Assay of androsterone 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

$26.70

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.

$178.00

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.

$12.78 with AMERIGROUP vs $178.00 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
AMERIGROUP AMERIGROUP $12.78 ↓ -52%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $14.33 ↓ -46%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $14.33 ↓ -46%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $14.34 ↓ -46%
AETNA AETNA BETTER HEALTH OF VIRGINIA $14.47 ↓ -46%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $14.61 ↓ -45%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $17.71 ↓ -34%
AETNA AETNA HEALTHCARE MEDICARE $25.55 ↓ -4%
UNITED HEALTHCARE UHC HERITAGE SELECT $25.55 ↓ -4%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $25.55 ↓ -4%
UNITED HEALTHCARE UNITED HEALTHCARE $25.55 ↓ -4%
HUMANA HUMANA MEDICARE $25.55 ↓ -4%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $25.55 ↓ -4%
BLUE CROSS ANTHEM EXCHANGE $25.55 ↓ -4%
BLUE CROSS ANTHEM HMO $25.55 ↓ -4%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $25.55 ↓ -4%
BLUE CROSS BLUE CROSS P NETWORK $25.55 ↓ -4%
BLUE CROSS BLUE CROSS S NETWORK $25.55 ↓ -4%
ALLCARE MEDICARE ALLCARE MEDICARE $25.55 ↓ -4%
MANAGED MEDICAIRE MANAGED MEDICAIRE $25.55 ↓ -4%
SENTARA HEALTH SENTARA MEDICARE $25.55 ↓ -4%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $25.55 ↓ -4%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $26.32 ↓ -1%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $26.32 ↓ -1%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $26.57 ↓ -0%
BLUE CROSS BLUE CROSS MEDICARE $26.57 ↓ -0%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $26.83 ↑ +0%
NHC ADVANTAGE NHC ADVANTAGE $26.83 ↑ +0%
CIGNA HEALTHCARE CIGNA MEDICARE $26.83 ↑ +0%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $26.83 ↑ +0%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $26.83 ↑ +0%
WELLCARE WELLCARE MEDICARE $27.08 ↑ +1%
SENTARA HEALTH SENTARA HEALTH $45.07 ↑ +69%
AMBETTER AMBETTER $55.70 ↑ +109%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $56.30 ↑ +111%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $61.32 ↑ +130%
AETNA AETNA $76.01 ↑ +185%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $81.56 ↑ +205%
MEDCOST MEDCOST VHN $84.71 ↑ +217%
CIGNA HEALTHCARE CIGNA HMO $100.60 ↑ +277%
CIGNA HEALTHCARE CIGNA PPO $100.60 ↑ +277%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $100.60 ↑ +277%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $160.20 ↑ +500%
BLUE CROSS TENNCARE BLUE CARE $178.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $178.00 ↑ +567%

Visitor-reported prices

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Assay of androsterone at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $224.50 $15.74 – $282.47
Inova Fairfax Hospital Falls Church $224.50 $15.74 – $282.47
Inova Fair Oaks Hospital VA 22033-1709 $224.50 $15.74 – $282.47
Inova Loudoun Hospital Leesburg $224.50 $15.74 – $282.47
Inova Mount Vernon Hospital Alexandria $224.50 $15.74 – $282.47
Johnston Memorial Hospital ABINGDON $26.70 $12.78 – $55.70
Russell County Hospital LEBANON $26.70 $13.91 – $55.70
Sentara Martha Jefferson Hospital Charlottesville $114.00 $26.06 – $41.93

All Virginia hospitals for this procedure →