Coronary thrombolysis/iv infusion 92977 at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$394.05
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.
$2,627.00
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.
$80.66 with UNITED HEALTHCARE vs $2,627.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $80.66 | ↓ -80% |
| SENTARA HEALTH | SENTARA HEALTH | $665.16 | ↑ +69% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $671.90 | ↑ +71% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $671.90 | ↑ +71% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $672.55 | ↑ +71% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $678.42 | ↑ +72% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $684.95 | ↑ +74% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,095.46 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,095.46 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,095.46 | ↑ +178% |
| AETNA | AETNA | $1,121.73 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,218.93 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $1,250.19 | ↑ +217% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,571.00 | ↑ +299% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,642.00 | ↑ +317% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,364.30 | ↑ +500% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $2,436.00 | ↑ +518% |
| BLUE CROSS | TENNCARE BLUE SELECT | $2,627.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $2,627.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,627.00 | ↑ +567% |
Visitor-reported prices
Comments
Coronary thrombolysis/iv infusion 92977 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $394.05 | $145.18 – $684.95 |
| Russell County Hospital | LEBANON | $394.05 | $145.18 – $684.95 |
| Smyth County Community Hospital | MARION | $394.05 | $145.18 – $678.42 |
| Dickenson Community Hospital | CLINTWOOD | $386.63 | $145.18 – $969.52 |
| Lee County Community Hospital | PENNINGTON GAP | $386.63 | $145.18 – $969.52 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $511.00 – $511.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $484.00 – $484.00 |
| RESTON HOSPITAL CENTER | VIENNA | not published | $497.32 – $497.32 |