Leuprolide 3.75 mg intramuscular syringe kit 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

$5,172.79

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.

$34,485.28

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.

$312.64 with UNITED HEALTHCARE vs $11,517.31 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 →

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 $312.64 ↓ -94%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $334.58 ↓ -94%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $1,253.59 ↓ -76%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $1,253.59 ↓ -76%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $1,254.80 ↓ -76%
AETNA AETNA BETTER HEALTH OF VIRGINIA $1,265.76 ↓ -76%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $1,277.92 ↓ -75%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $1,763.87 ↓ -66%
SENTARA HEALTH SENTARA MEDICARE $1,763.87 ↓ -66%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $1,763.87 ↓ -66%
AETNA AETNA HEALTHCARE MEDICARE $1,763.87 ↓ -66%
MANAGED MEDICAIRE MANAGED MEDICAIRE $1,763.87 ↓ -66%
HUMANA HUMANA MEDICARE $1,763.87 ↓ -66%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $1,763.87 ↓ -66%
ALLCARE MEDICARE ALLCARE MEDICARE $1,763.87 ↓ -66%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $1,816.79 ↓ -65%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $1,816.79 ↓ -65%
BLUE CROSS BLUE CROSS MEDICARE $1,834.42 ↓ -65%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $1,852.06 ↓ -64%
NHC ADVANTAGE NHC ADVANTAGE $1,852.06 ↓ -64%
CIGNA HEALTHCARE CIGNA MEDICARE $1,852.06 ↓ -64%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $1,852.06 ↓ -64%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $1,852.06 ↓ -64%
WELLCARE WELLCARE MEDICARE $1,869.70 ↓ -64%
UNITED HEALTHCARE UHC HERITAGE SELECT $2,042.19 ↓ -61%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $2,109.15 ↓ -59%
UNITED HEALTHCARE UNITED HEALTHCARE $2,119.26 ↓ -59%
SENTARA HEALTH SENTARA HEALTH $2,916.18 ↓ -44%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $3,045.36 ↓ -41%
AMBETTER AMBETTER $3,845.23 ↓ -26%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $4,233.29 ↓ -18%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $4,585.35 ↓ -11%
BLUE CROSS BLUE CROSS S NETWORK $4,585.35 ↓ -11%
BLUE CROSS ANTHEM EXCHANGE $4,585.35 ↓ -11%
BLUE CROSS BLUE CROSS P NETWORK $4,585.35 ↓ -11%
BLUE CROSS ANTHEM HMO $4,585.35 ↓ -11%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $4,802.72 ↓ -7%
CIGNA HEALTHCARE CIGNA PPO $4,802.72 ↓ -7%
CIGNA HEALTHCARE CIGNA HMO $4,802.72 ↓ -7%
AETNA AETNA $4,917.89 ↓ -5%
MEDCOST MEDCOST VHN $5,481.09 ↑ +6%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $10,365.58 ↑ +100%
BLUE CROSS TENNCARE BLUE CARE $11,517.31 ↑ +123%
BLUE CROSS TENNCARE BLUE SELECT $11,517.31 ↑ +123%

Visitor-reported prices

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Leuprolide 3.75 mg intramuscular syringe kit at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $2,304.62 $1,377.23 – $2,703.97
Inova Fairfax Hospital Falls Church $2,304.62 $1,377.23 – $2,703.97
Inova Fair Oaks Hospital VA 22033-1709 $2,304.62 $1,377.23 – $2,703.97
Inova Loudoun Hospital Leesburg $2,304.62 $1,377.23 – $2,703.97
Inova Mount Vernon Hospital Alexandria $2,304.62 $1,377.23 – $2,703.97
HENRICO DOCTORS HOSPITAL RICHMOND $13,092.00 $1,419.75 – $4,674.26
Rappahannock General Hospital Kilmarnock $9,726.07 not published
Maryview Hospital Portsmouth $21,235.25 not published

All Virginia hospitals for this procedure →