Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance 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

$447.90

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.

$2,986.00

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.

$390.00 with UNITED HEALTHCARE vs $2,986.00 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
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $390.00 ↓ -13%
UNITED HEALTHCARE UHC HERITAGE SELECT $650.00 ↑ +45%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $679.00 ↑ +52%
SENTARA HEALTH SENTARA MEDICARE $688.72 ↑ +54%
MANAGED MEDICAIRE MANAGED MEDICAIRE $688.72 ↑ +54%
ALLCARE MEDICARE ALLCARE MEDICARE $688.72 ↑ +54%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $688.72 ↑ +54%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $688.72 ↑ +54%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $688.72 ↑ +54%
AETNA AETNA HEALTHCARE MEDICARE $688.72 ↑ +54%
HUMANA HUMANA MEDICARE $688.72 ↑ +54%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $709.38 ↑ +58%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $709.38 ↑ +58%
BLUE CROSS BLUE CROSS MEDICARE $716.27 ↑ +60%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $723.15 ↑ +61%
NHC ADVANTAGE NHC ADVANTAGE $723.15 ↑ +61%
CIGNA HEALTHCARE CIGNA MEDICARE $723.15 ↑ +61%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $723.15 ↑ +61%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $723.15 ↑ +61%
WELLCARE WELLCARE MEDICARE $730.04 ↑ +63%
SENTARA HEALTH SENTARA HEALTH $756.06 ↑ +69%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $999.76 ↑ +123%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $999.76 ↑ +123%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $1,000.73 ↑ +123%
AETNA AETNA BETTER HEALTH OF VIRGINIA $1,009.47 ↑ +125%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $1,019.17 ↑ +128%
UNITED HEALTHCARE UNITED HEALTHCARE $1,101.00 ↑ +146%
AETNA AETNA $1,275.02 ↑ +185%
MEDCOST MEDCOST VHN $1,421.04 ↑ +217%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $1,463.00 ↑ +227%
AMBETTER AMBETTER $1,501.40 ↑ +235%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $1,523.00 ↑ +240%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $1,652.92 ↑ +269%
CIGNA HEALTHCARE CIGNA PPO $1,858.00 ↑ +315%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $1,932.00 ↑ +331%
CIGNA HEALTHCARE CIGNA HMO $1,932.00 ↑ +331%
BLUE CROSS ANTHEM EXCHANGE $2,270.45 ↑ +407%
BLUE CROSS ANTHEM HMO $2,633.35 ↑ +488%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $2,687.40 ↑ +500%
BLUE CROSS BLUE CROSS P NETWORK $2,802.96 ↑ +526%
BLUE CROSS BLUE CROSS S NETWORK $2,802.96 ↑ +526%
BLUE CROSS TENNCARE BLUE CARE $2,986.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $2,986.00 ↑ +567%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $2,986.00 ↑ +567%

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Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $1,710.00 $692.52 – $2,485.00
Inova Fairfax Hospital Falls Church $1,710.00 $692.52 – $2,485.00
Inova Fair Oaks Hospital VA 22033-1709 $1,710.00 $692.52 – $2,485.00
Inova Loudoun Hospital Leesburg $1,710.00 $692.52 – $2,485.00
Inova Mount Vernon Hospital Alexandria $1,710.00 $692.52 – $2,485.00
Johnston Memorial Hospital ABINGDON $447.90 $539.69 – $1,501.40
Russell County Hospital LEBANON $447.90 $688.72 – $1,501.40
Sentara Martha Jefferson Hospital Charlottesville $1,157.50 $702.49 – $1,547.00

All Virginia hospitals for this procedure →