Cath combo lt&rt heart w/inj/s at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$2,576.70
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.
$17,178.00
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.
$2,062.00 with UNITED HEALTHCARE vs $17,178.00 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 | $2,062.00 | ↓ -20% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,163.10 | ↑ +23% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,163.10 | ↑ +23% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,163.10 | ↑ +23% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,163.10 | ↑ +23% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,163.10 | ↑ +23% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,163.10 | ↑ +23% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,163.10 | ↑ +23% |
| HUMANA | HUMANA MEDICARE | $3,163.10 | ↑ +23% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $3,190.00 | ↑ +24% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $3,243.08 | ↑ +26% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $3,243.08 | ↑ +26% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $3,246.23 | ↑ +26% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,258.00 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,258.00 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $3,274.57 | ↑ +27% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,289.63 | ↑ +28% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $3,306.05 | ↑ +28% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3,321.26 | ↑ +29% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,321.26 | ↑ +29% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,321.26 | ↑ +29% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,321.26 | ↑ +29% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,321.26 | ↑ +29% |
| WELLCARE | WELLCARE MEDICARE | $3,352.89 | ↑ +30% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $4,176.00 | ↑ +62% |
| SENTARA HEALTH | SENTARA HEALTH | $4,349.47 | ↑ +69% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $4,367.00 | ↑ +69% |
| AMBETTER | AMBETTER | $6,895.56 | ↑ +168% |
| AETNA | AETNA | $7,335.01 | ↑ +185% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $7,364.00 | ↑ +186% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $7,591.45 | ↑ +195% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $7,778.00 | ↑ +202% |
| MEDCOST | MEDCOST VHN | $8,175.01 | ↑ +217% |
| CIGNA HEALTHCARE | CIGNA PPO | $9,893.00 | ↑ +284% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $10,289.00 | ↑ +299% |
| CIGNA HEALTHCARE | CIGNA HMO | $10,289.00 | ↑ +299% |
| BLUE CROSS | ANTHEM EXCHANGE | $10,427.57 | ↑ +305% |
| BLUE CROSS | ANTHEM HMO | $12,094.24 | ↑ +369% |
| BLUE CROSS | BLUE CROSS P NETWORK | $12,873.23 | ↑ +400% |
| BLUE CROSS | BLUE CROSS S NETWORK | $12,873.23 | ↑ +400% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $14,219.97 | ↑ +452% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $15,460.20 | ↑ +500% |
| BLUE CROSS | TENNCARE BLUE CARE | $17,178.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $17,178.00 | ↑ +567% |
Visitor-reported prices
Comments
Cath combo lt&rt heart w/inj/s at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $7,035.50 | $3,216.41 – $9,694.40 |
| Inova Fairfax Hospital | Falls Church | $7,035.50 | $3,216.41 – $9,694.40 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $7,035.50 | $3,216.41 – $9,694.40 |
| Inova Loudoun Hospital | Leesburg | $7,035.50 | $3,216.41 – $9,694.40 |
| Inova Mount Vernon Hospital | Alexandria | $7,035.50 | $3,216.41 – $9,694.40 |
| Johnston Memorial Hospital | ABINGDON | $2,576.70 | $687.59 – $6,895.56 |
| Russell County Hospital | LEBANON | $2,576.70 | $3,148.66 – $6,895.56 |
| Sentara Martha Jefferson Hospital | Charlottesville | $11,075.50 | $3,226.37 – $10,995.00 |