Colonoscopy (with biopsy) at Lonesome Pine Hospital

1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$484.05

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$3,227.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$697.00 with UNITED HEALTHCARE vs $3,227.00 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 →

Payer
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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
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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 $697.00 ↑ +44%
SENTARA HEALTH SENTARA HEALTH $817.08 ↑ +69%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $948.00 ↑ +96%
UNITED HEALTHCARE UHC HERITAGE SELECT $1,055.00 ↑ +118%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $1,103.00 ↑ +128%
MANAGED MEDICAIRE MANAGED MEDICAIRE $1,167.54 ↑ +141%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $1,167.54 ↑ +141%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $1,167.54 ↑ +141%
SENTARA HEALTH SENTARA MEDICARE $1,167.54 ↑ +141%
ALLCARE MEDICARE ALLCARE MEDICARE $1,167.54 ↑ +141%
HUMANA HUMANA MEDICARE $1,167.54 ↑ +141%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $1,167.54 ↑ +141%
AETNA AETNA HEALTHCARE MEDICARE $1,167.54 ↑ +141%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $1,202.57 ↑ +148%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $1,202.57 ↑ +148%
BLUE CROSS BLUE CROSS MEDICARE $1,214.25 ↑ +151%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $1,225.92 ↑ +153%
NHC ADVANTAGE NHC ADVANTAGE $1,225.92 ↑ +153%
CIGNA HEALTHCARE CIGNA MEDICARE $1,225.92 ↑ +153%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $1,225.92 ↑ +153%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $1,225.92 ↑ +153%
WELLCARE WELLCARE MEDICARE $1,237.60 ↑ +156%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $1,308.20 ↑ +170%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $1,308.20 ↑ +170%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $1,309.47 ↑ +171%
AETNA AETNA BETTER HEALTH OF VIRGINIA $1,320.90 ↑ +173%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $1,333.61 ↑ +176%
AETNA AETNA $1,377.93 ↑ +185%
MEDCOST MEDCOST VHN $1,535.73 ↑ +217%
UNITED HEALTHCARE UNITED HEALTHCARE $1,861.00 ↑ +284%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $1,956.00 ↑ +304%
CIGNA HEALTHCARE CIGNA PPO $2,488.00 ↑ +414%
AMBETTER AMBETTER $2,545.25 ↑ +426%
CIGNA HEALTHCARE CIGNA HMO $2,588.00 ↑ +435%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $2,588.00 ↑ +435%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $2,802.11 ↑ +479%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $2,904.30 ↑ +500%
BLUE CROSS ANTHEM EXCHANGE $3,227.00 ↑ +567%
BLUE CROSS BLUE CROSS S NETWORK $3,227.00 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $3,227.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $3,227.00 ↑ +567%
BLUE CROSS ANTHEM HMO $3,227.00 ↑ +567%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $3,227.00 ↑ +567%
BLUE CROSS BLUE CROSS P NETWORK $3,227.00 ↑ +567%

Visitor-reported prices

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Colonoscopy (with biopsy) at other Virginia hospitals

Hospital City Cash price Negotiated range
Johnston Memorial Hospital ABINGDON $484.05 $930.02 – $2,545.25
Russell County Hospital LEBANON $484.05 $1,167.54 – $2,545.25
Smyth County Community Hospital MARION $484.05 $1,167.54 – $2,545.25
Dickenson Community Hospital CLINTWOOD $474.95 $1,815.08 – $1,887.69
Lee County Community Hospital PENNINGTON GAP $474.95 $1,815.08 – $1,887.69
Southern Virginia Medical Center Emporia $8,941.07 $1,167.54 – $1,190.90
Rappahannock General Hospital Kilmarnock $8,094.75 not published
Southampton Medical Center Franklin $7,262.04 $1,250.44 – $1,275.45

All Virginia hospitals for this procedure →