Drainage of pelvis lesion 26990 at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$444.30
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.
$2,962.00
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.
$704.00 with BLUE CROSS vs $6,959.52 with AMBETTER — 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $704.00 | ↑ +58% |
| SENTARA HEALTH | SENTARA HEALTH | $749.98 | ↑ +69% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,031.00 | ↑ +132% |
| AETNA | AETNA | $1,264.77 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $1,409.62 | ↑ +217% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,463.00 | ↑ +229% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,858.00 | ↑ +318% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,932.00 | ↑ +335% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,932.00 | ↑ +335% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,436.00 | ↑ +448% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,547.00 | ↑ +473% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,665.80 | ↑ +500% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,962.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $2,962.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $2,962.00 | ↑ +567% |
| NHC ADVANTAGE | NHC ADVANTAGE | $2,962.00 | ↑ +567% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2,962.00 | ↑ +567% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2,962.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2,962.00 | ↑ +567% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,962.00 | ↑ +567% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2,962.00 | ↑ +567% |
| HUMANA | HUMANA MEDICARE | $2,962.00 | ↑ +567% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $2,962.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $2,962.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,962.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $2,962.00 | ↑ +567% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $2,962.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $2,962.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,962.00 | ↑ +567% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $2,962.00 | ↑ +567% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $2,962.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $2,962.00 | ↑ +567% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $2,962.00 | ↑ +567% |
| SENTARA HEALTH | SENTARA MEDICARE | $2,962.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,962.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,962.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $2,962.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,320.14 | ↑ +647% |
| WELLCARE | WELLCARE MEDICARE | $3,383.99 | ↑ +662% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $5,055.98 | ↑ +1038% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $5,060.89 | ↑ +1039% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $5,105.07 | ↑ +1049% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $5,154.16 | ↑ +1060% |
| AMBETTER | AMBETTER | $6,959.52 | ↑ +1466% |
Visitor-reported prices
Comments
Drainage of pelvis lesion 26990 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $6,885.50 | $1,509.00 – $5,515.00 |
| Inova Fairfax Hospital | Falls Church | $6,885.50 | $1,509.00 – $5,515.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $6,885.50 | $1,509.00 – $5,515.00 |
| Inova Loudoun Hospital | Leesburg | $6,885.50 | $1,509.00 – $5,515.00 |
| Inova Mount Vernon Hospital | Alexandria | $6,885.50 | $1,509.00 – $5,515.00 |
| Sentara Martha Jefferson Hospital | Charlottesville | $2,671.00 | $1,010.00 – $5,978.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $2,603.00 – $4,039.00 |
| Sentara Halifax Regional Hospital | South Boston | not published | $3,282.07 – $3,378.60 |