Conjugated estrogens 25 mg solution for injection at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$490.81
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.
$3,272.08
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.
$38.14 with BLUE CROSS vs $3,272.08 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 | $38.14 | ↓ -92% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $56.24 | ↓ -89% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $250.32 | ↓ -49% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $250.32 | ↓ -49% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $250.56 | ↓ -49% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $252.75 | ↓ -49% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $255.18 | ↓ -48% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $391.76 | ↓ -20% |
| SENTARA HEALTH | SENTARA MEDICARE | $391.76 | ↓ -20% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $391.76 | ↓ -20% |
| AETNA | AETNA HEALTHCARE MEDICARE | $391.76 | ↓ -20% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $391.76 | ↓ -20% |
| HUMANA | HUMANA MEDICARE | $391.76 | ↓ -20% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $391.76 | ↓ -20% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $391.76 | ↓ -20% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $403.51 | ↓ -18% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $403.51 | ↓ -18% |
| BLUE CROSS | BLUE CROSS MEDICARE | $407.43 | ↓ -17% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $411.35 | ↓ -16% |
| NHC ADVANTAGE | NHC ADVANTAGE | $411.35 | ↓ -16% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $411.35 | ↓ -16% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $411.35 | ↓ -16% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $411.35 | ↓ -16% |
| WELLCARE | WELLCARE MEDICARE | $415.27 | ↓ -15% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $468.52 | ↓ -5% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $476.70 | ↓ -3% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $483.88 | ↓ -1% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $690.03 | ↑ +41% |
| SENTARA HEALTH | SENTARA HEALTH | $828.49 | ↑ +69% |
| AMBETTER | AMBETTER | $854.04 | ↑ +74% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $940.23 | ↑ +92% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,038.96 | ↑ +112% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,038.96 | ↑ +112% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,038.96 | ↑ +112% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,038.96 | ↑ +112% |
| BLUE CROSS | ANTHEM HMO | $1,038.96 | ↑ +112% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,364.46 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,364.46 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,364.46 | ↑ +178% |
| AETNA | AETNA | $1,397.18 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $1,557.18 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,944.87 | ↑ +500% |
| BLUE CROSS | TENNCARE BLUE CARE | $3,272.08 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $3,272.08 | ↑ +567% |
Visitor-reported prices
Comments
Conjugated estrogens 25 mg solution for injection at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $473.14 | $275.01 – $608.24 |
| Inova Fairfax Hospital | Falls Church | $473.14 | $275.01 – $608.24 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $473.14 | $275.01 – $608.24 |
| Inova Loudoun Hospital | Leesburg | $473.14 | $275.01 – $608.24 |
| Inova Mount Vernon Hospital | Alexandria | $473.14 | $275.01 – $608.24 |
| Johnston Memorial Hospital | ABINGDON | $490.81 | $38.14 – $854.04 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $2,584.00 | $325.46 – $1,038.16 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $1,928.00 | $325.46 – $1,038.16 |