Chromosome analysis 50-100 at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$142.50
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.
$950.00
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.
$86.59 with AMERIGROUP vs $950.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $86.59 | ↓ -39% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $122.64 | ↓ -14% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $173.01 | ↑ +21% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $173.01 | ↑ +21% |
| AETNA | AETNA HEALTHCARE MEDICARE | $173.17 | ↑ +22% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $173.17 | ↑ +22% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $173.17 | ↑ +22% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $173.17 | ↑ +22% |
| HUMANA | HUMANA MEDICARE | $173.17 | ↑ +22% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $173.17 | ↑ +22% |
| BLUE CROSS | ANTHEM EXCHANGE | $173.17 | ↑ +22% |
| BLUE CROSS | ANTHEM HMO | $173.17 | ↑ +22% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $173.17 | ↑ +22% |
| BLUE CROSS | BLUE CROSS P NETWORK | $173.17 | ↑ +22% |
| BLUE CROSS | BLUE CROSS S NETWORK | $173.17 | ↑ +22% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $173.17 | ↑ +22% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $173.17 | ↑ +22% |
| SENTARA HEALTH | SENTARA MEDICARE | $173.17 | ↑ +22% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $173.17 | ↑ +22% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $173.18 | ↑ +22% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $174.69 | ↑ +23% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $176.37 | ↑ +24% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $178.37 | ↑ +25% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $178.37 | ↑ +25% |
| BLUE CROSS | BLUE CROSS MEDICARE | $180.10 | ↑ +26% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $180.10 | ↑ +26% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $181.83 | ↑ +28% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $181.83 | ↑ +28% |
| NHC ADVANTAGE | NHC ADVANTAGE | $181.83 | ↑ +28% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $181.83 | ↑ +28% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $181.83 | ↑ +28% |
| WELLCARE | WELLCARE MEDICARE | $183.56 | ↑ +29% |
| SENTARA HEALTH | SENTARA HEALTH | $240.54 | ↑ +69% |
| AMBETTER | AMBETTER | $377.51 | ↑ +165% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $381.82 | ↑ +168% |
| AETNA | AETNA | $405.65 | ↑ +185% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $415.61 | ↑ +192% |
| MEDCOST | MEDCOST VHN | $452.11 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $689.77 | ↑ +384% |
| CIGNA HEALTHCARE | CIGNA PPO | $696.71 | ↑ +389% |
| CIGNA HEALTHCARE | CIGNA HMO | $696.71 | ↑ +389% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $696.71 | ↑ +389% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $855.00 | ↑ +500% |
| BLUE CROSS | TENNCARE BLUE SELECT | $950.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $950.00 | ↑ +567% |
Visitor-reported prices
Comments
Chromosome analysis 50-100 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $1,995.00 | $173.17 – $2,510.11 |
| Inova Fairfax Hospital | Falls Church | $1,995.00 | $173.17 – $2,510.11 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $1,995.00 | $173.17 – $2,510.11 |
| Inova Loudoun Hospital | Leesburg | $1,995.00 | $173.17 – $2,510.11 |
| Inova Mount Vernon Hospital | Alexandria | $1,995.00 | $173.17 – $2,510.11 |
| Johnston Memorial Hospital | ABINGDON | $142.50 | $86.59 – $377.51 |
| Russell County Hospital | LEBANON | $142.50 | $167.97 – $377.51 |
| Sentara Martha Jefferson Hospital | Charlottesville | $179.50 | $176.63 – $290.35 |