After cataract laser surgery at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$251.55
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.
$1,677.00
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.
$390.00 with UNITED HEALTHCARE vs $1,677.00 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 | $390.00 | ↑ +55% |
| SENTARA HEALTH | SENTARA HEALTH | $424.62 | ↑ +69% |
| SENTARA HEALTH | SENTARA MEDICARE | $536.62 | ↑ +113% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $536.62 | ↑ +113% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $536.62 | ↑ +113% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $536.62 | ↑ +113% |
| HUMANA | HUMANA MEDICARE | $536.62 | ↑ +113% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $536.62 | ↑ +113% |
| AETNA | AETNA HEALTHCARE MEDICARE | $536.62 | ↑ +113% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $536.62 | ↑ +113% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $552.72 | ↑ +120% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $552.72 | ↑ +120% |
| BLUE CROSS | BLUE CROSS MEDICARE | $558.09 | ↑ +122% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $563.46 | ↑ +124% |
| NHC ADVANTAGE | NHC ADVANTAGE | $563.46 | ↑ +124% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $563.46 | ↑ +124% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $563.46 | ↑ +124% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $563.46 | ↑ +124% |
| WELLCARE | WELLCARE MEDICARE | $568.82 | ↑ +126% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $650.00 | ↑ +158% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $679.00 | ↑ +170% |
| AETNA | AETNA | $716.08 | ↑ +185% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $753.82 | ↑ +200% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $753.82 | ↑ +200% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $754.56 | ↑ +200% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $761.14 | ↑ +203% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $768.46 | ↑ +205% |
| MEDCOST | MEDCOST VHN | $798.08 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $948.00 | ↑ +277% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,101.00 | ↑ +338% |
| AMBETTER | AMBETTER | $1,169.84 | ↑ +365% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,287.90 | ↑ +412% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,509.30 | ↑ +500% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,677.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,677.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,677.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $1,677.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $1,677.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,677.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,677.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,677.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,677.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,677.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $1,677.00 | ↑ +567% |
Visitor-reported prices
Comments
After cataract laser surgery at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $251.55 | $484.66 – $1,169.84 |
| Russell County Hospital | LEBANON | $251.55 | $536.62 – $1,169.84 |
| Sentara Martha Jefferson Hospital | Charlottesville | $897.00 | $547.36 – $1,571.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $1,077.50 | $547.36 – $3,486.00 |
| Smyth County Community Hospital | MARION | $251.55 | $536.62 – $1,169.84 |
| Sentara Halifax Regional Hospital | South Boston | $937.00 | not published |
| Sentara Leigh Hospital | Norfolk | $1,077.50 | $547.36 – $4,564.00 |
| Sentara RMH Medical Center | Harrisonburg | $897.00 | not published |