I-123 iobenguane diag at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$1,109.70
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.
$7,398.00
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.
$126.09 with SENTARA HEALTH vs $5,052.15 with AMBETTER — 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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $126.09 | ↓ -89% |
| CIGNA HEALTHCARE | CIGNA HMO | $207.67 | ↓ -81% |
| CIGNA HEALTHCARE | CIGNA PPO | $207.67 | ↓ -81% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $207.67 | ↓ -81% |
| AETNA | AETNA | $212.65 | ↓ -81% |
| MEDCOST | MEDCOST VHN | $237.00 | ↓ -79% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $448.20 | ↓ -60% |
| BLUE CROSS | ANTHEM EXCHANGE | $498.00 | ↓ -55% |
| BLUE CROSS | ANTHEM HMO | $498.00 | ↓ -55% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $498.00 | ↓ -55% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $498.00 | ↓ -55% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $498.00 | ↓ -55% |
| BLUE CROSS | BLUE CROSS P NETWORK | $498.00 | ↓ -55% |
| BLUE CROSS | BLUE CROSS S NETWORK | $498.00 | ↓ -55% |
| BLUE CROSS | TENNCARE BLUE CARE | $498.00 | ↓ -55% |
| BLUE CROSS | TENNCARE BLUE SELECT | $498.00 | ↓ -55% |
| NHC ADVANTAGE | NHC ADVANTAGE | $498.00 | ↓ -55% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $498.00 | ↓ -55% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $498.00 | ↓ -55% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $498.00 | ↓ -55% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $498.00 | ↓ -55% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $498.00 | ↓ -55% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $498.00 | ↓ -55% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $498.00 | ↓ -55% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $498.00 | ↓ -55% |
| AETNA | AETNA HEALTHCARE MEDICARE | $498.00 | ↓ -55% |
| HUMANA | HUMANA MEDICARE | $498.00 | ↓ -55% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $498.00 | ↓ -55% |
| SENTARA HEALTH | SENTARA MEDICARE | $498.00 | ↓ -55% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $498.00 | ↓ -55% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $498.00 | ↓ -55% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $498.00 | ↓ -55% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $498.00 | ↓ -55% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $498.00 | ↓ -55% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,410.20 | ↑ +117% |
| WELLCARE | WELLCARE MEDICARE | $2,456.55 | ↑ +121% |
| AMBETTER | AMBETTER | $5,052.15 | ↑ +355% |
Visitor-reported prices
Comments
I-123 iobenguane diag at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $1,109.70 | $1,867.33 – $5,052.15 |
| Russell County Hospital | LEBANON | $1,109.70 | $1,867.33 – $5,052.15 |
| Sentara Martha Jefferson Hospital | Charlottesville | $2,022.50 | $2,363.85 – $2,433.38 |
| Sentara Northern Virginia Medical Center | Woodbridge | $2,164.00 | $2,363.85 – $2,433.38 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $8,312.00 | $5,471.11 – $6,141.38 |
| Smyth County Community Hospital | MARION | $1,109.70 | $1,867.33 – $5,052.15 |
| Sentara Halifax Regional Hospital | South Boston | $2,173.50 | $2,363.85 – $2,433.38 |
| LEWISGALE MEDICAL CENTER | ROANOKE | $11,228.00 | $6,952.50 – $6,952.50 |