Prosthesis voc advantage 20f 14mm at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$1,104.11
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.
$7,360.71
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.
$77.48 with SENTARA HEALTH vs $362.30 with AMBETTER — 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 |
|---|---|---|---|
| SENTARA HEALTH | SENTARA HEALTH | $77.48 | ↓ -93% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $122.40 | ↓ -89% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $127.60 | ↓ -88% |
| CIGNA HEALTHCARE | CIGNA PPO | $127.60 | ↓ -88% |
| CIGNA HEALTHCARE | CIGNA HMO | $127.60 | ↓ -88% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $131.24 | ↓ -88% |
| BLUE CROSS | BLUE CROSS P NETWORK | $131.24 | ↓ -88% |
| BLUE CROSS | BLUE CROSS S NETWORK | $131.24 | ↓ -88% |
| BLUE CROSS | ANTHEM EXCHANGE | $131.24 | ↓ -88% |
| BLUE CROSS | ANTHEM HMO | $131.24 | ↓ -88% |
| MEDCOST | MEDCOST VHN | $145.63 | ↓ -87% |
| AETNA | AETNA | $146.88 | ↓ -87% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $153.00 | ↓ -86% |
| AMERIGROUP | AMERIGROUP | $154.56 | ↓ -86% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $166.19 | ↓ -85% |
| AETNA | AETNA HEALTHCARE MEDICARE | $166.19 | ↓ -85% |
| HUMANA | HUMANA MEDICARE | $166.19 | ↓ -85% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $166.19 | ↓ -85% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $166.19 | ↓ -85% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $166.19 | ↓ -85% |
| SENTARA HEALTH | SENTARA MEDICARE | $166.19 | ↓ -85% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $166.19 | ↓ -85% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $171.18 | ↓ -84% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $171.18 | ↓ -84% |
| BLUE CROSS | BLUE CROSS MEDICARE | $172.84 | ↓ -84% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $174.50 | ↓ -84% |
| NHC ADVANTAGE | NHC ADVANTAGE | $174.50 | ↓ -84% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $174.50 | ↓ -84% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $174.50 | ↓ -84% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $174.50 | ↓ -84% |
| WELLCARE | WELLCARE MEDICARE | $176.16 | ↓ -84% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $275.40 | ↓ -75% |
| BLUE CROSS | TENNCARE BLUE CARE | $306.00 | ↓ -72% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $306.00 | ↓ -72% |
| BLUE CROSS | TENNCARE BLUE SELECT | $306.00 | ↓ -72% |
| AMBETTER | AMBETTER | $362.30 | ↓ -67% |
Visitor-reported prices
Comments
Prosthesis voc advantage 20f 14mm at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $1,104.11 | $131.24 – $1,582.65 |
| Russell County Hospital | LEBANON | $1,104.11 | $131.24 – $1,582.65 |
| Sentara Martha Jefferson Hospital | Charlottesville | $336.90 | not published |
| Sentara Northern Virginia Medical Center | Woodbridge | $336.90 | not published |
| Smyth County Community Hospital | MARION | $1,104.11 | $131.24 – $1,582.65 |
| Sentara Halifax Regional Hospital | South Boston | $336.90 | not published |
| Sentara Leigh Hospital | Norfolk | $336.90 | $133.86 – $137.80 |
| Sentara RMH Medical Center | Harrisonburg | $336.90 | $133.86 – $137.80 |