IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$43.95
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.
$293.00
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.
$17.41 with UNITED HEALTHCARE vs $378.79 with MOLINA HEALTHCARE — 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 | $17.41 | ↓ -60% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $31.14 | ↓ -29% |
| SENTARA HEALTH | SENTARA MEDICARE | $70.25 | ↑ +60% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $70.25 | ↑ +60% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $70.25 | ↑ +60% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $70.25 | ↑ +60% |
| HUMANA | HUMANA MEDICARE | $70.25 | ↑ +60% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $70.25 | ↑ +60% |
| AETNA | AETNA HEALTHCARE MEDICARE | $70.25 | ↑ +60% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $70.25 | ↑ +60% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $72.36 | ↑ +65% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $72.36 | ↑ +65% |
| BLUE CROSS | BLUE CROSS MEDICARE | $73.06 | ↑ +66% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $73.76 | ↑ +68% |
| NHC ADVANTAGE | NHC ADVANTAGE | $73.76 | ↑ +68% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $73.76 | ↑ +68% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $73.76 | ↑ +68% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $73.76 | ↑ +68% |
| SENTARA HEALTH | SENTARA HEALTH | $74.19 | ↑ +69% |
| WELLCARE | WELLCARE MEDICARE | $74.46 | ↑ +69% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $122.18 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $122.18 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $122.18 | ↑ +178% |
| AETNA | AETNA | $125.11 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $135.95 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $139.44 | ↑ +217% |
| AMBETTER | AMBETTER | $153.14 | ↑ +248% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $168.60 | ↑ +284% |
| BLUE CROSS | ANTHEM EXCHANGE | $231.59 | ↑ +427% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $263.70 | ↑ +500% |
| BLUE CROSS | ANTHEM HMO | $268.61 | ↑ +511% |
| BLUE CROSS | BLUE CROSS S NETWORK | $285.91 | ↑ +551% |
| BLUE CROSS | BLUE CROSS P NETWORK | $285.91 | ↑ +551% |
| BLUE CROSS | TENNCARE BLUE SELECT | $293.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $293.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $293.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $293.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $293.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $293.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $293.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $371.58 | ↑ +745% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $371.93 | ↑ +746% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $375.18 | ↑ +754% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $378.79 | ↑ +762% |
Visitor-reported prices
Comments
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $237.50 | $71.17 – $298.82 |
| Inova Fairfax Hospital | Falls Church | $237.50 | $71.17 – $298.82 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $237.50 | $71.17 – $298.82 |
| Inova Loudoun Hospital | Leesburg | $237.50 | $71.17 – $298.82 |
| Inova Mount Vernon Hospital | Alexandria | $237.50 | $71.17 – $298.82 |
| Johnston Memorial Hospital | ABINGDON | $43.95 | $31.14 – $360.75 |
| Russell County Hospital | LEBANON | $43.95 | $31.14 – $360.76 |
| Sentara Martha Jefferson Hospital | Charlottesville | $187.50 | $71.65 – $73.76 |