%
UNITED HEALTHCARE UHC HERITAGE SELECT $80.74 ↑ +105%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $84.95 ↑ +115%
UNITED HEALTHCARE UNITED HEALTHCARE $84.95 ↑ +115%
CIGNA HEALTHCARE CIGNA HMO $109.67 ↑ +178%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $109.67 ↑ +178%
CIGNA HEALTHCARE CIGNA PPO $109.67 ↑ +178%
AETNA AETNA $112.30 ↑ +185%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $122.03 ↑ +209%
MEDCOST MEDCOST VHN $125.16 ↑ +217%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $173.18 ↑ +339%
ALLCARE MEDICARE ALLCARE MEDICARE $173.18 ↑ +339%
MANAGED MEDICAIRE MANAGED MEDICAIRE $173.18 ↑ +339%
AETNA AETNA HEALTHCARE MEDICARE $173.18 ↑ +339%
HUMANA HUMANA MEDICARE $173.18 ↑ +339%
SENTARA HEALTH SENTARA MEDICARE $173.18 ↑ +339%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $173.18 ↑ +339%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $173.18 ↑ +339%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $178.38 ↑ +352%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $178.38 ↑ +352%
BLUE CROSS BLUE CROSS MEDICARE $180.11 ↑ +357%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $181.84 ↑ +361%
NHC ADVANTAGE NHC ADVANTAGE $181.84 ↑ +361%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $181.84 ↑ +361%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $181.84 ↑ +361%
CIGNA HEALTHCARE CIGNA MEDICARE $181.84 ↑ +361%
WELLCARE WELLCARE MEDICARE $183.57 ↑ +365%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $184.10 ↑ +367%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $236.70 ↑ +500%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $263.00 ↑ +567%
BLUE CROSS BLUE CROSS S NETWORK $263.00 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $263.00 ↑ +567%
BLUE CROSS ANTHEM EXCHANGE $263.00 ↑ +567%
BLUE CROSS ANTHEM HMO $263.00 ↑ +567%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $263.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $263.00 ↑ +567%
BLUE CROSS BLUE CROSS P NETWORK $263.00 ↑ +567%
AMBETTER AMBETTER $377.53 ↑ +857%

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Aco cmplx chron care without pt visit, 60 min 99487aco at other Virginia hospitals

Hospital City Cash price Negotiated range
Sentara Martha Jefferson Hospital Charlottesville $98.50 not published
Sentara Northern Virginia Medical Center Woodbridge $103.00 not published
Sentara Halifax Regional Hospital South Boston $112.00 $178.04 – $183.28
Sentara Leigh Hospital Norfolk $103.00 not published
Sentara RMH Medical Center Harrisonburg $98.50 $176.64 – $181.84
Sentara CarePlex Hospital Hampton $103.00 not published
Sentara Norfolk General Hospital Norfolk $103.00 not published
Sentara Princess Anne Hospital Virginia Beach $103.00 not published

All Virginia hospitals for this procedure →