Debride nail6 or more 11721 at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$24.90
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.
$166.00
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.
$26.19 with UNITED HEALTHCARE vs $166.00 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 | $26.19 | ↑ +5% |
| SENTARA HEALTH | SENTARA HEALTH | $42.03 | ↑ +69% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $45.11 | ↑ +81% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $50.96 | ↑ +105% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $53.62 | ↑ +115% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $53.62 | ↑ +115% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $57.56 | ↑ +131% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $57.56 | ↑ +131% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $57.56 | ↑ +131% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $57.56 | ↑ +131% |
| SENTARA HEALTH | SENTARA MEDICARE | $57.56 | ↑ +131% |
| AETNA | AETNA HEALTHCARE MEDICARE | $57.56 | ↑ +131% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $57.56 | ↑ +131% |
| HUMANA | HUMANA MEDICARE | $57.56 | ↑ +131% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $59.28 | ↑ +138% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $59.28 | ↑ +138% |
| BLUE CROSS | BLUE CROSS MEDICARE | $59.86 | ↑ +140% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $60.44 | ↑ +143% |
| NHC ADVANTAGE | NHC ADVANTAGE | $60.44 | ↑ +143% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $60.44 | ↑ +143% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $60.44 | ↑ +143% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $60.44 | ↑ +143% |
| WELLCARE | WELLCARE MEDICARE | $61.01 | ↑ +145% |
| CIGNA HEALTHCARE | CIGNA HMO | $69.22 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $69.22 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $69.22 | ↑ +178% |
| AETNA | AETNA | $70.88 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $77.02 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $79.00 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $87.02 | ↑ +249% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $87.02 | ↑ +249% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $87.11 | ↑ +250% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $87.87 | ↑ +253% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $88.71 | ↑ +256% |
| AMBETTER | AMBETTER | $125.48 | ↑ +404% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $138.14 | ↑ +455% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $149.40 | ↑ +500% |
| BLUE CROSS | BLUE CROSS P NETWORK | $166.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $166.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $166.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $166.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $166.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $166.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $166.00 | ↑ +567% |
Visitor-reported prices
Comments
Debride nail6 or more 11721 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $266.50 | $59.40 – $1,509.00 |
| Inova Fairfax Hospital | Falls Church | $266.50 | $59.40 – $1,509.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $266.50 | $59.40 – $1,509.00 |
| Inova Loudoun Hospital | Leesburg | $266.50 | $59.40 – $1,509.00 |
| Inova Mount Vernon Hospital | Alexandria | $266.50 | $59.40 – $1,509.00 |
| Johnston Memorial Hospital | ABINGDON | $24.90 | $36.10 – $125.48 |
| Russell County Hospital | LEBANON | $24.90 | $45.11 – $125.48 |
| Sentara Martha Jefferson Hospital | Charlottesville | $88.50 | $58.71 – $2,845.00 |