Ammonia 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

$25.50

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.

$170.00

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.

$7.29 with AMERIGROUP vs $170.00 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
AMERIGROUP AMERIGROUP $7.29 ↓ -71%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $10.32 ↓ -60%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $13.06 ↓ -49%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $13.06 ↓ -49%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $13.07 ↓ -49%
AETNA AETNA BETTER HEALTH OF VIRGINIA $13.18 ↓ -48%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $13.31 ↓ -48%
AETNA AETNA HEALTHCARE MEDICARE $14.57 ↓ -43%
UNITED HEALTHCARE UHC HERITAGE SELECT $14.57 ↓ -43%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $14.57 ↓ -43%
UNITED HEALTHCARE UNITED HEALTHCARE $14.57 ↓ -43%
HUMANA HUMANA MEDICARE $14.57 ↓ -43%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $14.57 ↓ -43%
BLUE CROSS ANTHEM EXCHANGE $14.57 ↓ -43%
BLUE CROSS ANTHEM HMO $14.57 ↓ -43%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $14.57 ↓ -43%
BLUE CROSS BLUE CROSS P NETWORK $14.57 ↓ -43%
BLUE CROSS BLUE CROSS S NETWORK $14.57 ↓ -43%
ALLCARE MEDICARE ALLCARE MEDICARE $14.57 ↓ -43%
MANAGED MEDICAIRE MANAGED MEDICAIRE $14.57 ↓ -43%
SENTARA HEALTH SENTARA MEDICARE $14.57 ↓ -43%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $14.57 ↓ -43%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $15.01 ↓ -41%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $15.01 ↓ -41%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $15.15 ↓ -41%
BLUE CROSS BLUE CROSS MEDICARE $15.15 ↓ -41%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $15.30 ↓ -40%
NHC ADVANTAGE NHC ADVANTAGE $15.30 ↓ -40%
CIGNA HEALTHCARE CIGNA MEDICARE $15.30 ↓ -40%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $15.30 ↓ -40%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $15.30 ↓ -40%
WELLCARE WELLCARE MEDICARE $15.44 ↓ -39%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $31.76 ↑ +25%
AMBETTER AMBETTER $31.76 ↑ +25%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $34.97 ↑ +37%
SENTARA HEALTH SENTARA HEALTH $43.04 ↑ +69%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $50.15 ↑ +97%
CIGNA HEALTHCARE CIGNA HMO $58.65 ↑ +130%
CIGNA HEALTHCARE CIGNA PPO $58.65 ↑ +130%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $58.65 ↑ +130%
AETNA AETNA $72.59 ↑ +185%
MEDCOST MEDCOST VHN $80.90 ↑ +217%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $153.00 ↑ +500%
BLUE CROSS TENNCARE BLUE SELECT $170.00 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $170.00 ↑ +567%

Visitor-reported prices

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Ammonia at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $435.00 $12.68 – $21.13
Inova Alexandria Hospital Alexandria $145.50 $14.35 – $183.07
Inova Fairfax Hospital Falls Church $145.50 $14.35 – $183.07
Inova Fair Oaks Hospital VA 22033-1709 $145.50 $14.35 – $183.07
Inova Loudoun Hospital Leesburg $145.50 $14.35 – $183.07
Inova Mount Vernon Hospital Alexandria $145.50 $14.35 – $183.07
Johnston Memorial Hospital ABINGDON $25.50 $7.29 – $31.76
Russell County Hospital LEBANON $25.50 $12.68 – $31.76

All Virginia hospitals for this procedure →