Piflu f-18, dia 1 millicurie at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$174.80
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.
$1,165.33
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.
$270.89 with UNITED HEALTHCARE vs $1,165.33 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 | $270.89 | ↑ +55% |
| SENTARA HEALTH | SENTARA HEALTH | $295.06 | ↑ +69% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $346.49 | ↑ +98% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $346.49 | ↑ +98% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $346.49 | ↑ +98% |
| SENTARA HEALTH | SENTARA MEDICARE | $346.49 | ↑ +98% |
| HUMANA | HUMANA MEDICARE | $346.49 | ↑ +98% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $346.49 | ↑ +98% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $346.49 | ↑ +98% |
| AETNA | AETNA HEALTHCARE MEDICARE | $346.49 | ↑ +98% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $356.88 | ↑ +104% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $356.88 | ↑ +104% |
| BLUE CROSS | BLUE CROSS MEDICARE | $360.35 | ↑ +106% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $363.81 | ↑ +108% |
| NHC ADVANTAGE | NHC ADVANTAGE | $363.81 | ↑ +108% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $363.81 | ↑ +108% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $363.81 | ↑ +108% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $363.81 | ↑ +108% |
| WELLCARE | WELLCARE MEDICARE | $367.28 | ↑ +110% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $405.58 | ↑ +132% |
| CIGNA HEALTHCARE | CIGNA HMO | $485.94 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $485.94 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $485.94 | ↑ +178% |
| AETNA | AETNA | $497.60 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $554.58 | ↑ +217% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $750.45 | ↑ +329% |
| AMBETTER | AMBETTER | $755.35 | ↑ +332% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $775.05 | ↑ +343% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $815.73 | ↑ +367% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $831.58 | ↑ +376% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $880.97 | ↑ +404% |
| BLUE CROSS | BLUE CROSS S NETWORK | $880.97 | ↑ +404% |
| BLUE CROSS | BLUE CROSS P NETWORK | $880.97 | ↑ +404% |
| BLUE CROSS | ANTHEM HMO | $880.97 | ↑ +404% |
| BLUE CROSS | ANTHEM EXCHANGE | $880.97 | ↑ +404% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,048.80 | ↑ +500% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,104.15 | ↑ +532% |
| BLUE CROSS | TENNCARE BLUE CARE | $1,165.33 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $1,165.33 | ↑ +567% |
Visitor-reported prices
Comments
Piflu f-18, dia 1 millicurie at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $174.80 | $346.49 – $755.35 |
| Russell County Hospital | LEBANON | $174.80 | $346.49 – $755.35 |
| Sentara Martha Jefferson Hospital | Charlottesville | $365.40 | $353.42 – $363.81 |
| Sentara Northern Virginia Medical Center | Woodbridge | $317.62 | $353.42 – $363.81 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $2,862.00 | $918.20 – $918.20 |
| Smyth County Community Hospital | MARION | $174.80 | $346.49 – $755.35 |
| Sentara Halifax Regional Hospital | South Boston | $317.62 | $353.42 – $363.81 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | $6,921.00 | $918.20 – $918.20 |