Chemo ia infusion up to 1 hr at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$296.25
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.
$1,975.00
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.
$50.32 with BLUE CROSS vs $1,975.00 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $50.32 | ↓ -83% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $103.89 | ↓ -65% |
| SENTARA HEALTH | SENTARA MEDICARE | $322.27 | ↑ +9% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $322.27 | ↑ +9% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $322.27 | ↑ +9% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $322.27 | ↑ +9% |
| HUMANA | HUMANA MEDICARE | $322.27 | ↑ +9% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $322.27 | ↑ +9% |
| AETNA | AETNA HEALTHCARE MEDICARE | $322.27 | ↑ +9% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $322.27 | ↑ +9% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $331.94 | ↑ +12% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $331.94 | ↑ +12% |
| BLUE CROSS | BLUE CROSS MEDICARE | $335.17 | ↑ +13% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $338.39 | ↑ +14% |
| NHC ADVANTAGE | NHC ADVANTAGE | $338.39 | ↑ +14% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $338.39 | ↑ +14% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $338.39 | ↑ +14% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $338.39 | ↑ +14% |
| WELLCARE | WELLCARE MEDICARE | $341.61 | ↑ +15% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $371.58 | ↑ +25% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $371.58 | ↑ +25% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $371.93 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $375.18 | ↑ +27% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $378.79 | ↑ +28% |
| SENTARA HEALTH | SENTARA HEALTH | $500.07 | ↑ +69% |
| AMBETTER | AMBETTER | $702.56 | ↑ +137% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $773.46 | ↑ +161% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $823.58 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $823.58 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $823.58 | ↑ +178% |
| AETNA | AETNA | $843.33 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $939.90 | ↑ +217% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,062.41 | ↑ +259% |
| BLUE CROSS | ANTHEM HMO | $1,232.22 | ↑ +316% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,311.59 | ↑ +343% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,311.59 | ↑ +343% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,350.00 | ↑ +356% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,411.00 | ↑ +376% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,448.80 | ↑ +389% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,777.50 | ↑ +500% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,975.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $1,975.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $1,975.00 | ↑ +567% |
Visitor-reported prices
Comments
Chemo ia infusion up to 1 hr at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sentara Halifax Regional Hospital | South Boston | $289.00 | $331.32 – $341.07 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $328.72 – $338.39 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $328.72 – $338.39 |
| RESTON HOSPITAL CENTER | VIENNA | not published | $818.27 – $818.27 |
| STONESPRINGS HOSPITAL CENTER | Dulles | not published | $818.27 – $818.27 |
| Sentara Leigh Hospital | Norfolk | not published | $328.72 – $338.39 |
| Sentara RMH Medical Center | Harrisonburg | not published | $328.72 – $338.39 |
| Sentara CarePlex Hospital | Hampton | not published | $328.72 – $338.39 |