Appl cast figure-of-eight 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

$60.30

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.

$402.00

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.

$70.85 with BLUE CROSS vs $594.90 with AMBETTER — 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 $70.85 ↑ +17%
SENTARA HEALTH SENTARA HEALTH $101.79 ↑ +69%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $106.00 ↑ +76%
AETNA AETNA $171.65 ↑ +185%
MEDCOST MEDCOST VHN $191.31 ↑ +217%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $259.16 ↑ +330%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $259.16 ↑ +330%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $259.41 ↑ +330%
AETNA AETNA BETTER HEALTH OF VIRGINIA $261.67 ↑ +334%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $264.19 ↑ +338%
AETNA AETNA HEALTHCARE MEDICARE $272.89 ↑ +353%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $272.89 ↑ +353%
SENTARA HEALTH SENTARA MEDICARE $272.89 ↑ +353%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $272.89 ↑ +353%
ALLCARE MEDICARE ALLCARE MEDICARE $272.89 ↑ +353%
HUMANA HUMANA MEDICARE $272.89 ↑ +353%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $272.89 ↑ +353%
MANAGED MEDICAIRE MANAGED MEDICAIRE $272.89 ↑ +353%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $281.08 ↑ +366%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $281.08 ↑ +366%
BLUE CROSS BLUE CROSS MEDICARE $283.81 ↑ +371%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $286.54 ↑ +375%
NHC ADVANTAGE NHC ADVANTAGE $286.54 ↑ +375%
CIGNA HEALTHCARE CIGNA MEDICARE $286.54 ↑ +375%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $286.54 ↑ +375%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $286.54 ↑ +375%
WELLCARE WELLCARE MEDICARE $289.26 ↑ +380%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $361.80 ↑ +500%
BLUE CROSS ANTHEM EXCHANGE $402.00 ↑ +567%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $402.00 ↑ +567%
BLUE CROSS BLUE CROSS S NETWORK $402.00 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $402.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $402.00 ↑ +567%
UNITED HEALTHCARE UNITED HEALTHCARE $402.00 ↑ +567%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $402.00 ↑ +567%
BLUE CROSS ANTHEM HMO $402.00 ↑ +567%
BLUE CROSS BLUE CROSS P NETWORK $402.00 ↑ +567%
UNITED HEALTHCARE UHC HERITAGE SELECT $402.00 ↑ +567%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $402.00 ↑ +567%
AMBETTER AMBETTER $594.90 ↑ +887%

Visitor-reported prices

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Appl cast figure-of-eight at other Virginia hospitals

Hospital City Cash price Negotiated range
Sentara Martha Jefferson Hospital Charlottesville $156.50 $278.35 – $2,845.00
Sentara Northern Virginia Medical Center Woodbridge $198.00 $278.35 – $3,988.00
Sentara Halifax Regional Hospital South Boston $258.00 not published
Sentara Leigh Hospital Norfolk $198.00 $278.35 – $5,220.00
Sentara RMH Medical Center Harrisonburg $156.50 $278.35 – $286.54
Sentara CarePlex Hospital Hampton $198.00 $278.35 – $286.54
Sentara Norfolk General Hospital Norfolk $198.00 $278.35 – $5,220.00
Sentara Princess Anne Hospital Virginia Beach $198.00 $278.35 – $5,220.00

All Virginia hospitals for this procedure →