Cefepime 1 gram solution for injection at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$24.21
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.
$161.40
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.
$2.15 with CIGNA HEALTHCARE vs $97.82 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 |
|---|---|---|---|
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $2.15 | ↓ -91% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $7.98 | ↓ -67% |
| SENTARA HEALTH | SENTARA HEALTH | $24.77 | ↑ +2% |
| CIGNA HEALTHCARE | CIGNA PPO | $40.79 | ↑ +68% |
| CIGNA HEALTHCARE | CIGNA HMO | $40.79 | ↑ +68% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $40.79 | ↑ +68% |
| AETNA | AETNA | $41.77 | ↑ +73% |
| MEDCOST | MEDCOST VHN | $46.55 | ↑ +92% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $88.04 | ↑ +264% |
| BLUE CROSS | TENNCARE BLUE SELECT | $97.82 | ↑ +304% |
| BLUE CROSS | TENNCARE BLUE CARE | $97.82 | ↑ +304% |
Visitor-reported prices
Comments
Cefepime 1 gram solution for injection at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $20.45 | $1.70 – $14.35 |
| Inova Fairfax Hospital | Falls Church | $20.45 | $1.70 – $14.35 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $20.45 | $1.70 – $14.35 |
| Inova Loudoun Hospital | Leesburg | $20.45 | $1.70 – $14.35 |
| Inova Mount Vernon Hospital | Alexandria | $20.45 | $1.70 – $14.35 |
| Johnston Memorial Hospital | ABINGDON | $23.97 | $2.15 – $7.98 |
| Russell County Hospital | LEBANON | $34.55 | $2.15 – $7.98 |
| Smyth County Community Hospital | MARION | $24.45 | $2.15 – $7.98 |