Allograft umbil cord+amniotic membrane-q4148-cost per sq cm at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$186.21
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.
$1,241.41
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.
$121.42 with UNITED HEALTHCARE vs $735.04 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 | UNITED HEALTHCARE MEDICARE | $121.42 | ↓ -35% |
| AETNA | AETNA HEALTHCARE MEDICARE | $121.42 | ↓ -35% |
| HUMANA | HUMANA MEDICARE | $121.42 | ↓ -35% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $121.42 | ↓ -35% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $121.42 | ↓ -35% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $121.42 | ↓ -35% |
| SENTARA HEALTH | SENTARA MEDICARE | $121.42 | ↓ -35% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $121.42 | ↓ -35% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $125.06 | ↓ -33% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $125.06 | ↓ -33% |
| BLUE CROSS | BLUE CROSS MEDICARE | $126.28 | ↓ -32% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $127.49 | ↓ -32% |
| NHC ADVANTAGE | NHC ADVANTAGE | $127.49 | ↓ -32% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $127.49 | ↓ -32% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $127.49 | ↓ -32% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $127.49 | ↓ -32% |
| WELLCARE | WELLCARE MEDICARE | $128.70 | ↓ -31% |
| SENTARA HEALTH | SENTARA HEALTH | $186.11 | ↓ -0% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $217.89 | ↑ +17% |
| AMBETTER | AMBETTER | $264.69 | ↑ +42% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $291.40 | ↑ +56% |
| CIGNA HEALTHCARE | CIGNA HMO | $306.51 | ↑ +65% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $306.51 | ↑ +65% |
| CIGNA HEALTHCARE | CIGNA PPO | $306.51 | ↑ +65% |
| AETNA | AETNA | $313.86 | ↑ +69% |
| MEDCOST | MEDCOST VHN | $349.81 | ↑ +88% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $514.53 | ↑ +176% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $661.54 | ↑ +255% |
| BLUE CROSS | TENNCARE BLUE CARE | $735.04 | ↑ +295% |
| BLUE CROSS | TENNCARE BLUE SELECT | $735.04 | ↑ +295% |
Visitor-reported prices
Comments
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE MEDICAL CENTER | ROANOKE | $4,332.00 | $109.17 – $381.42 |
| Dickenson Community Hospital | CLINTWOOD | $285.52 | $217.89 – $217.89 |
| Lee County Community Hospital | PENNINGTON GAP | $285.52 | $217.89 – $217.89 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $109.17 – $336.92 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $109.17 – $336.92 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $109.17 – $336.92 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | not published | $96.32 – $336.92 |
| TRICITIES HOSPITAL | HOPEWELL | not published | $109.17 – $336.92 |