Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right 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

$267.00

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.

$1,780.00

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.

$223.00 with UNITED HEALTHCARE vs $1,780.00 with CIGNA 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 →

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
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $223.00 ↓ -16%
UNITED HEALTHCARE UHC HERITAGE SELECT $277.00 ↑ +4%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $289.00 ↑ +8%
ALLCARE MEDICARE ALLCARE MEDICARE $299.49 ↑ +12%
SENTARA HEALTH SENTARA MEDICARE $299.49 ↑ +12%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $299.49 ↑ +12%
AETNA AETNA HEALTHCARE MEDICARE $299.49 ↑ +12%
HUMANA HUMANA MEDICARE $299.49 ↑ +12%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $299.49 ↑ +12%
MANAGED MEDICAIRE MANAGED MEDICAIRE $299.49 ↑ +12%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $299.49 ↑ +12%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $308.47 ↑ +16%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $308.47 ↑ +16%
BLUE CROSS BLUE CROSS MEDICARE $311.47 ↑ +17%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $314.46 ↑ +18%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $314.46 ↑ +18%
CIGNA HEALTHCARE CIGNA MEDICARE $314.46 ↑ +18%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $314.46 ↑ +18%
NHC ADVANTAGE NHC ADVANTAGE $314.46 ↑ +18%
WELLCARE WELLCARE MEDICARE $317.46 ↑ +19%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $324.84 ↑ +22%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $324.84 ↑ +22%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $325.16 ↑ +22%
AETNA AETNA BETTER HEALTH OF VIRGINIA $328.00 ↑ +23%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $331.15 ↑ +24%
SENTARA HEALTH SENTARA HEALTH $450.70 ↑ +69%
UNITED HEALTHCARE UNITED HEALTHCARE $528.00 ↑ +98%
AMBETTER AMBETTER $652.88 ↑ +145%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $704.00 ↑ +164%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $718.77 ↑ +169%
AETNA AETNA $760.06 ↑ +185%
MEDCOST MEDCOST VHN $847.10 ↑ +217%
BLUE CROSS ANTHEM EXCHANGE $987.30 ↑ +270%
BLUE CROSS ANTHEM HMO $1,145.10 ↑ +329%
BLUE CROSS BLUE CROSS S NETWORK $1,218.86 ↑ +357%
BLUE CROSS BLUE CROSS P NETWORK $1,218.86 ↑ +357%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $1,346.37 ↑ +404%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $1,463.00 ↑ +448%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $1,602.00 ↑ +500%
CIGNA HEALTHCARE CIGNA HMO $1,780.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $1,780.00 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $1,780.00 ↑ +567%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $1,780.00 ↑ +567%
CIGNA HEALTHCARE CIGNA PPO $1,780.00 ↑ +567%

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Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $956.00 $295.19 – $1,509.00
Inova Fairfax Hospital Falls Church $956.00 $295.19 – $1,509.00
Inova Fair Oaks Hospital VA 22033-1709 $956.00 $295.19 – $1,509.00
Inova Loudoun Hospital Leesburg $956.00 $295.19 – $1,509.00
Inova Mount Vernon Hospital Alexandria $956.00 $295.19 – $1,509.00
Johnston Memorial Hospital ABINGDON $267.00 $21.97 – $652.88
Russell County Hospital LEBANON $267.00 $299.49 – $652.88
Sentara Martha Jefferson Hospital Charlottesville $254.50 $305.48 – $1,010.00

All Virginia hospitals for this procedure →