Hearing loss dup/del analys at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$872.10
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.
$5,814.00
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.
$339.79 with UNITED HEALTHCARE vs $5,814.00 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 | $339.79 | ↓ -61% |
| AMERIGROUP | AMERIGROUP | $339.79 | ↓ -61% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $679.57 | ↓ -22% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $679.57 | ↓ -22% |
| SENTARA HEALTH | SENTARA MEDICARE | $679.57 | ↓ -22% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $679.57 | ↓ -22% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $679.57 | ↓ -22% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $679.57 | ↓ -22% |
| BLUE CROSS | BLUE CROSS S NETWORK | $679.57 | ↓ -22% |
| AETNA | AETNA HEALTHCARE MEDICARE | $679.57 | ↓ -22% |
| BLUE CROSS | BLUE CROSS P NETWORK | $679.57 | ↓ -22% |
| HUMANA | HUMANA MEDICARE | $679.57 | ↓ -22% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $679.57 | ↓ -22% |
| BLUE CROSS | ANTHEM EXCHANGE | $679.57 | ↓ -22% |
| BLUE CROSS | ANTHEM HMO | $679.57 | ↓ -22% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $679.57 | ↓ -22% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $679.57 | ↓ -22% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $699.96 | ↓ -20% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $699.96 | ↓ -20% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $705.81 | ↓ -19% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $705.81 | ↓ -19% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $706.50 | ↓ -19% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $706.75 | ↓ -19% |
| BLUE CROSS | BLUE CROSS MEDICARE | $706.75 | ↓ -19% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $712.67 | ↓ -18% |
| NHC ADVANTAGE | NHC ADVANTAGE | $713.55 | ↓ -18% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $713.55 | ↓ -18% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $713.55 | ↓ -18% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $713.55 | ↓ -18% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $713.55 | ↓ -18% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $719.52 | ↓ -17% |
| WELLCARE | WELLCARE MEDICARE | $720.34 | ↓ -17% |
| SENTARA HEALTH | SENTARA HEALTH | $1,472.10 | ↑ +69% |
| AMBETTER | AMBETTER | $1,481.46 | ↑ +70% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,497.69 | ↑ +72% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,630.97 | ↑ +87% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,424.44 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,424.44 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,424.44 | ↑ +178% |
| AETNA | AETNA | $2,482.58 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $2,766.88 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $4,069.80 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $5,232.60 | ↑ +500% |
| BLUE CROSS | TENNCARE BLUE CARE | $5,814.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $5,814.00 | ↑ +567% |
Visitor-reported prices
Comments
Hearing loss dup/del analys at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE MEDICAL CENTER | ROANOKE | $4,901.00 | $679.57 – $985.38 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $679.57 – $985.38 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $693.16 – $815.48 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $407.74 – $711.85 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $679.57 – $3,038.36 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $679.57 – $727.14 |
| Sentara Halifax Regional Hospital | South Boston | not published | $591.23 – $713.55 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | not published | $679.57 – $727.14 |