Administration immunization intranasal/oral route 1 vaccine 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

$30.60

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.

$204.00

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.

$4.20 with BLUE CROSS vs $204.00 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
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $4.20 ↓ -86%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $12.41 ↓ -59%
SENTARA HEALTH SENTARA HEALTH $51.65 ↑ +69%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $52.23 ↑ +71%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $52.23 ↑ +71%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $52.28 ↑ +71%
AETNA AETNA BETTER HEALTH OF VIRGINIA $52.74 ↑ +72%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $53.25 ↑ +74%
ALLCARE MEDICARE ALLCARE MEDICARE $70.25 ↑ +130%
SENTARA HEALTH SENTARA MEDICARE $70.25 ↑ +130%
AETNA AETNA HEALTHCARE MEDICARE $70.25 ↑ +130%
HUMANA HUMANA MEDICARE $70.25 ↑ +130%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $70.25 ↑ +130%
MANAGED MEDICAIRE MANAGED MEDICAIRE $70.25 ↑ +130%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $70.25 ↑ +130%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $70.25 ↑ +130%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $72.36 ↑ +136%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $72.36 ↑ +136%
BLUE CROSS BLUE CROSS MEDICARE $73.06 ↑ +139%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $73.76 ↑ +141%
NHC ADVANTAGE NHC ADVANTAGE $73.76 ↑ +141%
CIGNA HEALTHCARE CIGNA MEDICARE $73.76 ↑ +141%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $73.76 ↑ +141%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $73.76 ↑ +141%
WELLCARE WELLCARE MEDICARE $74.46 ↑ +143%
CIGNA HEALTHCARE CIGNA PPO $85.07 ↑ +178%
CIGNA HEALTHCARE CIGNA HMO $85.07 ↑ +178%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $85.07 ↑ +178%
AETNA AETNA $87.11 ↑ +185%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $94.66 ↑ +209%
MEDCOST MEDCOST VHN $97.08 ↑ +217%
UNITED HEALTHCARE UHC HERITAGE SELECT $142.00 ↑ +364%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $148.00 ↑ +384%
AMBETTER AMBETTER $153.14 ↑ +400%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $168.60 ↑ +451%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $183.60 ↑ +500%
BLUE CROSS TENNCARE BLUE CARE $204.00 ↑ +567%
BLUE CROSS ANTHEM HMO $204.00 ↑ +567%
BLUE CROSS ANTHEM EXCHANGE $204.00 ↑ +567%
UNITED HEALTHCARE UNITED HEALTHCARE $204.00 ↑ +567%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $204.00 ↑ +567%
BLUE CROSS BLUE CROSS P NETWORK $204.00 ↑ +567%
BLUE CROSS BLUE CROSS S NETWORK $204.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $204.00 ↑ +567%

Visitor-reported prices

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Administration immunization intranasal/oral route 1 vaccine at other Virginia hospitals

Hospital City Cash price Negotiated range
Sentara Martha Jefferson Hospital Charlottesville not published $71.65 – $73.76
Sentara Northern Virginia Medical Center Woodbridge not published $71.65 – $73.76
Sentara Halifax Regional Hospital South Boston not published $72.22 – $74.35
Sentara Leigh Hospital Norfolk not published $71.65 – $73.76
Sentara RMH Medical Center Harrisonburg not published $71.65 – $73.76
Sentara CarePlex Hospital Hampton not published $71.65 – $73.76
Sentara Norfolk General Hospital Norfolk not published $71.65 – $73.76
Sentara Princess Anne Hospital Virginia Beach not published $71.65 – $73.76

All Virginia hospitals for this procedure →