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

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

$2,570.80

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.

$17,138.68

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.

$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 →

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 $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

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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

All Virginia hospitals for this procedure →