Appendix Removal (Laparoscopic) 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

$2,401.65

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.

$16,011.00

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.

$1,523.00 with BLUE CROSS vs $16,011.00 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
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $1,523.00 ↓ -37%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $2,733.00 ↑ +14%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $2,786.00 ↑ +16%
CIGNA HEALTHCARE CIGNA PPO $3,478.00 ↑ +45%
CIGNA HEALTHCARE CIGNA HMO $3,617.00 ↑ +51%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $3,617.00 ↑ +51%
SENTARA HEALTH SENTARA HEALTH $4,053.99 ↑ +69%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $5,307.17 ↑ +121%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $5,307.17 ↑ +121%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $5,312.33 ↑ +121%
AETNA AETNA BETTER HEALTH OF VIRGINIA $5,358.70 ↑ +123%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $5,410.23 ↑ +125%
SENTARA HEALTH SENTARA MEDICARE $5,898.53 ↑ +146%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $5,898.53 ↑ +146%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $5,898.53 ↑ +146%
AETNA AETNA HEALTHCARE MEDICARE $5,898.53 ↑ +146%
HUMANA HUMANA MEDICARE $5,898.53 ↑ +146%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $5,898.53 ↑ +146%
MANAGED MEDICAIRE MANAGED MEDICAIRE $5,898.53 ↑ +146%
ALLCARE MEDICARE ALLCARE MEDICARE $5,898.53 ↑ +146%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $6,075.48 ↑ +153%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $6,075.48 ↑ +153%
BLUE CROSS BLUE CROSS MEDICARE $6,134.47 ↑ +155%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $6,193.46 ↑ +158%
NHC ADVANTAGE NHC ADVANTAGE $6,193.46 ↑ +158%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $6,193.46 ↑ +158%
CIGNA HEALTHCARE CIGNA MEDICARE $6,193.46 ↑ +158%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $6,193.46 ↑ +158%
WELLCARE WELLCARE MEDICARE $6,252.44 ↑ +160%
AETNA AETNA $6,836.70 ↑ +185%
UNITED HEALTHCARE UHC HERITAGE SELECT $7,198.00 ↑ +200%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $7,525.00 ↑ +213%
MEDCOST MEDCOST VHN $7,619.63 ↑ +217%
UNITED HEALTHCARE UNITED HEALTHCARE $9,628.00 ↑ +301%
AMBETTER AMBETTER $12,858.79 ↑ +435%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $14,156.47 ↑ +489%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $14,409.90 ↑ +500%
BLUE CROSS ANTHEM EXCHANGE $16,011.00 ↑ +567%
BLUE CROSS BLUE CROSS S NETWORK $16,011.00 ↑ +567%
BLUE CROSS ANTHEM HMO $16,011.00 ↑ +567%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $16,011.00 ↑ +567%
BLUE CROSS BLUE CROSS P NETWORK $16,011.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $16,011.00 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $16,011.00 ↑ +567%

Visitor-reported prices

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Appendix Removal (Laparoscopic) at other Virginia hospitals

Hospital City Cash price Negotiated range
Johnston Memorial Hospital ABINGDON $2,401.65 $4,458.16 – $12,858.79
Russell County Hospital LEBANON $2,401.65 $5,152.66 – $12,858.79
Smyth County Community Hospital MARION $2,401.65 $5,152.60 – $12,858.79
Dickenson Community Hospital CLINTWOOD $2,357.04 $7,363.51 – $7,658.05
Lee County Community Hospital PENNINGTON GAP $2,357.04 $7,363.51 – $7,658.05
Inova Alexandria Hospital Alexandria not published $3,508.00 – $9,927.00
Inova Fairfax Hospital Falls Church not published $3,508.00 – $9,927.00
Inova Fair Oaks Hospital VA 22033-1709 not published $3,508.00 – $9,927.00

All Virginia hospitals for this procedure →