Interrog&prgrmg ipnss polysm at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$147.00
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.
$980.00
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.
$47.05 with UNITED HEALTHCARE vs $980.00 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 →
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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 | UNITED HEALTHCARE MEDICAID VIRGINIA | $47.05 | ↓ -68% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $47.05 | ↓ -68% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $47.10 | ↓ -68% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $47.51 | ↓ -68% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $47.96 | ↓ -67% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $142.30 | ↓ -3% |
| SENTARA HEALTH | SENTARA HEALTH | $248.14 | ↑ +69% |
| AETNA | AETNA HEALTHCARE MEDICARE | $299.67 | ↑ +104% |
| HUMANA | HUMANA MEDICARE | $299.67 | ↑ +104% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $299.67 | ↑ +104% |
| SENTARA HEALTH | SENTARA MEDICARE | $299.67 | ↑ +104% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $299.67 | ↑ +104% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $299.67 | ↑ +104% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $299.67 | ↑ +104% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $299.67 | ↑ +104% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $308.66 | ↑ +110% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $308.66 | ↑ +110% |
| BLUE CROSS | BLUE CROSS MEDICARE | $311.66 | ↑ +112% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $314.65 | ↑ +114% |
| NHC ADVANTAGE | NHC ADVANTAGE | $314.65 | ↑ +114% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $314.65 | ↑ +114% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $314.65 | ↑ +114% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $314.65 | ↑ +114% |
| WELLCARE | WELLCARE MEDICARE | $317.65 | ↑ +116% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $405.00 | ↑ +176% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $408.66 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $408.66 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $408.66 | ↑ +178% |
| AETNA | AETNA | $418.46 | ↑ +185% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $423.00 | ↑ +188% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $454.72 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $466.38 | ↑ +217% |
| AMBETTER | AMBETTER | $653.28 | ↑ +344% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $667.00 | ↑ +354% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $686.00 | ↑ +367% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $719.21 | ↑ +389% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $882.00 | ↑ +500% |
| BLUE CROSS | BLUE CROSS S NETWORK | $980.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $980.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $980.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $980.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $980.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $980.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $980.00 | ↑ +567% |
Visitor-reported prices
Comments
Interrog&prgrmg ipnss polysm at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $147.00 | $45.68 – $653.28 |
| Russell County Hospital | LEBANON | $147.00 | $45.68 – $653.28 |
| Smyth County Community Hospital | MARION | $147.00 | $45.68 – $653.28 |
| Dickenson Community Hospital | CLINTWOOD | $144.21 | $65.29 – $67.90 |
| Lee County Community Hospital | PENNINGTON GAP | $144.21 | $65.29 – $67.90 |
| Sentara Virginia Beach General Hospital | Virginia Beach | not published | $305.66 – $314.65 |