External profiling gene expression oncology (breast) mrna 21 genes at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$4,388.25
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.
?
What you pay up front if you don't use insurance.
$29,255.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,707.92 with UNITED HEALTHCARE vs $29,255.00 with BLUE CROSS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1,707.92 | ↓ -61% |
| AMERIGROUP | AMERIGROUP | $1,936.50 | ↓ -56% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,535.83 | ↓ -42% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,535.83 | ↓ -42% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,538.29 | ↓ -42% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,560.45 | ↓ -42% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,585.07 | ↓ -41% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,873.00 | ↓ -12% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $3,873.00 | ↓ -12% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,873.00 | ↓ -12% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,873.00 | ↓ -12% |
| HUMANA | HUMANA MEDICARE | $3,873.00 | ↓ -12% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,873.00 | ↓ -12% |
| BLUE CROSS | ANTHEM EXCHANGE | $3,873.00 | ↓ -12% |
| BLUE CROSS | ANTHEM HMO | $3,873.00 | ↓ -12% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $3,873.00 | ↓ -12% |
| BLUE CROSS | BLUE CROSS P NETWORK | $3,873.00 | ↓ -12% |
| BLUE CROSS | BLUE CROSS S NETWORK | $3,873.00 | ↓ -12% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,873.00 | ↓ -12% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,873.00 | ↓ -12% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,873.00 | ↓ -12% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,873.00 | ↓ -12% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,989.19 | ↓ -9% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,989.19 | ↓ -9% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $4,027.92 | ↓ -8% |
| BLUE CROSS | BLUE CROSS MEDICARE | $4,027.92 | ↓ -8% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $4,066.65 | ↓ -7% |
| NHC ADVANTAGE | NHC ADVANTAGE | $4,066.65 | ↓ -7% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $4,066.65 | ↓ -7% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $4,066.65 | ↓ -7% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $4,066.65 | ↓ -7% |
| WELLCARE | WELLCARE MEDICARE | $4,105.38 | ↓ -6% |
| SENTARA HEALTH | SENTARA HEALTH | $7,407.37 | ↑ +69% |
| AMBETTER | AMBETTER | $8,443.14 | ↑ +92% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $8,537.21 | ↑ +95% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $9,295.20 | ↑ +112% |
| CIGNA HEALTHCARE | CIGNA PPO | $12,199.34 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $12,199.34 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $12,199.34 | ↑ +178% |
| AETNA | AETNA | $12,491.89 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $13,922.45 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $20,478.50 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $26,329.50 | ↑ +500% |
| BLUE CROSS | TENNCARE BLUE SELECT | $29,255.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $29,255.00 | ↑ +567% |
Visitor-reported prices
Comments
External profiling gene expression oncology (breast) mrna 21 genes at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $9,025.00 | $2,785.95 – $15,489.97 |
| Inova Fairfax Hospital | Falls Church | $9,025.00 | $2,785.95 – $15,489.97 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $9,025.00 | $2,785.95 – $15,489.97 |
| Inova Loudoun Hospital | Leesburg | $9,025.00 | $2,785.95 – $15,489.97 |
| Inova Mount Vernon Hospital | Alexandria | $9,025.00 | $2,785.95 – $15,489.97 |
| Sentara Martha Jefferson Hospital | Charlottesville | $2,317.50 | $3,950.46 – $4,103.30 |
| Sentara Northern Virginia Medical Center | Woodbridge | $2,317.50 | $1,977.62 – $13,265.66 |
| Sentara Halifax Regional Hospital | South Boston | $2,317.50 | $3,369.51 – $4,066.65 |