Prq card revasc mi 1 vsl at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$4,357.65
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.
$29,051.00
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.
$2,786.00 with UNITED HEALTHCARE vs $29,051.00 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 | $2,786.00 | ↓ -36% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $7,198.00 | ↑ +65% |
| SENTARA HEALTH | SENTARA HEALTH | $7,355.71 | ↑ +69% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $7,525.00 | ↑ +73% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $9,628.00 | ↑ +121% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $11,195.64 | ↑ +157% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $11,195.64 | ↑ +157% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $11,206.51 | ↑ +157% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $11,304.34 | ↑ +159% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $11,413.03 | ↑ +162% |
| CIGNA HEALTHCARE | CIGNA PPO | $12,114.27 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $12,114.27 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $12,114.27 | ↑ +178% |
| AETNA | AETNA | $12,404.78 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $13,479.66 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $13,825.37 | ↑ +217% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $20,335.70 | ↑ +367% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $26,145.90 | ↑ +500% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $29,051.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $29,051.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $29,051.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $29,051.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $29,051.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $29,051.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $29,051.00 | ↑ +567% |
Visitor-reported prices
Comments
Prq card revasc mi 1 vsl at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $4,357.65 | $638.79 – $11,413.03 |
| Russell County Hospital | LEBANON | $4,357.65 | $10,869.68 – $11,413.16 |
| Sentara Martha Jefferson Hospital | Charlottesville | $6,871.50 | not published |
| Sentara Northern Virginia Medical Center | Woodbridge | $7,924.50 | $11,640.00 – $11,640.00 |
| Smyth County Community Hospital | MARION | $4,357.65 | $10,869.55 – $11,304.34 |
| Sentara Halifax Regional Hospital | South Boston | $9,402.00 | not published |
| Sentara Leigh Hospital | Norfolk | $7,924.50 | $33,527.00 – $33,527.00 |
| Sentara RMH Medical Center | Harrisonburg | $6,871.50 | not published |