Brachy src nonstrand hdr ir-192 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

$122.40

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.

$816.00

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.

$116.19 with UNITED HEALTHCARE vs $816.00 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
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $116.19 ↓ -5%
SENTARA HEALTH SENTARA HEALTH $206.61 ↑ +69%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $326.40 ↑ +167%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $340.05 ↑ +178%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $340.05 ↑ +178%
CIGNA HEALTHCARE CIGNA HMO $340.27 ↑ +178%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $340.27 ↑ +178%
CIGNA HEALTHCARE CIGNA PPO $340.27 ↑ +178%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $340.37 ↑ +178%
AETNA AETNA BETTER HEALTH OF VIRGINIA $343.35 ↑ +181%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $346.65 ↑ +183%
AETNA AETNA HEALTHCARE MEDICARE $357.49 ↑ +192%
SENTARA HEALTH SENTARA MEDICARE $357.49 ↑ +192%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $357.49 ↑ +192%
ALLCARE MEDICARE ALLCARE MEDICARE $357.49 ↑ +192%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $357.49 ↑ +192%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $357.49 ↑ +192%
HUMANA HUMANA MEDICARE $357.49 ↑ +192%
MANAGED MEDICAIRE MANAGED MEDICAIRE $357.49 ↑ +192%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $368.21 ↑ +201%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $368.21 ↑ +201%
BLUE CROSS BLUE CROSS MEDICARE $371.79 ↑ +204%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $375.36 ↑ +207%
NHC ADVANTAGE NHC ADVANTAGE $375.36 ↑ +207%
CIGNA HEALTHCARE CIGNA MEDICARE $375.36 ↑ +207%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $375.36 ↑ +207%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $375.36 ↑ +207%
WELLCARE WELLCARE MEDICARE $378.94 ↑ +210%
MEDCOST MEDCOST VHN $388.33 ↑ +217%
AETNA AETNA $391.68 ↑ +220%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $408.00 ↑ +233%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $734.40 ↑ +500%
AMBETTER AMBETTER $779.33 ↑ +537%
BLUE CROSS BLUE CROSS P NETWORK $816.00 ↑ +567%
BLUE CROSS ANTHEM HMO $816.00 ↑ +567%
BLUE CROSS ANTHEM EXCHANGE $816.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $816.00 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $816.00 ↑ +567%
BLUE CROSS BLUE CROSS S NETWORK $816.00 ↑ +567%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $816.00 ↑ +567%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $816.00 ↑ +567%

Visitor-reported prices

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Brachy src nonstrand hdr ir-192 at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $997.00 $342.39 – $658.02
Inova Fairfax Hospital Falls Church $997.00 $342.39 – $658.02
Inova Fair Oaks Hospital VA 22033-1709 $997.00 $342.39 – $658.02
Inova Loudoun Hospital Leesburg $997.00 $342.39 – $658.02
Inova Mount Vernon Hospital Alexandria $997.00 $342.39 – $658.02
Johnston Memorial Hospital ABINGDON $122.40 $209.13 – $779.33
Russell County Hospital LEBANON $122.40 $209.13 – $779.33
Sentara Martha Jefferson Hospital Charlottesville $351.38 not published

All Virginia hospitals for this procedure →