#resp virpnl dfa-parainfluenza at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$10.35
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.
$69.00
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.
$8.22 with AMERIGROUP vs $69.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $8.22 | ↓ -21% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $8.50 | ↓ -18% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $10.67 | ↑ +3% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $10.67 | ↑ +3% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $10.68 | ↑ +3% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $10.77 | ↑ +4% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $10.88 | ↑ +5% |
| AETNA | AETNA HEALTHCARE MEDICARE | $16.43 | ↑ +59% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $16.43 | ↑ +59% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $16.43 | ↑ +59% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $16.43 | ↑ +59% |
| HUMANA | HUMANA MEDICARE | $16.43 | ↑ +59% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $16.43 | ↑ +59% |
| BLUE CROSS | ANTHEM EXCHANGE | $16.43 | ↑ +59% |
| BLUE CROSS | ANTHEM HMO | $16.43 | ↑ +59% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $16.43 | ↑ +59% |
| BLUE CROSS | BLUE CROSS P NETWORK | $16.43 | ↑ +59% |
| BLUE CROSS | BLUE CROSS S NETWORK | $16.43 | ↑ +59% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $16.43 | ↑ +59% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $16.43 | ↑ +59% |
| SENTARA HEALTH | SENTARA MEDICARE | $16.43 | ↑ +59% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $16.43 | ↑ +59% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $16.92 | ↑ +63% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $16.92 | ↑ +63% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $17.09 | ↑ +65% |
| BLUE CROSS | BLUE CROSS MEDICARE | $17.09 | ↑ +65% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $17.25 | ↑ +67% |
| NHC ADVANTAGE | NHC ADVANTAGE | $17.25 | ↑ +67% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $17.25 | ↑ +67% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $17.25 | ↑ +67% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $17.25 | ↑ +67% |
| WELLCARE | WELLCARE MEDICARE | $17.42 | ↑ +68% |
| SENTARA HEALTH | SENTARA HEALTH | $17.47 | ↑ +69% |
| AETNA | AETNA | $29.46 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $32.84 | ↑ +217% |
| AMBETTER | AMBETTER | $35.82 | ↑ +246% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $36.09 | ↑ +249% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $39.43 | ↑ +281% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $42.08 | ↑ +307% |
| CIGNA HEALTHCARE | CIGNA PPO | $48.24 | ↑ +366% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $48.24 | ↑ +366% |
| CIGNA HEALTHCARE | CIGNA HMO | $48.24 | ↑ +366% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $62.10 | ↑ +500% |
| BLUE CROSS | TENNCARE BLUE CARE | $69.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $69.00 | ↑ +567% |
Visitor-reported prices
Comments
#resp virpnl dfa-parainfluenza at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE MEDICAL CENTER | ROANOKE | $238.00 | $14.30 – $23.82 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $14.30 – $23.82 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $16.76 – $20.11 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $10.51 – $63.88 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $14.30 – $73.46 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $14.30 – $17.58 |
| Sentara Halifax Regional Hospital | South Boston | not published | $14.29 – $17.25 |
| TRICITIES HOSPITAL | HOPEWELL | not published | $14.30 – $70.55 |