Biopsy of nail unit 11755 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

$293.70

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.

$1,958.00

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.

$92.93 with BLUE CROSS vs $1,958.00 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
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $92.93 ↓ -68%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $189.28 ↓ -36%
SENTARA HEALTH SENTARA HEALTH $495.77 ↑ +69%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $565.37 ↑ +92%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $565.37 ↑ +92%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $565.92 ↑ +93%
AETNA AETNA BETTER HEALTH OF VIRGINIA $570.86 ↑ +94%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $576.35 ↑ +96%
MANAGED MEDICAIRE MANAGED MEDICAIRE $690.91 ↑ +135%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $690.91 ↑ +135%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $690.91 ↑ +135%
SENTARA HEALTH SENTARA MEDICARE $690.91 ↑ +135%
AETNA AETNA HEALTHCARE MEDICARE $690.91 ↑ +135%
HUMANA HUMANA MEDICARE $690.91 ↑ +135%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $690.91 ↑ +135%
ALLCARE MEDICARE ALLCARE MEDICARE $690.91 ↑ +135%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $711.64 ↑ +142%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $711.64 ↑ +142%
BLUE CROSS BLUE CROSS MEDICARE $718.55 ↑ +145%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $725.46 ↑ +147%
NHC ADVANTAGE NHC ADVANTAGE $725.46 ↑ +147%
CIGNA HEALTHCARE CIGNA MEDICARE $725.46 ↑ +147%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $725.46 ↑ +147%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $725.46 ↑ +147%
WELLCARE WELLCARE MEDICARE $732.37 ↑ +149%
CIGNA HEALTHCARE CIGNA HMO $816.49 ↑ +178%
CIGNA HEALTHCARE CIGNA PPO $816.49 ↑ +178%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $816.49 ↑ +178%
AETNA AETNA $836.07 ↑ +185%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $908.51 ↑ +209%
MEDCOST MEDCOST VHN $931.81 ↑ +217%
AMBETTER AMBETTER $1,506.19 ↑ +413%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $1,658.19 ↑ +465%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $1,762.20 ↑ +500%
BLUE CROSS ANTHEM EXCHANGE $1,958.00 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $1,958.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $1,958.00 ↑ +567%
BLUE CROSS BLUE CROSS P NETWORK $1,958.00 ↑ +567%
BLUE CROSS BLUE CROSS S NETWORK $1,958.00 ↑ +567%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $1,958.00 ↑ +567%
BLUE CROSS ANTHEM HMO $1,958.00 ↑ +567%

Visitor-reported prices

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Biopsy of nail unit 11755 at other Virginia hospitals

Hospital City Cash price Negotiated range
Johnston Memorial Hospital ABINGDON $293.70 $92.93 – $1,506.19
Russell County Hospital LEBANON $293.70 $92.93 – $853.69
Smyth County Community Hospital MARION $293.70 $92.93 – $853.69
Dickenson Community Hospital CLINTWOOD $288.42 $92.93 – $815.81
Lee County Community Hospital PENNINGTON GAP $288.42 $92.93 – $815.81
Sentara Martha Jefferson Hospital Charlottesville not published $704.73 – $1,547.00
Sentara Northern Virginia Medical Center Woodbridge not published $704.73 – $2,603.00
Sentara Halifax Regional Hospital South Boston not published $710.31 – $731.20

All Virginia hospitals for this procedure →