Red cell mass multiple at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$221.70
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.
$1,478.00
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.
$119.90 with CIGNA HEALTHCARE vs $1,478.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $119.90 | ↓ -46% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $161.76 | ↓ -27% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $229.42 | ↑ +3% |
| SENTARA HEALTH | SENTARA HEALTH | $374.23 | ↑ +69% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $483.68 | ↑ +118% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $483.68 | ↑ +118% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $484.15 | ↑ +118% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $488.38 | ↑ +120% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $493.07 | ↑ +122% |
| AETNA | AETNA HEALTHCARE MEDICARE | $529.77 | ↑ +139% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $529.77 | ↑ +139% |
| SENTARA HEALTH | SENTARA MEDICARE | $529.77 | ↑ +139% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $529.77 | ↑ +139% |
| HUMANA | HUMANA MEDICARE | $529.77 | ↑ +139% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $529.77 | ↑ +139% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $529.77 | ↑ +139% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $529.77 | ↑ +139% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $545.66 | ↑ +146% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $545.66 | ↑ +146% |
| BLUE CROSS | BLUE CROSS MEDICARE | $550.96 | ↑ +149% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $556.26 | ↑ +151% |
| NHC ADVANTAGE | NHC ADVANTAGE | $556.26 | ↑ +151% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $556.26 | ↑ +151% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $556.26 | ↑ +151% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $556.26 | ↑ +151% |
| WELLCARE | WELLCARE MEDICARE | $561.55 | ↑ +153% |
| AETNA | AETNA | $631.11 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $703.38 | ↑ +217% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $774.00 | ↑ +249% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $810.00 | ↑ +265% |
| AMBETTER | AMBETTER | $1,154.89 | ↑ +421% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,271.44 | ↑ +473% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,330.20 | ↑ +500% |
| BLUE CROSS | BLUE CROSS P NETWORK | $1,478.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $1,478.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $1,478.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $1,478.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $1,478.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,478.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,478.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $1,478.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,478.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,478.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,478.00 | ↑ +567% |
Visitor-reported prices
Comments
Red cell mass multiple at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $221.70 | $95.43 – $1,154.89 |
| Russell County Hospital | LEBANON | $221.70 | $119.90 – $1,154.89 |
| Smyth County Community Hospital | MARION | $221.70 | $119.90 – $1,154.89 |
| Dickenson Community Hospital | CLINTWOOD | $217.58 | $119.90 – $697.93 |
| Lee County Community Hospital | PENNINGTON GAP | $217.58 | $119.90 – $697.93 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $76.19 – $1,101.15 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $540.36 – $556.26 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $467.16 – $556.26 |