In-111 capromab pendet at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$851.70
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.
$5,678.00
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.
$1,437.67 with SENTARA HEALTH vs $5,678.00 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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $1,437.67 | ↑ +69% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,513.26 | ↑ +78% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $1,730.29 | ↑ +103% |
| AETNA | AETNA HEALTHCARE MEDICARE | $1,730.29 | ↑ +103% |
| HUMANA | HUMANA MEDICARE | $1,730.29 | ↑ +103% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $1,730.29 | ↑ +103% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $1,730.29 | ↑ +103% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $1,730.29 | ↑ +103% |
| SENTARA HEALTH | SENTARA MEDICARE | $1,730.29 | ↑ +103% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $1,730.29 | ↑ +103% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $1,782.20 | ↑ +109% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $1,782.20 | ↑ +109% |
| BLUE CROSS | BLUE CROSS MEDICARE | $1,799.50 | ↑ +111% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $1,816.80 | ↑ +113% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $1,816.80 | ↑ +113% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $1,816.80 | ↑ +113% |
| NHC ADVANTAGE | NHC ADVANTAGE | $1,816.80 | ↑ +113% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $1,816.80 | ↑ +113% |
| WELLCARE | WELLCARE MEDICARE | $1,834.11 | ↑ +115% |
| AETNA | AETNA | $2,424.51 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $2,702.16 | ↑ +217% |
| AMBETTER | AMBETTER | $3,772.03 | ↑ +343% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $4,152.70 | ↑ +388% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $5,110.20 | ↑ +500% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $5,678.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $5,678.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $5,678.00 | ↑ +567% |
Visitor-reported prices
Comments
In-111 capromab pendet at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $9,753.00 | $4,585.27 – $4,708.13 |
| LEWISGALE MEDICAL CENTER | ROANOKE | $18,126.00 | $5,190.87 – $5,190.87 |
| TRICITIES HOSPITAL | HOPEWELL | $9,753.00 | $4,585.27 – $4,708.13 |
| HENRICO DOCTORS HOSPITAL | RICHMOND | $9,753.00 | $4,585.27 – $4,708.13 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $4,585.27 – $4,585.27 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $4,585.27 – $4,585.27 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | not published | $4,585.27 – $4,585.27 |
| RESTON HOSPITAL CENTER | VIENNA | not published | $4,080.38 – $4,585.27 |