Brachy source palladium-103 nonstranded 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

$35.70

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.

$238.00

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.

$32.10 with UNITED HEALTHCARE vs $4,398.92 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 →

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
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $32.10 ↓ -10%
SENTARA HEALTH SENTARA HEALTH $60.26 ↑ +69%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $64.48 ↑ +81%
SENTARA HEALTH SENTARA MEDICARE $64.48 ↑ +81%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $64.48 ↑ +81%
AETNA AETNA HEALTHCARE MEDICARE $64.48 ↑ +81%
MANAGED MEDICAIRE MANAGED MEDICAIRE $64.48 ↑ +81%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $64.48 ↑ +81%
HUMANA HUMANA MEDICARE $64.48 ↑ +81%
ALLCARE MEDICARE ALLCARE MEDICARE $64.48 ↑ +81%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $66.41 ↑ +86%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $66.41 ↑ +86%
BLUE CROSS BLUE CROSS MEDICARE $67.06 ↑ +88%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $67.70 ↑ +90%
NHC ADVANTAGE NHC ADVANTAGE $67.70 ↑ +90%
CIGNA HEALTHCARE CIGNA MEDICARE $67.70 ↑ +90%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $67.70 ↑ +90%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $67.70 ↑ +90%
WELLCARE WELLCARE MEDICARE $68.35 ↑ +91%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $95.20 ↑ +167%
CIGNA HEALTHCARE CIGNA PPO $99.25 ↑ +178%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $99.25 ↑ +178%
CIGNA HEALTHCARE CIGNA HMO $99.25 ↑ +178%
MEDCOST MEDCOST VHN $113.26 ↑ +217%
AETNA AETNA $114.24 ↑ +220%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $119.00 ↑ +233%
AMBETTER AMBETTER $140.57 ↑ +294%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $154.75 ↑ +333%
BLUE CROSS ANTHEM EXCHANGE $203.01 ↑ +469%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $214.20 ↑ +500%
BLUE CROSS ANTHEM HMO $235.46 ↑ +560%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $238.00 ↑ +567%
BLUE CROSS BLUE CROSS S NETWORK $238.00 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $238.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $238.00 ↑ +567%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $238.00 ↑ +567%
BLUE CROSS BLUE CROSS P NETWORK $238.00 ↑ +567%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $4,315.13 ↑ +11987%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $4,319.32 ↑ +11999%
AETNA AETNA BETTER HEALTH OF VIRGINIA $4,357.03 ↑ +12105%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $4,398.92 ↑ +12222%

Visitor-reported prices

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Brachy source palladium-103 nonstranded at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $300.50 $79.77 – $198.33
Inova Fairfax Hospital Falls Church $300.50 $79.77 – $198.33
Inova Fair Oaks Hospital VA 22033-1709 $300.50 $79.77 – $198.33
Inova Loudoun Hospital Leesburg $300.50 $79.77 – $198.33
Inova Mount Vernon Hospital Alexandria $300.50 $79.77 – $198.33
Sentara Martha Jefferson Hospital Charlottesville $50.72 not published
Sentara Northern Virginia Medical Center Woodbridge $107.12 not published
Sentara Leigh Hospital Norfolk $103.50 not published

All Virginia hospitals for this procedure →