Pemetrexed disodium 100 mg intravenous powder for solution at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$4,481.22
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.
$29,874.81
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.
$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 →
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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 |
|---|---|---|---|
| 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% |
Visitor-reported prices
Comments
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 |