Ghs inj transforaminal cerv ea add bil at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$511.65
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.
$3,411.00
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.
$223.00 with UNITED HEALTHCARE vs $2,274.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $223.00 | ↓ -56% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $277.00 | ↓ -46% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $289.00 | ↓ -44% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $528.00 | ↑ +3% |
| SENTARA HEALTH | SENTARA HEALTH | $575.78 | ↑ +13% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $704.00 | ↑ +38% |
| AETNA | AETNA | $971.00 | ↑ +90% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $999.76 | ↑ +95% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $999.76 | ↑ +95% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,000.73 | ↑ +96% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,009.47 | ↑ +97% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,019.17 | ↑ +99% |
| MEDCOST | MEDCOST VHN | $1,082.20 | ↑ +112% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,046.60 | ↑ +300% |
| BLUE CROSS | TENNCARE BLUE CARE | $2,274.00 | ↑ +344% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,274.00 | ↑ +344% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,274.00 | ↑ +344% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,274.00 | ↑ +344% |
| BLUE CROSS | TENNCARE BLUE SELECT | $2,274.00 | ↑ +344% |
Visitor-reported prices
Comments
Ghs inj transforaminal cerv ea add bil at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $1,547.00 | $706.98 – $1,509.00 |
| Inova Fairfax Hospital | Falls Church | $1,547.00 | $706.98 – $1,509.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $1,547.00 | $706.98 – $1,509.00 |
| Inova Loudoun Hospital | Leesburg | $1,547.00 | $706.98 – $1,509.00 |
| Inova Mount Vernon Hospital | Alexandria | $1,547.00 | $706.98 – $1,509.00 |
| Johnston Memorial Hospital | ABINGDON | $511.65 | $970.64 – $1,019.17 |
| Russell County Hospital | LEBANON | $511.65 | $970.65 – $1,019.18 |
| Sentara Martha Jefferson Hospital | Charlottesville | $913.50 | $511.00 – $2,004.00 |