Declotting thrombolytic agent implanted vas access device 36 at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$261.75
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.
$1,745.00
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.
$175.00 with CIGNA HEALTHCARE vs $1,745.00 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 |
|---|---|---|---|
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $175.00 | ↓ -33% |
| CIGNA HEALTHCARE | CIGNA PPO | $219.00 | ↓ -16% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $223.00 | ↓ -15% |
| CIGNA HEALTHCARE | CIGNA HMO | $228.00 | ↓ -13% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $228.00 | ↓ -13% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $277.00 | ↑ +6% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $289.00 | ↑ +10% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $322.27 | ↑ +23% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $322.27 | ↑ +23% |
| AETNA | AETNA HEALTHCARE MEDICARE | $322.27 | ↑ +23% |
| HUMANA | HUMANA MEDICARE | $322.27 | ↑ +23% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $322.27 | ↑ +23% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $322.27 | ↑ +23% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $322.27 | ↑ +23% |
| SENTARA HEALTH | SENTARA MEDICARE | $322.27 | ↑ +23% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $331.94 | ↑ +27% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $331.94 | ↑ +27% |
| BLUE CROSS | BLUE CROSS MEDICARE | $335.17 | ↑ +28% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $338.39 | ↑ +29% |
| NHC ADVANTAGE | NHC ADVANTAGE | $338.39 | ↑ +29% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $338.39 | ↑ +29% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $338.39 | ↑ +29% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $338.39 | ↑ +29% |
| WELLCARE | WELLCARE MEDICARE | $341.61 | ↑ +31% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $371.58 | ↑ +42% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $371.58 | ↑ +42% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $371.93 | ↑ +42% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $375.18 | ↑ +43% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $378.79 | ↑ +45% |
| SENTARA HEALTH | SENTARA HEALTH | $441.83 | ↑ +69% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $528.00 | ↑ +102% |
| AMBETTER | AMBETTER | $702.56 | ↑ +168% |
| AETNA | AETNA | $745.12 | ↑ +185% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $773.46 | ↑ +195% |
| MEDCOST | MEDCOST VHN | $830.45 | ↑ +217% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,062.41 | ↑ +306% |
| BLUE CROSS | ANTHEM HMO | $1,232.22 | ↑ +371% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,311.59 | ↑ +401% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,311.59 | ↑ +401% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,448.80 | ↑ +454% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +482% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,570.50 | ↑ +500% |
| BLUE CROSS | TENNCARE BLUE SELECT | $1,745.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $1,745.00 | ↑ +567% |
Visitor-reported prices
Comments
Declotting thrombolytic agent implanted vas access device 36 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $344.50 | $314.87 – $1,509.00 |
| Inova Fairfax Hospital | Falls Church | $344.50 | $314.87 – $1,509.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $344.50 | $314.87 – $1,509.00 |
| Inova Loudoun Hospital | Leesburg | $344.50 | $314.87 – $1,509.00 |
| Inova Mount Vernon Hospital | Alexandria | $344.50 | $314.87 – $1,509.00 |
| Johnston Memorial Hospital | ABINGDON | $261.75 | $295.55 – $702.56 |
| Russell County Hospital | LEBANON | $261.75 | $322.27 – $702.56 |
| Sentara Martha Jefferson Hospital | Charlottesville | $488.00 | $328.72 – $2,845.00 |