Exchange blood transfusion newborn 36450 at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$119.40
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.
$796.00
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.
$148.65 with UNITED HEALTHCARE vs $938.37 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $148.65 | ↑ +24% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $179.48 | ↑ +50% |
| SENTARA HEALTH | SENTARA HEALTH | $201.55 | ↑ +69% |
| CIGNA HEALTHCARE | CIGNA PPO | $331.93 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $331.93 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $331.93 | ↑ +178% |
| AETNA | AETNA | $339.89 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $369.34 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $378.82 | ↑ +217% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $430.45 | ↑ +261% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $430.45 | ↑ +261% |
| SENTARA HEALTH | SENTARA MEDICARE | $430.45 | ↑ +261% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $430.45 | ↑ +261% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $430.45 | ↑ +261% |
| AETNA | AETNA HEALTHCARE MEDICARE | $430.45 | ↑ +261% |
| HUMANA | HUMANA MEDICARE | $430.45 | ↑ +261% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $430.45 | ↑ +261% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $443.36 | ↑ +271% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $443.36 | ↑ +271% |
| BLUE CROSS | BLUE CROSS MEDICARE | $447.67 | ↑ +275% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $451.97 | ↑ +279% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $451.97 | ↑ +279% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $451.97 | ↑ +279% |
| NHC ADVANTAGE | NHC ADVANTAGE | $451.97 | ↑ +279% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $451.97 | ↑ +279% |
| WELLCARE | WELLCARE MEDICARE | $456.27 | ↑ +282% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $569.27 | ↑ +377% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $569.27 | ↑ +377% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $569.82 | ↑ +377% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $574.80 | ↑ +381% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $580.32 | ↑ +386% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $716.40 | ↑ +500% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $796.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $796.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $796.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $796.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $796.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $796.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $796.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $796.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $796.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $796.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $796.00 | ↑ +567% |
| AMBETTER | AMBETTER | $938.37 | ↑ +686% |
Visitor-reported prices
Comments
Exchange blood transfusion newborn 36450 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $119.40 | $179.48 – $938.37 |
| Russell County Hospital | LEBANON | $119.40 | $179.48 – $938.37 |
| Sentara Martha Jefferson Hospital | Charlottesville | $746.50 | $439.06 – $1,010.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $721.50 | $439.06 – $2,603.00 |
| Smyth County Community Hospital | MARION | $119.40 | $179.48 – $938.37 |
| Sentara Halifax Regional Hospital | South Boston | $877.50 | $442.53 – $455.55 |
| Sentara Leigh Hospital | Norfolk | $721.50 | $439.06 – $3,408.00 |
| Sentara RMH Medical Center | Harrisonburg | $746.50 | $439.06 – $451.97 |