Brain image w/flow 4 + views at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$452.25
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.
?
What you pay up front if you don't use insurance.
$3,015.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$230.01 with BLUE CROSS vs $3,015.00 with BLUE CROSS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $230.01 | ↓ -49% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $306.81 | ↓ -32% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $483.68 | ↑ +7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $483.68 | ↑ +7% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $484.15 | ↑ +7% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $488.38 | ↑ +8% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $493.07 | ↑ +9% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $509.62 | ↑ +13% |
| SENTARA HEALTH | SENTARA MEDICARE | $529.77 | ↑ +17% |
| AETNA | AETNA HEALTHCARE MEDICARE | $529.77 | ↑ +17% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $529.77 | ↑ +17% |
| HUMANA | HUMANA MEDICARE | $529.77 | ↑ +17% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $529.77 | ↑ +17% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $529.77 | ↑ +17% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $529.77 | ↑ +17% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $529.77 | ↑ +17% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $545.66 | ↑ +21% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $545.66 | ↑ +21% |
| BLUE CROSS | BLUE CROSS MEDICARE | $550.96 | ↑ +22% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $556.26 | ↑ +23% |
| NHC ADVANTAGE | NHC ADVANTAGE | $556.26 | ↑ +23% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $556.26 | ↑ +23% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $556.26 | ↑ +23% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $556.26 | ↑ +23% |
| WELLCARE | WELLCARE MEDICARE | $561.55 | ↑ +24% |
| SENTARA HEALTH | SENTARA HEALTH | $763.40 | ↑ +69% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $774.00 | ↑ +71% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $810.00 | ↑ +79% |
| AMBETTER | AMBETTER | $1,154.89 | ↑ +155% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,271.44 | ↑ +181% |
| AETNA | AETNA | $1,287.41 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $1,434.84 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,599.00 | ↑ +254% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,746.46 | ↑ +286% |
| BLUE CROSS | ANTHEM HMO | $2,025.60 | ↑ +348% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,156.07 | ↑ +377% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,156.07 | ↑ +377% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,322.41 | ↑ +414% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,322.41 | ↑ +414% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,322.41 | ↑ +414% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $2,381.63 | ↑ +427% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,713.50 | ↑ +500% |
| BLUE CROSS | TENNCARE BLUE CARE | $3,015.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $3,015.00 | ↑ +567% |
Visitor-reported prices
Comments
Brain image w/flow 4 + views at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $4,117.00 | $148.31 – $1,101.15 |
| Johnston Memorial Hospital | ABINGDON | $452.25 | $127.08 – $1,154.89 |
| Russell County Hospital | LEBANON | $452.25 | $230.01 – $1,154.89 |
| Sentara Martha Jefferson Hospital | Charlottesville | $621.50 | $540.36 – $556.26 |
| Sentara Northern Virginia Medical Center | Woodbridge | $3,833.50 | $540.36 – $659.74 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $3,594.00 | $88.33 – $1,762.33 |
| Smyth County Community Hospital | MARION | $452.25 | $230.01 – $1,154.89 |
| Sentara Halifax Regional Hospital | South Boston | $3,667.50 | $456.51 – $559.32 |