Drug of abuse screen urine 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

$19.20

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.

$128.00

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.

$6.30 with AMERIGROUP vs $128.00 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 →

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
AMERIGROUP AMERIGROUP $6.30 ↓ -67%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $7.48 ↓ -61%
AETNA AETNA HEALTHCARE MEDICARE $12.60 ↓ -34%
UNITED HEALTHCARE UHC HERITAGE SELECT $12.60 ↓ -34%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $12.60 ↓ -34%
UNITED HEALTHCARE UNITED HEALTHCARE $12.60 ↓ -34%
HUMANA HUMANA MEDICARE $12.60 ↓ -34%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $12.60 ↓ -34%
BLUE CROSS ANTHEM EXCHANGE $12.60 ↓ -34%
BLUE CROSS ANTHEM HMO $12.60 ↓ -34%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $12.60 ↓ -34%
BLUE CROSS BLUE CROSS P NETWORK $12.60 ↓ -34%
BLUE CROSS BLUE CROSS S NETWORK $12.60 ↓ -34%
ALLCARE MEDICARE ALLCARE MEDICARE $12.60 ↓ -34%
MANAGED MEDICAIRE MANAGED MEDICAIRE $12.60 ↓ -34%
SENTARA HEALTH SENTARA MEDICARE $12.60 ↓ -34%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $12.60 ↓ -34%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $12.98 ↓ -32%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $12.98 ↓ -32%
BLUE CROSS BLUE CROSS MEDICARE $13.10 ↓ -32%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $13.10 ↓ -32%
NHC ADVANTAGE NHC ADVANTAGE $13.23 ↓ -31%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $13.23 ↓ -31%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $13.23 ↓ -31%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $13.23 ↓ -31%
CIGNA HEALTHCARE CIGNA MEDICARE $13.23 ↓ -31%
WELLCARE WELLCARE MEDICARE $13.36 ↓ -30%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $14.97 ↓ -22%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $14.97 ↓ -22%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $14.98 ↓ -22%
AETNA AETNA BETTER HEALTH OF VIRGINIA $15.11 ↓ -21%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $15.26 ↓ -21%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $27.43 ↑ +43%
AMBETTER AMBETTER $27.47 ↑ +43%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $30.24 ↑ +58%
SENTARA HEALTH SENTARA HEALTH $32.41 ↑ +69%
CIGNA HEALTHCARE CIGNA PPO $53.38 ↑ +178%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $53.38 ↑ +178%
CIGNA HEALTHCARE CIGNA HMO $53.38 ↑ +178%
AETNA AETNA $54.66 ↑ +185%
MEDCOST MEDCOST VHN $60.92 ↑ +217%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $89.60 ↑ +367%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $115.20 ↑ +500%
BLUE CROSS TENNCARE BLUE SELECT $128.00 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $128.00 ↑ +567%

Visitor-reported prices

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Drug of abuse screen urine at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $104.50 $12.60 – $131.48
Inova Fairfax Hospital Falls Church $104.50 $12.60 – $131.48
Inova Fair Oaks Hospital VA 22033-1709 $104.50 $12.60 – $131.48
Inova Loudoun Hospital Leesburg $104.50 $12.60 – $131.48
Inova Mount Vernon Hospital Alexandria $104.50 $12.60 – $131.48
Johnston Memorial Hospital ABINGDON $19.20 $6.30 – $27.47
Russell County Hospital LEBANON $19.20 $12.60 – $27.47
Sentara Martha Jefferson Hospital Charlottesville $67.50 $12.85 – $17.95

All Virginia hospitals for this procedure →