Biopsy thigh soft tissues at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$944.85
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.
$6,299.00
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.
$704.00 with BLUE CROSS vs $6,299.00 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 →
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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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $704.00 | ↓ -25% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,031.00 | ↑ +9% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,463.00 | ↑ +55% |
| SENTARA HEALTH | SENTARA HEALTH | $1,594.91 | ↑ +69% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,858.00 | ↑ +97% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,932.00 | ↑ +104% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,932.00 | ↑ +104% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,390.77 | ↑ +153% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,390.77 | ↑ +153% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,393.09 | ↑ +153% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,413.98 | ↑ +155% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,436.00 | ↑ +158% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,437.19 | ↑ +158% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,547.00 | ↑ +170% |
| AETNA | AETNA | $2,689.67 | ↑ +185% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $2,834.09 | ↑ +200% |
| HUMANA | HUMANA MEDICARE | $2,834.09 | ↑ +200% |
| SENTARA HEALTH | SENTARA MEDICARE | $2,834.09 | ↑ +200% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $2,834.09 | ↑ +200% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2,834.09 | ↑ +200% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2,834.09 | ↑ +200% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2,834.09 | ↑ +200% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2,834.09 | ↑ +200% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $2,919.11 | ↑ +209% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,919.11 | ↑ +209% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,947.45 | ↑ +212% |
| NHC ADVANTAGE | NHC ADVANTAGE | $2,975.79 | ↑ +215% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $2,975.79 | ↑ +215% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $2,975.79 | ↑ +215% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $2,975.79 | ↑ +215% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $2,975.79 | ↑ +215% |
| MEDCOST | MEDCOST VHN | $2,997.69 | ↑ +217% |
| WELLCARE | WELLCARE MEDICARE | $3,004.13 | ↑ +218% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $4,296.00 | ↑ +355% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $5,669.10 | ↑ +500% |
| AMBETTER | AMBETTER | $6,178.31 | ↑ +554% |
| BLUE CROSS | BLUE CROSS S NETWORK | $6,299.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $6,299.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $6,299.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $6,299.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $6,299.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $6,299.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $6,299.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $6,299.00 | ↑ +567% |
Visitor-reported prices
Comments
Biopsy thigh soft tissues at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sentara Martha Jefferson Hospital | Charlottesville | $2,376.00 | $1,010.00 – $5,978.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $4,128.00 | $2,603.00 – $3,231.00 |
| Sentara Halifax Regional Hospital | South Boston | $5,394.50 | $2,913.65 – $2,999.35 |
| Sentara Leigh Hospital | Norfolk | $4,128.00 | $2,890.77 – $3,408.00 |
| Sentara RMH Medical Center | Harrisonburg | $2,376.00 | $2,890.77 – $2,975.79 |
| Sentara CarePlex Hospital | Hampton | $4,128.00 | $2,890.77 – $2,975.79 |
| Sentara Norfolk General Hospital | Norfolk | $4,128.00 | $2,890.77 – $3,408.00 |
| Sentara Princess Anne Hospital | Virginia Beach | $4,128.00 | $2,890.77 – $3,408.00 |