Artery x-rays adrenals 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

$2,036.70

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.

$13,578.00

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.

$210.09 with CIGNA HEALTHCARE vs $13,578.00 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
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $210.09 ↓ -90%
UNITED HEALTHCARE UHC HERITAGE SELECT $224.00 ↓ -89%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $233.00 ↓ -89%
UNITED HEALTHCARE UNITED HEALTHCARE $370.00 ↓ -82%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $792.35 ↓ -61%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $1,043.32 ↓ -49%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $2,279.70 ↑ +12%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $2,279.70 ↑ +12%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $2,281.91 ↑ +12%
AETNA AETNA BETTER HEALTH OF VIRGINIA $2,301.83 ↑ +13%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $2,323.97 ↑ +14%
ALLCARE MEDICARE ALLCARE MEDICARE $3,080.71 ↑ +51%
HUMANA HUMANA MEDICARE $3,080.71 ↑ +51%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $3,080.71 ↑ +51%
SENTARA HEALTH SENTARA MEDICARE $3,080.71 ↑ +51%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $3,080.71 ↑ +51%
AETNA AETNA HEALTHCARE MEDICARE $3,080.71 ↑ +51%
MANAGED MEDICAIRE MANAGED MEDICAIRE $3,080.71 ↑ +51%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $3,080.71 ↑ +51%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $3,173.13 ↑ +56%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $3,173.13 ↑ +56%
BLUE CROSS BLUE CROSS MEDICARE $3,203.93 ↑ +57%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $3,234.74 ↑ +59%
NHC ADVANTAGE NHC ADVANTAGE $3,234.74 ↑ +59%
CIGNA HEALTHCARE CIGNA MEDICARE $3,234.74 ↑ +59%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $3,234.74 ↑ +59%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $3,234.74 ↑ +59%
WELLCARE WELLCARE MEDICARE $3,265.55 ↑ +60%
SENTARA HEALTH SENTARA HEALTH $3,437.95 ↑ +69%
AETNA AETNA $5,797.81 ↑ +185%
MEDCOST MEDCOST VHN $6,461.77 ↑ +217%
AMBETTER AMBETTER $6,715.94 ↑ +230%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $7,393.69 ↑ +263%
CIGNA HEALTHCARE CIGNA HMO $7,897.41 ↑ +288%
CIGNA HEALTHCARE CIGNA PPO $7,897.41 ↑ +288%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $7,897.41 ↑ +288%
BLUE CROSS ANTHEM EXCHANGE $10,155.94 ↑ +399%
BLUE CROSS ANTHEM HMO $11,779.20 ↑ +478%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $12,220.20 ↑ +500%
BLUE CROSS BLUE CROSS S NETWORK $12,537.90 ↑ +516%
BLUE CROSS BLUE CROSS P NETWORK $12,537.90 ↑ +516%
BLUE CROSS TENNCARE BLUE SELECT $13,578.00 ↑ +567%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $13,578.00 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $13,578.00 ↑ +567%

Visitor-reported prices

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Artery x-rays adrenals at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $2,036.50 $1,815.74 – $2,755.02
Inova Fairfax Hospital Falls Church $2,036.50 $1,815.74 – $2,755.02
Inova Fair Oaks Hospital VA 22033-1709 $2,036.50 $1,815.74 – $2,755.02
Inova Loudoun Hospital Leesburg $2,036.50 $1,815.74 – $2,755.02
Inova Mount Vernon Hospital Alexandria $2,036.50 $1,815.74 – $2,755.02
Sentara Martha Jefferson Hospital Charlottesville $3,421.50 $3,142.32 – $3,234.74
Sentara Northern Virginia Medical Center Woodbridge $3,919.00 $2,015.17 – $3,234.74
Sentara Halifax Regional Hospital South Boston $4,703.00 $614.32 – $3,252.59

All Virginia hospitals for this procedure →