F-18 fluciclovine per mci at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$902.25
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.
$6,015.00
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.
$194.78 with UNITED HEALTHCARE vs $6,015.00 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 | $194.78 | ↓ -78% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $322.27 | ↓ -64% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $322.27 | ↓ -64% |
| SENTARA HEALTH | SENTARA MEDICARE | $322.27 | ↓ -64% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $322.27 | ↓ -64% |
| AETNA | AETNA HEALTHCARE MEDICARE | $322.27 | ↓ -64% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $322.27 | ↓ -64% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $322.27 | ↓ -64% |
| HUMANA | HUMANA MEDICARE | $322.27 | ↓ -64% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $327.47 | ↓ -64% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $331.94 | ↓ -63% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $331.94 | ↓ -63% |
| BLUE CROSS | BLUE CROSS MEDICARE | $335.16 | ↓ -63% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $338.38 | ↓ -62% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $338.38 | ↓ -62% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $338.38 | ↓ -62% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $338.38 | ↓ -62% |
| NHC ADVANTAGE | NHC ADVANTAGE | $338.38 | ↓ -62% |
| WELLCARE | WELLCARE MEDICARE | $341.61 | ↓ -62% |
| AMBETTER | AMBETTER | $702.55 | ↓ -22% |
| BLUE CROSS | ANTHEM EXCHANGE | $711.31 | ↓ -21% |
| BLUE CROSS | ANTHEM HMO | $711.31 | ↓ -21% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $711.31 | ↓ -21% |
| BLUE CROSS | BLUE CROSS P NETWORK | $711.31 | ↓ -21% |
| BLUE CROSS | BLUE CROSS S NETWORK | $711.31 | ↓ -21% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $773.45 | ↓ -14% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $927.48 | ↑ +3% |
| SENTARA HEALTH | SENTARA HEALTH | $1,523.00 | ↑ +69% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,508.26 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,508.26 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,508.26 | ↑ +178% |
| AETNA | AETNA | $2,568.41 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $2,862.54 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $4,210.50 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $5,413.50 | ↑ +500% |
| BLUE CROSS | TENNCARE BLUE CARE | $6,015.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $6,015.00 | ↑ +567% |
Visitor-reported prices
Comments
F-18 fluciclovine per mci at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $902.25 | $322.27 – $702.55 |
| Russell County Hospital | LEBANON | $902.25 | $322.27 – $702.55 |
| Sentara Martha Jefferson Hospital | Charlottesville | $507.50 | $328.72 – $338.38 |
| Sentara Northern Virginia Medical Center | Woodbridge | $391.00 | $328.72 – $338.38 |
| Smyth County Community Hospital | MARION | $902.25 | $322.27 – $702.55 |
| Sentara Halifax Regional Hospital | South Boston | $392.50 | $328.72 – $338.38 |
| TRICITIES HOSPITAL | HOPEWELL | $1,863.00 | $553.33 – $854.02 |
| Sentara Leigh Hospital | Norfolk | $391.00 | $328.72 – $338.38 |