An cholangiogram percutaneous compl at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$1,027.20
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.
?
What you pay up front if you don't use insurance.
$6,848.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,463.00 with CIGNA HEALTHCARE vs $7,615.49 with AMBETTER — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,463.00 | ↑ +42% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,505.00 | ↑ +47% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +48% |
| SENTARA HEALTH | SENTARA HEALTH | $1,733.91 | ↑ +69% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,858.00 | ↑ +81% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,932.00 | ↑ +88% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,932.00 | ↑ +88% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,279.70 | ↑ +122% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,279.70 | ↑ +122% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,281.91 | ↑ +122% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,301.83 | ↑ +124% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,323.97 | ↑ +126% |
| AETNA | AETNA | $2,924.10 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $3,258.96 | ↑ +217% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $3,336.00 | ↑ +225% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $3,488.00 | ↑ +240% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,493.34 | ↑ +240% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,493.34 | ↑ +240% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,493.34 | ↑ +240% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,493.34 | ↑ +240% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,493.34 | ↑ +240% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,493.34 | ↑ +240% |
| HUMANA | HUMANA MEDICARE | $3,493.34 | ↑ +240% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,493.34 | ↑ +240% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,598.14 | ↑ +250% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,598.14 | ↑ +250% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,633.08 | ↑ +254% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,668.01 | ↑ +257% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,668.01 | ↑ +257% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3,668.01 | ↑ +257% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,668.01 | ↑ +257% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,668.01 | ↑ +257% |
| WELLCARE | WELLCARE MEDICARE | $3,702.94 | ↑ +260% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $5,883.00 | ↑ +473% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $6,163.20 | ↑ +500% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $6,848.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $6,848.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $6,848.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $6,848.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $6,848.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $6,848.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $6,848.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $6,848.00 | ↑ +567% |
| AMBETTER | AMBETTER | $7,615.49 | ↑ +641% |
Visitor-reported prices
Comments
An cholangiogram percutaneous compl at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $1,829.50 | $943.00 – $2,755.02 |
| Inova Fairfax Hospital | Falls Church | $1,829.50 | $943.00 – $2,755.02 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $1,829.50 | $943.00 – $2,755.02 |
| Inova Loudoun Hospital | Leesburg | $1,829.50 | $943.00 – $2,755.02 |
| Inova Mount Vernon Hospital | Alexandria | $1,829.50 | $943.00 – $2,755.02 |
| Johnston Memorial Hospital | ABINGDON | $1,027.20 | $2,213.30 – $7,615.49 |
| Russell County Hospital | LEBANON | $1,027.20 | $2,213.33 – $7,615.49 |
| Sentara Martha Jefferson Hospital | Charlottesville | $4,865.00 | $1,010.00 – $8,246.00 |