Incision of burn scab initi at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$63.15
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.
?
What you pay up front if you don't use insurance.
$421.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$106.00 with UNITED HEALTHCARE vs $864.65 with AMBETTER — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $106.00 | ↑ +68% |
| SENTARA HEALTH | SENTARA HEALTH | $106.60 | ↑ +69% |
| AETNA | AETNA | $179.77 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $200.35 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $265.85 | ↑ +321% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $378.90 | ↑ +500% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $396.63 | ↑ +528% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $396.63 | ↑ +528% |
| SENTARA HEALTH | SENTARA MEDICARE | $396.63 | ↑ +528% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $396.63 | ↑ +528% |
| AETNA | AETNA HEALTHCARE MEDICARE | $396.63 | ↑ +528% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $396.63 | ↑ +528% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $396.63 | ↑ +528% |
| HUMANA | HUMANA MEDICARE | $396.63 | ↑ +528% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $408.53 | ↑ +547% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $408.53 | ↑ +547% |
| BLUE CROSS | BLUE CROSS MEDICARE | $412.50 | ↑ +553% |
| NHC ADVANTAGE | NHC ADVANTAGE | $416.46 | ↑ +559% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $416.46 | ↑ +559% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $416.46 | ↑ +559% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $416.46 | ↑ +559% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $416.46 | ↑ +559% |
| WELLCARE | WELLCARE MEDICARE | $420.43 | ↑ +566% |
| BLUE CROSS | TENNCARE BLUE CARE | $421.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $421.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $421.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $421.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $421.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $421.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $421.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $421.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $421.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $421.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $421.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $421.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $513.22 | ↑ +713% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $513.72 | ↑ +713% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $518.20 | ↑ +721% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $523.18 | ↑ +728% |
| AMBETTER | AMBETTER | $864.65 | ↑ +1269% |
Visitor-reported prices
Comments
Incision of burn scab initi at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $63.15 | $265.85 – $864.65 |
| Russell County Hospital | LEBANON | $63.15 | $265.85 – $864.65 |
| Sentara Martha Jefferson Hospital | Charlottesville | $339.50 | $404.56 – $511.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $363.50 | $404.56 – $3,988.00 |
| Smyth County Community Hospital | MARION | $63.15 | $265.85 – $864.65 |
| Sentara Halifax Regional Hospital | South Boston | $475.50 | $407.77 – $419.76 |
| Sentara Leigh Hospital | Norfolk | $363.50 | $404.56 – $5,220.00 |
| Sentara RMH Medical Center | Harrisonburg | $339.50 | $404.56 – $416.46 |