Insert hepatic shunt (tips) at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$3,418.65
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.
$22,791.00
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.
$1,336.00 with BLUE CROSS vs $38,991.26 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,336.00 | ↓ -61% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,204.00 | ↓ -6% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $3,678.00 | ↑ +8% |
| CIGNA HEALTHCARE | CIGNA PPO | $4,076.00 | ↑ +19% |
| CIGNA HEALTHCARE | CIGNA HMO | $4,239.00 | ↑ +24% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $4,239.00 | ↑ +24% |
| SENTARA HEALTH | SENTARA HEALTH | $5,770.68 | ↑ +69% |
| AETNA | AETNA | $9,731.76 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $10,846.24 | ↑ +217% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $11,813.00 | ↑ +246% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $12,347.00 | ↑ +261% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $14,386.57 | ↑ +321% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $14,386.57 | ↑ +321% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $14,400.53 | ↑ +321% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $14,526.24 | ↑ +325% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $14,665.92 | ↑ +329% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $17,885.90 | ↑ +423% |
| AETNA | AETNA HEALTHCARE MEDICARE | $17,885.90 | ↑ +423% |
| SENTARA HEALTH | SENTARA MEDICARE | $17,885.90 | ↑ +423% |
| HUMANA | HUMANA MEDICARE | $17,885.90 | ↑ +423% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $17,885.90 | ↑ +423% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $17,885.90 | ↑ +423% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $17,885.90 | ↑ +423% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $17,885.90 | ↑ +423% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $18,422.48 | ↑ +439% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $18,422.48 | ↑ +439% |
| BLUE CROSS | BLUE CROSS MEDICARE | $18,601.33 | ↑ +444% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $18,780.19 | ↑ +449% |
| NHC ADVANTAGE | NHC ADVANTAGE | $18,780.19 | ↑ +449% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $18,780.19 | ↑ +449% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $18,780.19 | ↑ +449% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $18,780.19 | ↑ +449% |
| WELLCARE | WELLCARE MEDICARE | $18,959.05 | ↑ +455% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $20,054.00 | ↑ +487% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $20,511.90 | ↑ +500% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $22,791.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $22,791.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $22,791.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $22,791.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $22,791.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $22,791.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $22,791.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $22,791.00 | ↑ +567% |
| AMBETTER | AMBETTER | $38,991.26 | ↑ +1041% |
Visitor-reported prices
Comments
Insert hepatic shunt (tips) at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $1,569.50 | $1,434.52 – $16,437.79 |
| Inova Fairfax Hospital | Falls Church | $1,569.50 | $1,434.52 – $16,437.79 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $1,569.50 | $1,434.52 – $16,437.79 |
| Inova Loudoun Hospital | Leesburg | $1,569.50 | $1,434.52 – $16,437.79 |
| Inova Mount Vernon Hospital | Alexandria | $1,569.50 | $1,434.52 – $16,437.79 |
| Johnston Memorial Hospital | ABINGDON | $3,418.65 | $13,967.54 – $38,991.26 |
| Russell County Hospital | LEBANON | $3,418.65 | $13,967.71 – $38,991.26 |
| Sentara Martha Jefferson Hospital | Charlottesville | $3,117.50 | $7,300.00 – $29,725.00 |