Intrapul surf admin endo tube 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

$58.65

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.

$391.00

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.

$14.86 with UNITED HEALTHCARE vs $465.76 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 →

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 $14.86 ↓ -75%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $57.22 ↓ -2%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $76.04 ↑ +30%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $76.04 ↑ +30%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $76.11 ↑ +30%
AETNA AETNA BETTER HEALTH OF VIRGINIA $76.77 ↑ +31%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $77.51 ↑ +32%
SENTARA HEALTH SENTARA HEALTH $99.00 ↑ +69%
UNITED HEALTHCARE UHC HERITAGE SELECT $106.00 ↑ +81%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $112.00 ↑ +91%
CIGNA HEALTHCARE CIGNA PPO $163.05 ↑ +178%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $163.05 ↑ +178%
CIGNA HEALTHCARE CIGNA HMO $163.05 ↑ +178%
AETNA AETNA $166.96 ↑ +185%
UNITED HEALTHCARE UNITED HEALTHCARE $175.00 ↑ +198%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $181.42 ↑ +209%
MEDCOST MEDCOST VHN $186.08 ↑ +217%
ALLCARE MEDICARE ALLCARE MEDICARE $213.65 ↑ +264%
MANAGED MEDICAIRE MANAGED MEDICAIRE $213.65 ↑ +264%
AETNA AETNA HEALTHCARE MEDICARE $213.65 ↑ +264%
HUMANA HUMANA MEDICARE $213.65 ↑ +264%
SENTARA HEALTH SENTARA MEDICARE $213.65 ↑ +264%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $213.65 ↑ +264%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $213.65 ↑ +264%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $213.65 ↑ +264%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $220.06 ↑ +275%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $220.06 ↑ +275%
BLUE CROSS BLUE CROSS MEDICARE $222.20 ↑ +279%
NHC ADVANTAGE NHC ADVANTAGE $224.34 ↑ +283%
CIGNA HEALTHCARE CIGNA MEDICARE $224.34 ↑ +283%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $224.34 ↑ +283%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $224.34 ↑ +283%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $224.34 ↑ +283%
WELLCARE WELLCARE MEDICARE $226.47 ↑ +286%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $351.90 ↑ +500%
BLUE CROSS ANTHEM HMO $391.00 ↑ +567%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $391.00 ↑ +567%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $391.00 ↑ +567%
BLUE CROSS BLUE CROSS P NETWORK $391.00 ↑ +567%
BLUE CROSS ANTHEM EXCHANGE $391.00 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $391.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $391.00 ↑ +567%
BLUE CROSS BLUE CROSS S NETWORK $391.00 ↑ +567%
AMBETTER AMBETTER $465.76 ↑ +694%

Visitor-reported prices

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Intrapul surf admin endo tube at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $220.50 $83.53 – $277.43
Inova Fairfax Hospital Falls Church $220.50 $83.53 – $277.43
Inova Fair Oaks Hospital VA 22033-1709 $220.50 $83.53 – $277.43
Inova Loudoun Hospital Leesburg $220.50 $83.53 – $277.43
Inova Mount Vernon Hospital Alexandria $220.50 $83.53 – $277.43
Johnston Memorial Hospital ABINGDON $58.65 $26.74 – $465.76
Russell County Hospital LEBANON $58.65 $26.74 – $465.76
Sentara Northern Virginia Medical Center Woodbridge $259.00 $217.93 – $224.34

All Virginia hospitals for this procedure →