App high cost ss t/a/l >100sq cm addl 100sq cm at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$137.55
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.
$917.00
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.
$232.18 with SENTARA HEALTH vs $2,587.75 with MOLINA HEALTHCARE — 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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $232.18 | ↑ +69% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $281.52 | ↑ +105% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $296.19 | ↑ +115% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $296.19 | ↑ +115% |
| CIGNA HEALTHCARE | CIGNA HMO | $382.39 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $382.39 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $382.39 | ↑ +178% |
| AETNA | AETNA | $391.56 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $425.49 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $436.40 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $641.90 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $825.30 | ↑ +500% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $917.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $917.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $917.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,538.46 | ↑ +1745% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,540.92 | ↑ +1747% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,563.11 | ↑ +1763% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,587.75 | ↑ +1781% |
Visitor-reported prices
Comments
App high cost ss t/a/l >100sq cm addl 100sq cm at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $3,828.50 | $883.55 – $3,499.25 |
| Inova Fairfax Hospital | Falls Church | $3,828.50 | $883.55 – $3,499.25 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $3,828.50 | $883.55 – $3,499.25 |
| Inova Loudoun Hospital | Leesburg | $3,828.50 | $883.55 – $3,499.25 |
| Inova Mount Vernon Hospital | Alexandria | $3,828.50 | $883.55 – $3,499.25 |
| Johnston Memorial Hospital | ABINGDON | $137.55 | $341.12 – $2,587.75 |
| Russell County Hospital | LEBANON | $137.55 | $341.12 – $2,587.78 |
| Sentara Martha Jefferson Hospital | Charlottesville | $5,539.50 | $511.00 – $2,004.00 |