Pet image skull-thigh at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$1,761.45
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.
$11,743.00
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.
$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 →
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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 |
|---|---|---|---|
| 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
Comments
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 |