Dextran 40 infusion 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

$18.06

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.

$120.42

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.

$29.98 with SENTARA HEALTH vs $118.41 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
SENTARA HEALTH SENTARA HEALTH $29.98 ↑ +66%
CIGNA HEALTHCARE CIGNA PPO $49.38 ↑ +173%
CIGNA HEALTHCARE CIGNA HMO $49.38 ↑ +173%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $49.38 ↑ +173%
AETNA AETNA $50.56 ↑ +180%
MEDCOST MEDCOST VHN $56.35 ↑ +212%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $100.25 ↑ +455%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $106.57 ↑ +490%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $118.41 ↑ +556%
BLUE CROSS TENNCARE BLUE CARE $118.41 ↑ +556%
BLUE CROSS TENNCARE BLUE SELECT $118.41 ↑ +556%

Visitor-reported prices

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Dextran 40 infusion at other Virginia hospitals

Hospital City Cash price Negotiated range
Johnston Memorial Hospital ABINGDON $18.06 $100.25 – $118.41
CJW Medical Center-Chippenham Hospital Campus CHESTERFIELD $1,456.00 $45.99 – $1,009.62
Smyth County Community Hospital MARION $17.76 $100.25 – $118.41
LEWISGALE MEDICAL CENTER ROANOKE $801.00 $1,142.97 – $1,142.97
TRICITIES HOSPITAL HOPEWELL $1,456.00 $45.99 – $1,009.62
Lee County Community Hospital PENNINGTON GAP $27.23 $100.25 – $118.41
Maryview Hospital Portsmouth $426.93 not published
St Mary's Hospital Richmond $594.51 not published

All Virginia hospitals for this procedure →