Gba gene at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$167.10
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.
$1,114.00
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.
$23.63 with AMERIGROUP vs $1,114.00 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 →
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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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $23.63 | ↓ -86% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $23.63 | ↓ -86% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $47.05 | ↓ -72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $47.05 | ↓ -72% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $47.10 | ↓ -72% |
| AETNA | AETNA HEALTHCARE MEDICARE | $47.25 | ↓ -72% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $47.25 | ↓ -72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $47.25 | ↓ -72% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $47.25 | ↓ -72% |
| HUMANA | HUMANA MEDICARE | $47.25 | ↓ -72% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $47.25 | ↓ -72% |
| BLUE CROSS | ANTHEM EXCHANGE | $47.25 | ↓ -72% |
| BLUE CROSS | ANTHEM HMO | $47.25 | ↓ -72% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $47.25 | ↓ -72% |
| BLUE CROSS | BLUE CROSS P NETWORK | $47.25 | ↓ -72% |
| BLUE CROSS | BLUE CROSS S NETWORK | $47.25 | ↓ -72% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $47.25 | ↓ -72% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $47.25 | ↓ -72% |
| SENTARA HEALTH | SENTARA MEDICARE | $47.25 | ↓ -72% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $47.25 | ↓ -72% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $47.51 | ↓ -72% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $47.96 | ↓ -71% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $48.67 | ↓ -71% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $48.67 | ↓ -71% |
| BLUE CROSS | BLUE CROSS MEDICARE | $49.14 | ↓ -71% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $49.14 | ↓ -71% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $49.61 | ↓ -70% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $49.61 | ↓ -70% |
| NHC ADVANTAGE | NHC ADVANTAGE | $49.61 | ↓ -70% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $49.61 | ↓ -70% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $49.61 | ↓ -70% |
| WELLCARE | WELLCARE MEDICARE | $50.09 | ↓ -70% |
| AMBETTER | AMBETTER | $103.01 | ↓ -38% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $103.94 | ↓ -38% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $113.40 | ↓ -32% |
| SENTARA HEALTH | SENTARA HEALTH | $282.06 | ↑ +69% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $464.54 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $464.54 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $464.54 | ↑ +178% |
| AETNA | AETNA | $475.68 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $530.15 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $779.80 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,002.60 | ↑ +500% |
| BLUE CROSS | TENNCARE BLUE SELECT | $1,114.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $1,114.00 | ↑ +567% |
Visitor-reported prices
Comments
Gba gene at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $396.50 | $47.25 – $944.55 |
| Inova Fairfax Hospital | Falls Church | $396.50 | $47.25 – $944.55 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $396.50 | $47.25 – $944.55 |
| Inova Loudoun Hospital | Leesburg | $396.50 | $47.25 – $944.55 |
| Inova Mount Vernon Hospital | Alexandria | $396.50 | $47.25 – $944.55 |
| LEWISGALE MEDICAL CENTER | ROANOKE | $734.00 | $47.25 – $68.51 |
| Maryview Hospital | Portsmouth | $538.80 | not published |
| Mary Immaculate Hospital | Newport News | $538.80 | not published |