Pemetrexed disodium 100 mg intravenous powder for solution 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

$4,481.22

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.

$29,874.81

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.

$3.59 with AETNA vs $6,001.71 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
AETNA AETNA HEALTHCARE MEDICARE $3.59 ↓ -100%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $3.59 ↓ -100%
SENTARA HEALTH SENTARA MEDICARE $3.59 ↓ -100%
MANAGED MEDICAIRE MANAGED MEDICAIRE $3.59 ↓ -100%
ALLCARE MEDICARE ALLCARE MEDICARE $3.59 ↓ -100%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $3.59 ↓ -100%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $3.59 ↓ -100%
HUMANA HUMANA MEDICARE $3.59 ↓ -100%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $3.70 ↓ -100%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $3.70 ↓ -100%
BLUE CROSS BLUE CROSS MEDICARE $3.74 ↓ -100%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $3.77 ↓ -100%
NHC ADVANTAGE NHC ADVANTAGE $3.77 ↓ -100%
CIGNA HEALTHCARE CIGNA MEDICARE $3.77 ↓ -100%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $3.77 ↓ -100%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $3.77 ↓ -100%
WELLCARE WELLCARE MEDICARE $3.81 ↓ -100%
UNITED HEALTHCARE UNITED HEALTHCARE $4.55 ↓ -100%
UNITED HEALTHCARE UHC HERITAGE SELECT $6.86 ↓ -100%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $7.08 ↓ -100%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $7.67 ↓ -100%
AMBETTER AMBETTER $7.83 ↓ -100%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $8.63 ↓ -100%
BLUE CROSS ANTHEM HMO $11.55 ↓ -100%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $11.55 ↓ -100%
BLUE CROSS BLUE CROSS P NETWORK $11.55 ↓ -100%
BLUE CROSS BLUE CROSS S NETWORK $11.55 ↓ -100%
BLUE CROSS ANTHEM EXCHANGE $11.55 ↓ -100%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $27.01 ↓ -99%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $40.54 ↓ -99%
SENTARA HEALTH SENTARA HEALTH $1,519.63 ↓ -66%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $1,629.38 ↓ -64%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $1,629.38 ↓ -64%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $1,630.96 ↓ -64%
AETNA AETNA BETTER HEALTH OF VIRGINIA $1,645.20 ↓ -63%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $1,661.02 ↓ -63%
CIGNA HEALTHCARE CIGNA HMO $2,502.71 ↓ -44%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $2,502.71 ↓ -44%
CIGNA HEALTHCARE CIGNA PPO $2,502.71 ↓ -44%
AETNA AETNA $2,562.73 ↓ -43%
MEDCOST MEDCOST VHN $2,856.21 ↓ -36%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $5,401.54 ↑ +21%
BLUE CROSS TENNCARE BLUE CARE $6,001.71 ↑ +34%
BLUE CROSS TENNCARE BLUE SELECT $6,001.71 ↑ +34%

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Pemetrexed disodium 100 mg intravenous powder for solution at other Virginia hospitals

Hospital City Cash price Negotiated range
Smyth County Community Hospital MARION $1,804.43 $3.59 – $1,581.92
TRICITIES HOSPITAL HOPEWELL $870.00 $3.20 – $9.51
STONESPRINGS HOSPITAL CENTER Dulles $19,969.18 $2.83 – $9.51
Southern Virginia Medical Center Emporia $18,193.50 not published
Maryview Hospital Portsmouth $15,888.99 not published
St Mary's Hospital Richmond $19,891.56 not published
Mary Immaculate Hospital Newport News $16,738.02 not published
Harbour View Medical Center Suffolk $15,888.99 not published

All Virginia hospitals for this procedure →