Pet image skull-thigh 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

$1,761.45

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.

$11,743.00

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.

$518.48 with UNITED HEALTHCARE vs $11,743.00 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 $518.48 ↓ -71%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $1,188.72 ↓ -33%
SENTARA HEALTH SENTARA MEDICARE $1,395.18 ↓ -21%
MANAGED MEDICAIRE MANAGED MEDICAIRE $1,395.18 ↓ -21%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $1,395.18 ↓ -21%
ALLCARE MEDICARE ALLCARE MEDICARE $1,395.18 ↓ -21%
HUMANA HUMANA MEDICARE $1,395.18 ↓ -21%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $1,395.18 ↓ -21%
AETNA AETNA HEALTHCARE MEDICARE $1,395.18 ↓ -21%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $1,395.18 ↓ -21%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $1,437.03 ↓ -18%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $1,437.03 ↓ -18%
BLUE CROSS BLUE CROSS MEDICARE $1,450.99 ↓ -18%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $1,464.94 ↓ -17%
NHC ADVANTAGE NHC ADVANTAGE $1,464.94 ↓ -17%
CIGNA HEALTHCARE CIGNA MEDICARE $1,464.94 ↓ -17%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $1,464.94 ↓ -17%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $1,464.94 ↓ -17%
WELLCARE WELLCARE MEDICARE $1,478.89 ↓ -16%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $1,824.23 ↑ +4%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $1,828.43 ↑ +4%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $1,828.43 ↑ +4%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $1,830.20 ↑ +4%
AETNA AETNA BETTER HEALTH OF VIRGINIA $1,846.18 ↑ +5%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $1,863.93 ↑ +6%
SENTARA HEALTH SENTARA HEALTH $2,973.33 ↑ +69%
AMBETTER AMBETTER $3,041.49 ↑ +73%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $3,348.43 ↑ +90%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $3,924.62 ↑ +123%
CIGNA HEALTHCARE CIGNA HMO $3,924.62 ↑ +123%
CIGNA HEALTHCARE CIGNA PPO $3,924.62 ↑ +123%
UNITED HEALTHCARE UHC HERITAGE SELECT $3,957.00 ↑ +125%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $4,136.00 ↑ +135%
BLUE CROSS ANTHEM EXCHANGE $4,599.39 ↑ +161%
AETNA AETNA $5,014.26 ↑ +185%
BLUE CROSS ANTHEM HMO $5,334.52 ↑ +203%
MEDCOST MEDCOST VHN $5,588.49 ↑ +217%
BLUE CROSS BLUE CROSS P NETWORK $5,678.12 ↑ +222%
BLUE CROSS BLUE CROSS S NETWORK $5,678.12 ↑ +222%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $6,272.14 ↑ +256%
UNITED HEALTHCARE UNITED HEALTHCARE $6,522.00 ↑ +270%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $10,568.70 ↑ +500%
BLUE CROSS TENNCARE BLUE CARE $11,743.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $11,743.00 ↑ +567%

Visitor-reported prices

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Pet image skull-thigh at other Virginia hospitals

Hospital City Cash price Negotiated range
Sentara Martha Jefferson Hospital Charlottesville $5,425.50 $1,423.08 – $1,464.94
Sentara Northern Virginia Medical Center Woodbridge $5,070.50 $1,423.08 – $3,038.20
Sentara Halifax Regional Hospital South Boston $5,425.00 $1,368.69 – $1,473.02
Sentara Leigh Hospital Norfolk $5,070.50 $1,423.08 – $1,464.94
Sentara RMH Medical Center Harrisonburg $5,425.50 $1,423.08 – $1,464.94
Sentara CarePlex Hospital Hampton $5,070.50 $1,423.08 – $1,464.94
Sentara Norfolk General Hospital Norfolk $5,070.50 $1,423.08 – $1,464.94
Sentara Princess Anne Hospital Virginia Beach $5,070.50 $1,423.08 – $1,464.94

All Virginia hospitals for this procedure →