In-111 ibritumomab tiux dx at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$1,595.25
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.
$10,635.00
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.
$399.01 with UNITED HEALTHCARE vs $9,647.00 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 | $399.01 | ↓ -75% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $973.58 | ↓ -39% |
| SENTARA HEALTH | SENTARA HEALTH | $2,442.62 | ↑ +53% |
| AETNA | AETNA | $4,119.27 | ↑ +158% |
| MEDCOST | MEDCOST VHN | $4,591.01 | ↑ +188% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $5,956.05 | ↑ +273% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $6,752.90 | ↑ +323% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $8,682.30 | ↑ +444% |
| BLUE CROSS | TENNCARE BLUE SELECT | $9,647.00 | ↑ +505% |
| BLUE CROSS | TENNCARE BLUE CARE | $9,647.00 | ↑ +505% |
Visitor-reported prices
Comments
In-111 ibritumomab tiux dx at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $1,447.05 | $718.22 – $5,956.05 |
| Russell County Hospital | LEBANON | $1,447.05 | $718.22 – $5,956.05 |
| Smyth County Community Hospital | MARION | $1,447.05 | $718.22 – $5,956.05 |
| Dickenson Community Hospital | CLINTWOOD | $2,218.81 | $718.22 – $5,956.05 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $10,893.22 – $10,893.22 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $1,508.26 – $1,508.26 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $1,540.18 – $1,540.18 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $3,553.33 – $10,893.22 |