Conjugated estrogens 25 mg solution for injection 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

$490.81

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.

$3,272.08

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.

$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 →

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
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%

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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

All Virginia hospitals for this procedure →