I-123 ioflupane diag at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$1,135.80
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.
$7,572.00
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.
$1,387.74 with ALLCARE MEDICARE vs $6,868.00 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 |
|---|---|---|---|
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,387.74 | ↑ +22% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,387.74 | ↑ +22% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,387.74 | ↑ +22% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,387.74 | ↑ +22% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,387.74 | ↑ +22% |
| HUMANA | HUMANA MEDICARE | $1,387.74 | ↑ +22% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,387.74 | ↑ +22% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,387.74 | ↑ +22% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,429.37 | ↑ +26% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,429.37 | ↑ +26% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,443.25 | ↑ +27% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,457.13 | ↑ +28% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $1,457.13 | ↑ +28% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,457.13 | ↑ +28% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,457.13 | ↑ +28% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,457.13 | ↑ +28% |
| WELLCARE | WELLCARE MEDICARE | $1,471.00 | ↑ +30% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,693.38 | ↑ +49% |
| SENTARA HEALTH | SENTARA HEALTH | $1,738.98 | ↑ +53% |
| AETNA | AETNA | $2,932.64 | ↑ +158% |
| AMBETTER | AMBETTER | $3,025.27 | ↑ +166% |
| MEDCOST | MEDCOST VHN | $3,268.48 | ↑ +188% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $3,330.58 | ↑ +193% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $3,678.25 | ↑ +224% |
| BLUE CROSS | BLUE CROSS S NETWORK | $3,678.25 | ↑ +224% |
| BLUE CROSS | BLUE CROSS P NETWORK | $3,678.25 | ↑ +224% |
| BLUE CROSS | ANTHEM HMO | $3,678.25 | ↑ +224% |
| BLUE CROSS | ANTHEM EXCHANGE | $3,678.25 | ↑ +224% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $4,653.16 | ↑ +310% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $4,807.60 | ↑ +323% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $6,181.20 | ↑ +444% |
| BLUE CROSS | TENNCARE BLUE CARE | $6,868.00 | ↑ +505% |
| BLUE CROSS | TENNCARE BLUE SELECT | $6,868.00 | ↑ +505% |
Visitor-reported prices
Comments
I-123 ioflupane diag at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $11,767.00 | $3,677.51 – $3,677.51 |
| Johnston Memorial Hospital | ABINGDON | $1,135.80 | $1,387.74 – $3,025.27 |
| Russell County Hospital | LEBANON | $1,135.80 | $1,387.74 – $3,025.27 |
| Sentara Martha Jefferson Hospital | Charlottesville | $2,137.00 | $1,415.49 – $1,457.13 |
| Sentara Northern Virginia Medical Center | Woodbridge | $2,286.50 | $1,415.49 – $1,457.13 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $29,754.00 | $2,643.23 – $3,677.51 |
| Smyth County Community Hospital | MARION | $1,135.80 | $1,387.74 – $3,025.27 |
| Sentara Halifax Regional Hospital | South Boston | $2,296.50 | $1,415.49 – $1,457.13 |