Insj phrnc nrv stim sys at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$13,975.20
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.
$93,168.00
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.
$5,851.00 with UNITED HEALTHCARE vs $93,686.54 with AMBETTER — 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 | $5,851.00 | ↓ -58% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $12,749.00 | ↓ -9% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $13,326.00 | ↓ -5% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $21,642.00 | ↑ +55% |
| SENTARA HEALTH | SENTARA HEALTH | $23,590.14 | ↑ +69% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $25,387.38 | ↑ +82% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $25,387.38 | ↑ +82% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $25,412.04 | ↑ +82% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $25,633.86 | ↑ +83% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $25,880.35 | ↑ +85% |
| CIGNA HEALTHCARE | CIGNA HMO | $38,851.06 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $38,851.06 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $38,851.06 | ↑ +178% |
| AETNA | AETNA | $39,782.74 | ↑ +185% |
| AETNA | AETNA HEALTHCARE MEDICARE | $42,975.48 | ↑ +208% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $42,975.48 | ↑ +208% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $42,975.48 | ↑ +208% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $42,975.48 | ↑ +208% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $42,975.48 | ↑ +208% |
| HUMANA | HUMANA MEDICARE | $42,975.48 | ↑ +208% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $42,975.48 | ↑ +208% |
| SENTARA HEALTH | SENTARA MEDICARE | $42,975.48 | ↑ +208% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $43,229.95 | ↑ +209% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $44,264.74 | ↑ +217% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $44,264.74 | ↑ +217% |
| MEDCOST | MEDCOST VHN | $44,338.65 | ↑ +217% |
| BLUE CROSS | BLUE CROSS MEDICARE | $44,694.50 | ↑ +220% |
| BLUE CROSS | BLUE CROSS S NETWORK | $45,000.50 | ↑ +222% |
| BLUE CROSS | BLUE CROSS P NETWORK | $45,000.50 | ↑ +222% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $45,000.50 | ↑ +222% |
| BLUE CROSS | ANTHEM EXCHANGE | $45,000.50 | ↑ +222% |
| BLUE CROSS | ANTHEM HMO | $45,000.50 | ↑ +222% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $45,124.25 | ↑ +223% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $45,124.25 | ↑ +223% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $45,124.25 | ↑ +223% |
| NHC ADVANTAGE | NHC ADVANTAGE | $45,124.25 | ↑ +223% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $45,124.25 | ↑ +223% |
| WELLCARE | WELLCARE MEDICARE | $45,554.01 | ↑ +226% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $65,217.60 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $83,851.20 | ↑ +500% |
| BLUE CROSS | TENNCARE BLUE CARE | $93,168.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $93,168.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $93,168.00 | ↑ +567% |
| AMBETTER | AMBETTER | $93,686.54 | ↑ +570% |
Visitor-reported prices
Comments
Insj phrnc nrv stim sys at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $13,975.20 | $24,647.95 – $93,686.54 |
| Russell County Hospital | LEBANON | $13,975.20 | $24,648.23 – $93,686.54 |
| Smyth County Community Hospital | MARION | $13,975.20 | $24,647.95 – $93,686.54 |
| Dickenson Community Hospital | CLINTWOOD | $13,714.21 | $35,224.06 – $36,633.02 |
| Lee County Community Hospital | PENNINGTON GAP | $13,714.21 | $35,224.06 – $36,633.02 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $3,304.00 – $71,348.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $43,834.99 – $45,124.25 |
| Sentara Leigh Hospital | Norfolk | not published | $43,834.99 – $45,124.25 |