General health panel at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$49.20
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.
$328.00
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.
$9.79 with UNITED HEALTHCARE vs $328.00 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 | UNITED HEALTHCARE MEDICAID VIRGINIA | $9.79 | ↓ -80% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $9.79 | ↓ -80% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $9.80 | ↓ -80% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $9.89 | ↓ -80% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $9.99 | ↓ -80% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $19.74 | ↓ -60% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $47.28 | ↓ -4% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $47.28 | ↓ -4% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $49.17 | ↓ -0% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $69.30 | ↑ +41% |
| SENTARA HEALTH | SENTARA HEALTH | $83.05 | ↑ +69% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $87.34 | ↑ +78% |
| CIGNA HEALTHCARE | CIGNA HMO | $112.13 | ↑ +128% |
| CIGNA HEALTHCARE | CIGNA PPO | $112.13 | ↑ +128% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $112.13 | ↑ +128% |
| AETNA | AETNA | $140.06 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $156.10 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $295.20 | ↑ +500% |
| BLUE CROSS | TENNCARE BLUE SELECT | $328.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $328.00 | ↑ +567% |
Visitor-reported prices
Comments
General health panel at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $1,535.00 | $45.36 – $256.06 |
| Johnston Memorial Hospital | ABINGDON | $49.20 | $9.51 – $87.34 |
| Russell County Hospital | LEBANON | $49.20 | $9.51 – $87.34 |
| Smyth County Community Hospital | MARION | $49.20 | $9.51 – $87.34 |
| LEWISGALE MEDICAL CENTER | ROANOKE | $394.00 | $45.36 – $254.65 |
| Dickenson Community Hospital | CLINTWOOD | $48.30 | $13.59 – $87.34 |
| Lee County Community Hospital | PENNINGTON GAP | $48.30 | $13.59 – $87.34 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $51.84 – $115.23 |