Gadobutrol 1 mmol/ml intravenous solution (wrapper) at Lonesome Pine Hospital

1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$44.15

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$294.32

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$74.52 with SENTARA HEALTH vs $294.32 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 →

Payer
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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
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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 $74.52 ↑ +69%
UNITED HEALTHCARE UHC HERITAGE SELECT $90.36 ↑ +105%
UNITED HEALTHCARE UNITED HEALTHCARE $95.07 ↑ +115%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $95.07 ↑ +115%
CIGNA HEALTHCARE CIGNA HMO $122.73 ↑ +178%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $122.73 ↑ +178%
CIGNA HEALTHCARE CIGNA PPO $122.73 ↑ +178%
AETNA AETNA $125.67 ↑ +185%
MEDCOST MEDCOST VHN $140.07 ↑ +217%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $206.02 ↑ +367%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $264.89 ↑ +500%
BLUE CROSS TENNCARE BLUE SELECT $294.32 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $294.32 ↑ +567%

Visitor-reported prices

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Gadobutrol 1 mmol/ml intravenous solution (wrapper) at other Virginia hospitals

Hospital City Cash price Negotiated range
Johnston Memorial Hospital ABINGDON $58.56 $109.49 – $109.49
Russell County Hospital LEBANON $47.34 $109.49 – $109.49
Smyth County Community Hospital MARION $44.15 $109.49 – $109.49
LEWISGALE MEDICAL CENTER ROANOKE $603.00 $0.22 – $0.84
Lee County Community Hospital PENNINGTON GAP $89.79 $115.08 – $115.08
Rappahannock General Hospital Kilmarnock $536.54 not published
Mary Immaculate Hospital Newport News $482.20 not published
Richmond Community Hospital Richmond $709.65 not published

All Virginia hospitals for this procedure →