Candida skin test at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$27.15
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.
$181.00
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.
$2.85 with UNITED HEALTHCARE vs $181.00 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 | $2.85 | ↓ -90% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $12.18 | ↓ -55% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $12.18 | ↓ -55% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $12.20 | ↓ -55% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $12.30 | ↓ -55% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $12.42 | ↓ -54% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $20.06 | ↓ -26% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $22.99 | ↓ -15% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $22.99 | ↓ -15% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $23.91 | ↓ -12% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $28.22 | ↑ +4% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $28.22 | ↑ +4% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $28.22 | ↑ +4% |
| SENTARA HEALTH | SENTARA MEDICARE | $28.22 | ↑ +4% |
| AETNA | AETNA HEALTHCARE MEDICARE | $28.22 | ↑ +4% |
| HUMANA | HUMANA MEDICARE | $28.22 | ↑ +4% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $28.22 | ↑ +4% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $28.22 | ↑ +4% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $29.07 | ↑ +7% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $29.07 | ↑ +7% |
| BLUE CROSS | BLUE CROSS MEDICARE | $29.35 | ↑ +8% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $29.63 | ↑ +9% |
| NHC ADVANTAGE | NHC ADVANTAGE | $29.63 | ↑ +9% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $29.63 | ↑ +9% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $29.63 | ↑ +9% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $29.63 | ↑ +9% |
| WELLCARE | WELLCARE MEDICARE | $29.91 | ↑ +10% |
| CIGNA HEALTHCARE | CIGNA HMO | $37.71 | ↑ +39% |
| CIGNA HEALTHCARE | CIGNA PPO | $37.71 | ↑ +39% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $37.71 | ↑ +39% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $41.14 | ↑ +52% |
| SENTARA HEALTH | SENTARA HEALTH | $45.83 | ↑ +69% |
| AMBETTER | AMBETTER | $61.52 | ↑ +127% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $67.73 | ↑ +149% |
| AETNA | AETNA | $77.29 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $86.14 | ↑ +217% |
| BLUE CROSS | ANTHEM EXCHANGE | $93.02 | ↑ +243% |
| BLUE CROSS | ANTHEM HMO | $107.88 | ↑ +297% |
| BLUE CROSS | BLUE CROSS S NETWORK | $114.83 | ↑ +323% |
| BLUE CROSS | BLUE CROSS P NETWORK | $114.83 | ↑ +323% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $126.85 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $162.90 | ↑ +500% |
| BLUE CROSS | TENNCARE BLUE CARE | $181.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $181.00 | ↑ +567% |
Visitor-reported prices
Comments
Candida skin test at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $24.67 – $139.26 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $7.74 – $29.63 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $3.31 – $75.03 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $2.44 – $110.30 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $24.67 – $104.95 |
| Sentara Halifax Regional Hospital | South Boston | not published | $6.74 – $29.79 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | not published | $24.67 – $105.83 |
| LEWISGALE MEDICAL CENTER | ROANOKE | not published | $24.67 – $138.50 |