Auditory function + 15 min at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$4.80
Cash price 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.
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What you pay up front if you don't use insurance.
$32.00
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$8.10 with SENTARA HEALTH vs $374.25 with MOLINA 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 →
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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 ?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 ?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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $8.10 | ↑ +69% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $9.87 | ↑ +106% |
| CIGNA HEALTHCARE | CIGNA HMO | $13.34 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $13.34 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $13.34 | ↑ +178% |
| AETNA | AETNA | $13.66 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $14.85 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $15.23 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $28.80 | ↑ +500% |
| BLUE CROSS | TENNCARE BLUE SELECT | $32.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $32.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $32.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $32.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $32.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $32.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $367.12 | ↑ +7548% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $367.48 | ↑ +7556% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $370.68 | ↑ +7623% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $374.25 | ↑ +7697% |
Visitor-reported prices
Comments
Auditory function + 15 min at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $37.00 | $32.99 – $419.46 |
| Inova Fairfax Hospital | Falls Church | $37.00 | $32.99 – $419.46 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $37.00 | $32.99 – $419.46 |
| Inova Loudoun Hospital | Leesburg | $37.00 | $32.99 – $419.46 |
| Inova Mount Vernon Hospital | Alexandria | $37.00 | $32.99 – $419.46 |
| Sentara Martha Jefferson Hospital | Charlottesville | $54.00 | not published |
| Sentara Northern Virginia Medical Center | Woodbridge | $93.00 | not published |
| Sentara Halifax Regional Hospital | South Boston | $90.50 | not published |