Leuprolide 30 mg (4 month) 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

$6,163.15

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.

$41,087.66

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.

$105.49 with UNITED HEALTHCARE vs $4,036.31 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 $105.49 ↓ -98%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $170.78 ↓ -97%
SENTARA HEALTH SENTARA MEDICARE $170.78 ↓ -97%
MANAGED MEDICAIRE MANAGED MEDICAIRE $170.78 ↓ -97%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $170.78 ↓ -97%
ALLCARE MEDICARE ALLCARE MEDICARE $170.78 ↓ -97%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $170.78 ↓ -97%
AETNA AETNA HEALTHCARE MEDICARE $170.78 ↓ -97%
HUMANA HUMANA MEDICARE $170.78 ↓ -97%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $175.90 ↓ -97%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $175.90 ↓ -97%
BLUE CROSS BLUE CROSS MEDICARE $177.61 ↓ -97%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $179.32 ↓ -97%
NHC ADVANTAGE NHC ADVANTAGE $179.32 ↓ -97%
CIGNA HEALTHCARE CIGNA MEDICARE $179.32 ↓ -97%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $179.32 ↓ -97%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $179.32 ↓ -97%
WELLCARE WELLCARE MEDICARE $181.02 ↓ -97%
UNITED HEALTHCARE UNITED HEALTHCARE $189.61 ↓ -97%
UNITED HEALTHCARE UHC HERITAGE SELECT $220.26 ↓ -96%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $227.48 ↓ -96%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $310.55 ↓ -95%
AMBETTER AMBETTER $372.30 ↓ -94%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $409.87 ↓ -93%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $450.32 ↓ -93%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $450.32 ↓ -93%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $450.75 ↓ -93%
AETNA AETNA BETTER HEALTH OF VIRGINIA $454.69 ↓ -93%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $459.06 ↓ -93%
BLUE CROSS ANTHEM HMO $467.59 ↓ -92%
BLUE CROSS BLUE CROSS S NETWORK $467.59 ↓ -92%
BLUE CROSS BLUE CROSS P NETWORK $467.59 ↓ -92%
BLUE CROSS ANTHEM EXCHANGE $467.59 ↓ -92%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $467.59 ↓ -92%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $471.17 ↓ -92%
SENTARA HEALTH SENTARA HEALTH $1,021.99 ↓ -83%
CIGNA HEALTHCARE CIGNA HMO $1,683.14 ↓ -73%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $1,683.14 ↓ -73%
CIGNA HEALTHCARE CIGNA PPO $1,683.14 ↓ -73%
AETNA AETNA $1,723.50 ↓ -72%
MEDCOST MEDCOST VHN $1,920.88 ↓ -69%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $3,632.68 ↓ -41%
BLUE CROSS TENNCARE BLUE SELECT $4,036.31 ↓ -35%
BLUE CROSS TENNCARE BLUE CARE $4,036.31 ↓ -35%

Visitor-reported prices

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Leuprolide 30 mg (4 month) intramuscular syringe kit at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $2,746.43 $90.75 – $241.92
Inova Fairfax Hospital Falls Church $2,746.43 $90.75 – $241.92
Inova Fair Oaks Hospital VA 22033-1709 $2,746.43 $90.75 – $241.92
Inova Loudoun Hospital Leesburg $2,746.43 $90.75 – $241.92
Inova Mount Vernon Hospital Alexandria $2,746.43 $90.75 – $241.92
Russell County Hospital LEBANON $1,505.28 $170.78 – $437.21
Smyth County Community Hospital MARION $8,215.88 $170.78 – $437.20
LEWISGALE HOSPITAL-PULASKI PULASKI $4,196.00 $129.22 – $452.57

All Virginia hospitals for this procedure →