Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$2,570.80
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.
$17,138.68
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.
$1.58 with UNITED HEALTHCARE vs $3,427.74 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1.58 | ↓ -100% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $2.99 | ↓ -100% |
| SENTARA HEALTH | SENTARA MEDICARE | $3.02 | ↓ -100% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3.02 | ↓ -100% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3.02 | ↓ -100% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3.02 | ↓ -100% |
| HUMANA | HUMANA MEDICARE | $3.02 | ↓ -100% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3.02 | ↓ -100% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3.02 | ↓ -100% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3.02 | ↓ -100% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3.11 | ↓ -100% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3.11 | ↓ -100% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3.14 | ↓ -100% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3.17 | ↓ -100% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3.17 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3.17 | ↓ -100% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3.17 | ↓ -100% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3.17 | ↓ -100% |
| WELLCARE | WELLCARE MEDICARE | $3.20 | ↓ -100% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3.66 | ↓ -100% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $3.73 | ↓ -100% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $3.86 | ↓ -100% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $5.00 | ↓ -100% |
| AMBETTER | AMBETTER | $6.59 | ↓ -100% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $7.25 | ↓ -100% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $7.76 | ↓ -100% |
| BLUE CROSS | BLUE CROSS P NETWORK | $7.76 | ↓ -100% |
| BLUE CROSS | BLUE CROSS S NETWORK | $7.76 | ↓ -100% |
| BLUE CROSS | ANTHEM EXCHANGE | $7.76 | ↓ -100% |
| BLUE CROSS | ANTHEM HMO | $7.76 | ↓ -100% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $629.86 | ↓ -75% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $629.86 | ↓ -75% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $630.47 | ↓ -75% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $635.97 | ↓ -75% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $642.09 | ↓ -75% |
| SENTARA HEALTH | SENTARA HEALTH | $867.90 | ↓ -66% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,429.37 | ↓ -44% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,429.37 | ↓ -44% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,429.37 | ↓ -44% |
| AETNA | AETNA | $1,463.65 | ↓ -43% |
| MEDCOST | MEDCOST VHN | $1,631.26 | ↓ -37% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $3,084.97 | ↑ +20% |
| BLUE CROSS | TENNCARE BLUE CARE | $3,427.74 | ↑ +33% |
| BLUE CROSS | TENNCARE BLUE SELECT | $3,427.74 | ↑ +33% |
Visitor-reported prices
Comments
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $2,570.80 | $2.84 – $611.51 |
| Russell County Hospital | LEBANON | $2,570.80 | $2.84 – $611.52 |
| Smyth County Community Hospital | MARION | $1,713.87 | $2.84 – $611.51 |
| Dickenson Community Hospital | CLINTWOOD | $788.38 | $2.84 – $908.86 |
| Lee County Community Hospital | PENNINGTON GAP | $3,941.90 | $2.84 – $908.86 |
| Rappahannock General Hospital | Kilmarnock | $6,269.40 | not published |
| Maryview Hospital | Portsmouth | $8,707.50 | not published |
| St Mary's Hospital | Richmond | $18,343.80 | not published |