Brain MRA (blood vessel MRI, with and without contrast) 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

$668.55

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.

$4,457.00

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.

$267.02 with UNITED HEALTHCARE vs $4,457.00 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 $267.02 ↓ -60%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $340.39 ↓ -49%
SENTARA HEALTH SENTARA MEDICARE $340.39 ↓ -49%
MANAGED MEDICAIRE MANAGED MEDICAIRE $340.39 ↓ -49%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $340.39 ↓ -49%
ALLCARE MEDICARE ALLCARE MEDICARE $340.39 ↓ -49%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $340.39 ↓ -49%
AETNA AETNA HEALTHCARE MEDICARE $340.39 ↓ -49%
HUMANA HUMANA MEDICARE $340.39 ↓ -49%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $350.60 ↓ -48%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $350.60 ↓ -48%
BLUE CROSS BLUE CROSS MEDICARE $354.01 ↓ -47%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $357.41 ↓ -47%
NHC ADVANTAGE NHC ADVANTAGE $357.41 ↓ -47%
CIGNA HEALTHCARE CIGNA MEDICARE $357.41 ↓ -47%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $357.41 ↓ -47%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $357.41 ↓ -47%
WELLCARE WELLCARE MEDICARE $360.81 ↓ -46%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $669.43 ↑ +0%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $669.43 ↑ +0%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $670.08 ↑ +0%
AETNA AETNA BETTER HEALTH OF VIRGINIA $675.93 ↑ +1%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $682.43 ↑ +2%
AMBETTER AMBETTER $742.05 ↑ +11%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $786.00 ↑ +18%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $816.94 ↑ +22%
BLUE CROSS ANTHEM EXCHANGE $1,122.13 ↑ +68%
SENTARA HEALTH SENTARA HEALTH $1,128.51 ↑ +69%
CIGNA HEALTHCARE CIGNA PPO $1,169.00 ↑ +75%
CIGNA HEALTHCARE CIGNA HMO $1,215.00 ↑ +82%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $1,215.00 ↑ +82%
BLUE CROSS ANTHEM HMO $1,301.49 ↑ +95%
BLUE CROSS BLUE CROSS S NETWORK $1,385.31 ↑ +107%
BLUE CROSS BLUE CROSS P NETWORK $1,385.31 ↑ +107%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $1,500.86 ↑ +124%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $1,530.24 ↑ +129%
AETNA AETNA $1,903.14 ↑ +185%
MEDCOST MEDCOST VHN $2,121.09 ↑ +217%
UNITED HEALTHCARE UHC HERITAGE SELECT $2,448.00 ↑ +266%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $2,559.00 ↑ +283%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $4,011.30 ↑ +500%
UNITED HEALTHCARE UNITED HEALTHCARE $4,035.00 ↑ +504%
BLUE CROSS TENNCARE BLUE CARE $4,457.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $4,457.00 ↑ +567%

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Brain MRA (blood vessel MRI, with and without contrast) at other Virginia hospitals

Hospital City Cash price Negotiated range
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR $15,247.00 $349.89 – $828.27
Inova Alexandria Hospital Alexandria $1,269.00 $357.13 – $3,512.91
Inova Fairfax Hospital Falls Church $1,269.00 $357.13 – $3,512.91
Inova Fair Oaks Hospital VA 22033-1709 $1,269.00 $357.13 – $3,512.91
Inova Loudoun Hospital Leesburg $1,269.00 $357.13 – $3,512.91
Inova Mount Vernon Hospital Alexandria $1,269.00 $357.13 – $3,512.91
Johnston Memorial Hospital ABINGDON $668.55 $340.39 – $742.05
Russell County Hospital LEBANON $668.55 $340.39 – $742.05

All Virginia hospitals for this procedure →