Pcv21 vaccine im 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

$415.01

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.

$2,766.72

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.

$161.07 with UNITED HEALTHCARE vs $2,766.72 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 UNITED HEALTHCARE MEDICAID VIRGINIA $161.07 ↓ -61%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $161.07 ↓ -61%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $161.23 ↓ -61%
AETNA AETNA BETTER HEALTH OF VIRGINIA $162.63 ↓ -61%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $163.95 ↓ -60%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $164.20 ↓ -60%
UNITED HEALTHCARE UNITED HEALTHCARE $400.03 ↓ -4%
AMERIGROUP AMERIGROUP $488.88 ↑ +18%
ALLCARE MEDICARE ALLCARE MEDICARE $525.68 ↑ +27%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $525.68 ↑ +27%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $525.68 ↑ +27%
SENTARA HEALTH SENTARA MEDICARE $525.68 ↑ +27%
AETNA AETNA HEALTHCARE MEDICARE $525.68 ↑ +27%
HUMANA HUMANA MEDICARE $525.68 ↑ +27%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $525.68 ↑ +27%
MANAGED MEDICAIRE MANAGED MEDICAIRE $525.68 ↑ +27%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $541.45 ↑ +30%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $541.45 ↑ +30%
BLUE CROSS BLUE CROSS MEDICARE $546.70 ↑ +32%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $551.96 ↑ +33%
NHC ADVANTAGE NHC ADVANTAGE $551.96 ↑ +33%
CIGNA HEALTHCARE CIGNA MEDICARE $551.96 ↑ +33%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $551.96 ↑ +33%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $551.96 ↑ +33%
WELLCARE WELLCARE MEDICARE $557.22 ↑ +34%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $595.50 ↑ +43%
SENTARA HEALTH SENTARA HEALTH $700.53 ↑ +69%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $868.91 ↑ +109%
BLUE CROSS ANTHEM HMO $868.91 ↑ +109%
BLUE CROSS ANTHEM EXCHANGE $868.91 ↑ +109%
BLUE CROSS BLUE CROSS P NETWORK $868.91 ↑ +109%
BLUE CROSS BLUE CROSS S NETWORK $868.91 ↑ +109%
AMBETTER AMBETTER $1,145.98 ↑ +176%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $1,153.72 ↑ +178%
CIGNA HEALTHCARE CIGNA HMO $1,153.72 ↑ +178%
CIGNA HEALTHCARE CIGNA PPO $1,153.72 ↑ +178%
AETNA AETNA $1,181.39 ↑ +185%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $1,261.62 ↑ +204%
MEDCOST MEDCOST VHN $1,316.68 ↑ +217%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $1,936.70 ↑ +367%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $2,490.05 ↑ +500%
BLUE CROSS TENNCARE BLUE SELECT $2,766.72 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $2,766.72 ↑ +567%

Visitor-reported prices

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Pcv21 vaccine im at other Virginia hospitals

Hospital City Cash price Negotiated range
Johnston Memorial Hospital ABINGDON $415.01 $156.38 – $595.50
Russell County Hospital LEBANON $415.01 $156.38 – $1,206.29
Smyth County Community Hospital MARION $415.01 $156.38 – $595.50
Dickenson Community Hospital CLINTWOOD $636.35 $223.47 – $595.50
Lee County Community Hospital PENNINGTON GAP $636.35 $223.47 – $595.50
St Mary's Hospital Richmond $582.60 not published
St Francis Medical Center Midlothian $582.60 not published
Memorial Regional Hospital Mechanicsville $582.60 not published

All Virginia hospitals for this procedure →