Epoetin alfa-epbx 40,000 unit/ml injection solution at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$636.32
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.
$4,242.14
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.
$5.85 with UNITED HEALTHCARE vs $1,305.51 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $5.85 | ↓ -99% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $7.57 | ↓ -99% |
| SENTARA HEALTH | SENTARA MEDICARE | $7.57 | ↓ -99% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $7.57 | ↓ -99% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $7.57 | ↓ -99% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $7.57 | ↓ -99% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $7.57 | ↓ -99% |
| AETNA | AETNA HEALTHCARE MEDICARE | $7.57 | ↓ -99% |
| HUMANA | HUMANA MEDICARE | $7.57 | ↓ -99% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $7.79 | ↓ -99% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $7.79 | ↓ -99% |
| BLUE CROSS | BLUE CROSS MEDICARE | $7.87 | ↓ -99% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $7.95 | ↓ -99% |
| NHC ADVANTAGE | NHC ADVANTAGE | $7.95 | ↓ -99% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $7.95 | ↓ -99% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $7.95 | ↓ -99% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $7.95 | ↓ -99% |
| WELLCARE | WELLCARE MEDICARE | $8.02 | ↓ -99% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $8.32 | ↓ -99% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $8.59 | ↓ -99% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $9.24 | ↓ -99% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $13.82 | ↓ -98% |
| AMBETTER | AMBETTER | $16.50 | ↓ -97% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $18.16 | ↓ -97% |
| BLUE CROSS | ANTHEM HMO | $20.80 | ↓ -97% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $20.80 | ↓ -97% |
| BLUE CROSS | BLUE CROSS P NETWORK | $20.80 | ↓ -97% |
| BLUE CROSS | BLUE CROSS S NETWORK | $20.80 | ↓ -97% |
| BLUE CROSS | ANTHEM EXCHANGE | $20.80 | ↓ -97% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $250.32 | ↓ -61% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $250.32 | ↓ -61% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $250.56 | ↓ -61% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $252.75 | ↓ -60% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $255.18 | ↓ -60% |
| SENTARA HEALTH | SENTARA HEALTH | $330.56 | ↓ -48% |
| CIGNA HEALTHCARE | CIGNA PPO | $544.40 | ↓ -14% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $544.40 | ↓ -14% |
| CIGNA HEALTHCARE | CIGNA HMO | $544.40 | ↓ -14% |
| AETNA | AETNA | $557.45 | ↓ -12% |
| MEDCOST | MEDCOST VHN | $621.29 | ↓ -2% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $913.86 | ↑ +44% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,174.96 | ↑ +85% |
| BLUE CROSS | TENNCARE BLUE SELECT | $1,305.51 | ↑ +105% |
| BLUE CROSS | TENNCARE BLUE CARE | $1,305.51 | ↑ +105% |
Visitor-reported prices
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Epoetin alfa-epbx 40,000 unit/ml injection solution at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $195.83 | $6.82 – $243.03 |
| Russell County Hospital | LEBANON | $636.32 | $6.82 – $243.03 |
| Smyth County Community Hospital | MARION | $636.32 | $6.82 – $243.03 |
| STONESPRINGS HOSPITAL CENTER | Dulles | $4,256.01 | $5.30 – $20.06 |
| Southern Virginia Medical Center | Emporia | $436.79 | not published |
| Rappahannock General Hospital | Kilmarnock | $714.74 | not published |
| Southampton Medical Center | Franklin | $552.61 | not published |
| Maryview Hospital | Portsmouth | $1,654.50 | not published |