Boot j walker l 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

$86.25

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.

$575.00

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.

$145.59 with SENTARA HEALTH vs $582.34 with AMBETTER — 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
SENTARA HEALTH SENTARA HEALTH $145.59 ↑ +69%
BLUE CROSS ANTHEM EXCHANGE $190.16 ↑ +120%
BLUE CROSS ANTHEM HMO $190.16 ↑ +120%
BLUE CROSS BLUE CROSS P NETWORK $190.16 ↑ +120%
BLUE CROSS BLUE CROSS S NETWORK $190.16 ↑ +120%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $190.16 ↑ +120%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $230.00 ↑ +167%
CIGNA HEALTHCARE CIGNA PPO $239.78 ↑ +178%
CIGNA HEALTHCARE CIGNA HMO $239.78 ↑ +178%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $239.78 ↑ +178%
AMERIGROUP AMERIGROUP $248.43 ↑ +188%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $267.13 ↑ +210%
AETNA AETNA HEALTHCARE MEDICARE $267.13 ↑ +210%
HUMANA HUMANA MEDICARE $267.13 ↑ +210%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $267.13 ↑ +210%
ALLCARE MEDICARE ALLCARE MEDICARE $267.13 ↑ +210%
MANAGED MEDICAIRE MANAGED MEDICAIRE $267.13 ↑ +210%
SENTARA HEALTH SENTARA MEDICARE $267.13 ↑ +210%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $267.13 ↑ +210%
MEDCOST MEDCOST VHN $273.64 ↑ +217%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $275.14 ↑ +219%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $275.14 ↑ +219%
AETNA AETNA $276.00 ↑ +220%
BLUE CROSS BLUE CROSS MEDICARE $277.81 ↑ +222%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $280.48 ↑ +225%
CIGNA HEALTHCARE CIGNA MEDICARE $280.48 ↑ +225%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $280.48 ↑ +225%
NHC ADVANTAGE NHC ADVANTAGE $280.48 ↑ +225%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $280.48 ↑ +225%
WELLCARE WELLCARE MEDICARE $283.16 ↑ +228%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $287.50 ↑ +233%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $517.50 ↑ +500%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $575.00 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $575.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $575.00 ↑ +567%
AMBETTER AMBETTER $582.34 ↑ +575%

Visitor-reported prices

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Boot j walker l at other Virginia hospitals

Hospital City Cash price Negotiated range
Johnston Memorial Hospital ABINGDON $86.25 $190.16 – $582.34
Russell County Hospital LEBANON $86.25 $190.16 – $582.34
Sentara Martha Jefferson Hospital Charlottesville $123.68 not published
Sentara Northern Virginia Medical Center Woodbridge $128.86 not published
Smyth County Community Hospital MARION $86.25 $190.16 – $582.34
Sentara Halifax Regional Hospital South Boston $128.86 not published
Sentara Leigh Hospital Norfolk $128.86 $193.96 – $199.67
Sentara RMH Medical Center Harrisonburg $123.68 $193.96 – $199.67

All Virginia hospitals for this procedure →