Assay of somatostatin 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

$21.75

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.

$145.00

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.

$9.14 with AMERIGROUP vs $145.00 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 $9.14 ↓ -58%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $12.95 ↓ -40%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $14.33 ↓ -34%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $14.33 ↓ -34%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $14.34 ↓ -34%
AETNA AETNA BETTER HEALTH OF VIRGINIA $14.47 ↓ -33%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $14.61 ↓ -33%
AETNA AETNA HEALTHCARE MEDICARE $18.28 ↓ -16%
UNITED HEALTHCARE UHC HERITAGE SELECT $18.28 ↓ -16%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $18.28 ↓ -16%
UNITED HEALTHCARE UNITED HEALTHCARE $18.28 ↓ -16%
HUMANA HUMANA MEDICARE $18.28 ↓ -16%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $18.28 ↓ -16%
BLUE CROSS ANTHEM EXCHANGE $18.28 ↓ -16%
BLUE CROSS ANTHEM HMO $18.28 ↓ -16%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $18.28 ↓ -16%
BLUE CROSS BLUE CROSS P NETWORK $18.28 ↓ -16%
BLUE CROSS BLUE CROSS S NETWORK $18.28 ↓ -16%
ALLCARE MEDICARE ALLCARE MEDICARE $18.28 ↓ -16%
MANAGED MEDICAIRE MANAGED MEDICAIRE $18.28 ↓ -16%
SENTARA HEALTH SENTARA MEDICARE $18.28 ↓ -16%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $18.28 ↓ -16%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $18.83 ↓ -13%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $18.83 ↓ -13%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $19.01 ↓ -13%
BLUE CROSS BLUE CROSS MEDICARE $19.01 ↓ -13%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $19.19 ↓ -12%
NHC ADVANTAGE NHC ADVANTAGE $19.19 ↓ -12%
CIGNA HEALTHCARE CIGNA MEDICARE $19.19 ↓ -12%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $19.19 ↓ -12%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $19.19 ↓ -12%
WELLCARE WELLCARE MEDICARE $19.38 ↓ -11%
SENTARA HEALTH SENTARA HEALTH $36.71 ↑ +69%
AMBETTER AMBETTER $39.85 ↑ +83%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $40.42 ↑ +86%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $43.87 ↑ +102%
AETNA AETNA $61.92 ↑ +185%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $63.16 ↑ +190%
MEDCOST MEDCOST VHN $69.01 ↑ +217%
CIGNA HEALTHCARE CIGNA HMO $73.59 ↑ +238%
CIGNA HEALTHCARE CIGNA PPO $73.59 ↑ +238%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $73.59 ↑ +238%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $130.50 ↑ +500%
BLUE CROSS TENNCARE BLUE CARE $145.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $145.00 ↑ +567%

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Assay of somatostatin at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $251.50 $15.74 – $316.44
Inova Fairfax Hospital Falls Church $251.50 $15.74 – $316.44
Inova Fair Oaks Hospital VA 22033-1709 $251.50 $15.74 – $316.44
Inova Loudoun Hospital Leesburg $251.50 $15.74 – $316.44
Inova Mount Vernon Hospital Alexandria $251.50 $15.74 – $316.44
Johnston Memorial Hospital ABINGDON $21.75 $9.14 – $39.85
Russell County Hospital LEBANON $21.75 $13.91 – $39.85
Sentara Martha Jefferson Hospital Charlottesville $84.00 $18.65 – $30.65

All Virginia hospitals for this procedure →