Foot longitud/metatarsal sup at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$65.70
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.
$438.00
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.
$110.90 with SENTARA HEALTH vs $605.99 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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $110.90 | ↑ +69% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $175.20 | ↑ +167% |
| CIGNA HEALTHCARE | CIGNA HMO | $182.65 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $182.65 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $182.65 | ↑ +178% |
| MEDCOST | MEDCOST VHN | $208.44 | ↑ +217% |
| AETNA | AETNA | $210.24 | ↑ +220% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $219.00 | ↑ +233% |
| BLUE CROSS | ANTHEM EXCHANGE | $237.97 | ↑ +262% |
| BLUE CROSS | ANTHEM HMO | $237.97 | ↑ +262% |
| BLUE CROSS | BLUE CROSS S NETWORK | $237.97 | ↑ +262% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $237.97 | ↑ +262% |
| BLUE CROSS | BLUE CROSS P NETWORK | $237.97 | ↑ +262% |
| AMERIGROUP | AMERIGROUP | $258.52 | ↑ +293% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $277.98 | ↑ +323% |
| AETNA | AETNA HEALTHCARE MEDICARE | $277.98 | ↑ +323% |
| HUMANA | HUMANA MEDICARE | $277.98 | ↑ +323% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $277.98 | ↑ +323% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $277.98 | ↑ +323% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $277.98 | ↑ +323% |
| SENTARA HEALTH | SENTARA MEDICARE | $277.98 | ↑ +323% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $277.98 | ↑ +323% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $286.32 | ↑ +336% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $286.32 | ↑ +336% |
| BLUE CROSS | BLUE CROSS MEDICARE | $289.10 | ↑ +340% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $291.87 | ↑ +344% |
| NHC ADVANTAGE | NHC ADVANTAGE | $291.87 | ↑ +344% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $291.87 | ↑ +344% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $291.87 | ↑ +344% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $291.87 | ↑ +344% |
| WELLCARE | WELLCARE MEDICARE | $294.65 | ↑ +348% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $394.20 | ↑ +500% |
| BLUE CROSS | TENNCARE BLUE CARE | $438.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $438.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $438.00 | ↑ +567% |
| AMBETTER | AMBETTER | $605.99 | ↑ +822% |
Visitor-reported prices
Comments
Foot longitud/metatarsal sup at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $65.70 | $237.97 – $605.99 |
| Russell County Hospital | LEBANON | $65.70 | $237.97 – $605.99 |
| Smyth County Community Hospital | MARION | $65.70 | $237.97 – $605.99 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $202.27 – $321.26 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $202.27 – $254.63 |
| LEWISGALE MEDICAL CENTER | ROANOKE | not published | $202.27 – $254.63 |
| TRICITIES HOSPITAL | HOPEWELL | not published | $202.27 – $321.26 |
| RESTON HOSPITAL CENTER | VIENNA | not published | $230.83 – $254.63 |