Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization at Lonesome Pine Hospital

1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$17.40

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$116.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$5.17 with AMERIGROUP vs $116.00 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 →

Payer
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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
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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
AMERIGROUP AMERIGROUP $5.17 ↓ -70%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $7.32 ↓ -58%
AETNA AETNA HEALTHCARE MEDICARE $10.33 ↓ -41%
UNITED HEALTHCARE UHC HERITAGE SELECT $10.33 ↓ -41%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $10.33 ↓ -41%
UNITED HEALTHCARE UNITED HEALTHCARE $10.33 ↓ -41%
HUMANA HUMANA MEDICARE $10.33 ↓ -41%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $10.33 ↓ -41%
BLUE CROSS ANTHEM EXCHANGE $10.33 ↓ -41%
BLUE CROSS ANTHEM HMO $10.33 ↓ -41%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $10.33 ↓ -41%
BLUE CROSS BLUE CROSS P NETWORK $10.33 ↓ -41%
BLUE CROSS BLUE CROSS S NETWORK $10.33 ↓ -41%
ALLCARE MEDICARE ALLCARE MEDICARE $10.33 ↓ -41%
MANAGED MEDICAIRE MANAGED MEDICAIRE $10.33 ↓ -41%
SENTARA HEALTH SENTARA MEDICARE $10.33 ↓ -41%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $10.33 ↓ -41%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $10.64 ↓ -39%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $10.64 ↓ -39%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $10.67 ↓ -39%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $10.67 ↓ -39%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $10.68 ↓ -39%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $10.74 ↓ -38%
BLUE CROSS BLUE CROSS MEDICARE $10.74 ↓ -38%
AETNA AETNA BETTER HEALTH OF VIRGINIA $10.77 ↓ -38%
CIGNA HEALTHCARE CIGNA MEDICARE $10.85 ↓ -38%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $10.85 ↓ -38%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $10.85 ↓ -38%
NHC ADVANTAGE NHC ADVANTAGE $10.85 ↓ -38%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $10.85 ↓ -38%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $10.88 ↓ -37%
WELLCARE WELLCARE MEDICARE $10.95 ↓ -37%
AMBETTER AMBETTER $22.52 ↑ +29%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $23.10 ↑ +33%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $24.79 ↑ +42%
SENTARA HEALTH SENTARA HEALTH $29.37 ↑ +69%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $32.11 ↑ +85%
CIGNA HEALTHCARE CIGNA PPO $41.56 ↑ +139%
CIGNA HEALTHCARE CIGNA HMO $41.56 ↑ +139%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $41.56 ↑ +139%
AETNA AETNA $49.53 ↑ +185%
MEDCOST MEDCOST VHN $55.20 ↑ +217%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $104.40 ↑ +500%
BLUE CROSS TENNCARE BLUE CARE $116.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $116.00 ↑ +567%

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Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $104.00 $10.33 – $130.85
Inova Fairfax Hospital Falls Church $104.00 $10.33 – $130.85
Inova Fair Oaks Hospital VA 22033-1709 $104.00 $10.33 – $130.85
Inova Loudoun Hospital Leesburg $104.00 $10.33 – $130.85
Inova Mount Vernon Hospital Alexandria $104.00 $10.33 – $130.85
Johnston Memorial Hospital ABINGDON $17.40 $5.17 – $22.52
Russell County Hospital LEBANON $17.40 $10.33 – $22.52
Smyth County Community Hospital MARION $17.40 $10.33 – $22.52

All Virginia hospitals for this procedure →