Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) 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

$168.60

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.

$1,124.00

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.

$258.52 with SENTARA HEALTH vs $1,960.19 with MOLINA 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 →

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
SENTARA HEALTH SENTARA HEALTH $258.52 ↑ +53%
UNITED HEALTHCARE UHC HERITAGE SELECT $313.45 ↑ +86%
UNITED HEALTHCARE UNITED HEALTHCARE $329.78 ↑ +96%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $329.78 ↑ +96%
CIGNA HEALTHCARE CIGNA HMO $425.76 ↑ +153%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $425.76 ↑ +153%
CIGNA HEALTHCARE CIGNA PPO $425.76 ↑ +153%
AETNA AETNA $435.97 ↑ +159%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $473.74 ↑ +181%
MEDCOST MEDCOST VHN $485.89 ↑ +188%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $714.70 ↑ +324%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $918.90 ↑ +445%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $1,021.00 ↑ +506%
BLUE CROSS TENNCARE BLUE SELECT $1,021.00 ↑ +506%
BLUE CROSS TENNCARE BLUE CARE $1,021.00 ↑ +506%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $1,922.85 ↑ +1040%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $1,924.72 ↑ +1042%
AETNA AETNA BETTER HEALTH OF VIRGINIA $1,941.52 ↑ +1052%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $1,960.19 ↑ +1063%

Visitor-reported prices

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Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $2,562.00 $883.55 – $2,197.01
Inova Fairfax Hospital Falls Church $2,562.00 $883.55 – $2,197.01
Inova Fair Oaks Hospital VA 22033-1709 $2,562.00 $883.55 – $2,197.01
Inova Loudoun Hospital Leesburg $2,562.00 $883.55 – $2,197.01
Inova Mount Vernon Hospital Alexandria $2,562.00 $883.55 – $2,197.01
Johnston Memorial Hospital ABINGDON $168.60 $379.81 – $1,960.19
Russell County Hospital LEBANON $168.60 $379.81 – $1,960.21
Sentara Martha Jefferson Hospital Charlottesville $578.50 $511.00 – $2,004.00

All Virginia hospitals for this procedure →