Bronch ebus samplng 1/2 node at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$1,457.25
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.
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What you pay up front if you don't use insurance.
$9,715.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$1,031.00 with UNITED HEALTHCARE vs $9,715.00 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 →
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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 ?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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,031.00 | ↓ -29% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +5% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,436.00 | ↑ +67% |
| SENTARA HEALTH | SENTARA HEALTH | $2,459.84 | ↑ +69% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,547.00 | ↑ +75% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,637.69 | ↑ +150% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,637.69 | ↑ +150% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,637.69 | ↑ +150% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,637.69 | ↑ +150% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,637.69 | ↑ +150% |
| HUMANA | HUMANA MEDICARE | $3,637.69 | ↑ +150% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,637.69 | ↑ +150% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,637.69 | ↑ +150% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,746.82 | ↑ +157% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,746.82 | ↑ +157% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,783.20 | ↑ +160% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3,819.58 | ↑ +162% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,819.58 | ↑ +162% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,819.58 | ↑ +162% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,819.58 | ↑ +162% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,819.58 | ↑ +162% |
| WELLCARE | WELLCARE MEDICARE | $3,855.95 | ↑ +165% |
| AETNA | AETNA | $4,148.31 | ↑ +185% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $4,296.00 | ↑ +195% |
| MEDCOST | MEDCOST VHN | $4,623.37 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $5,077.72 | ↑ +248% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $5,077.72 | ↑ +248% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $5,082.64 | ↑ +249% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $5,127.01 | ↑ +252% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $5,176.31 | ↑ +255% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $6,048.00 | ↑ +315% |
| CIGNA HEALTHCARE | CIGNA PPO | $7,695.00 | ↑ +428% |
| AMBETTER | AMBETTER | $7,930.17 | ↑ +444% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $8,003.00 | ↑ +449% |
| CIGNA HEALTHCARE | CIGNA HMO | $8,003.00 | ↑ +449% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $8,730.46 | ↑ +499% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $8,743.50 | ↑ +500% |
| BLUE CROSS | ANTHEM EXCHANGE | $9,715.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $9,715.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $9,715.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $9,715.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $9,715.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $9,715.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $9,715.00 | ↑ +567% |
Visitor-reported prices
Comments
Bronch ebus samplng 1/2 node at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $1,457.25 | $2,598.78 – $7,930.17 |
| Russell County Hospital | LEBANON | $1,457.25 | $3,637.69 – $7,930.17 |
| Sentara Martha Jefferson Hospital | Charlottesville | $2,500.00 | $2,670.00 – $6,716.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $2,963.50 | $778.00 – $3,988.00 |
| Smyth County Community Hospital | MARION | $1,457.25 | $3,637.69 – $7,930.17 |
| Sentara Halifax Regional Hospital | South Boston | $2,963.50 | $3,739.82 – $3,849.81 |
| Sentara Leigh Hospital | Norfolk | $2,963.50 | $3,710.44 – $5,220.00 |
| Sentara RMH Medical Center | Harrisonburg | $2,500.00 | $3,710.44 – $3,819.58 |