Rituximab 10 mg/ml concentrate,intravenous at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$7,301.56
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.
$48,677.08
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.
$47.70 with UNITED HEALTHCARE vs $9,762.16 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 | $47.70 | ↓ -99% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $74.77 | ↓ -99% |
| SENTARA HEALTH | SENTARA MEDICARE | $74.77 | ↓ -99% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $74.77 | ↓ -99% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $74.77 | ↓ -99% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $74.77 | ↓ -99% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $74.77 | ↓ -99% |
| AETNA | AETNA HEALTHCARE MEDICARE | $74.77 | ↓ -99% |
| HUMANA | HUMANA MEDICARE | $74.77 | ↓ -99% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $77.01 | ↓ -99% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $77.01 | ↓ -99% |
| BLUE CROSS | BLUE CROSS MEDICARE | $77.76 | ↓ -99% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $78.50 | ↓ -99% |
| NHC ADVANTAGE | NHC ADVANTAGE | $78.50 | ↓ -99% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $78.50 | ↓ -99% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $78.50 | ↓ -99% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $78.50 | ↓ -99% |
| WELLCARE | WELLCARE MEDICARE | $79.25 | ↓ -99% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $92.63 | ↓ -99% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $94.77 | ↓ -99% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $97.88 | ↓ -99% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $132.39 | ↓ -98% |
| AMBETTER | AMBETTER | $162.99 | ↓ -98% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $179.44 | ↓ -98% |
| BLUE CROSS | ANTHEM HMO | $199.33 | ↓ -97% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $199.33 | ↓ -97% |
| BLUE CROSS | BLUE CROSS P NETWORK | $199.33 | ↓ -97% |
| BLUE CROSS | BLUE CROSS S NETWORK | $199.33 | ↓ -97% |
| BLUE CROSS | ANTHEM EXCHANGE | $199.33 | ↓ -97% |
| SENTARA HEALTH | SENTARA HEALTH | $2,471.78 | ↓ -66% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $4,070.82 | ↓ -44% |
| CIGNA HEALTHCARE | CIGNA HMO | $4,070.82 | ↓ -44% |
| CIGNA HEALTHCARE | CIGNA PPO | $4,070.82 | ↓ -44% |
| AETNA | AETNA | $4,168.44 | ↓ -43% |
| MEDCOST | MEDCOST VHN | $4,645.81 | ↓ -36% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $5,633.85 | ↓ -23% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $5,633.85 | ↓ -23% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $5,639.31 | ↓ -23% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $5,688.54 | ↓ -22% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $5,743.24 | ↓ -21% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $6,833.51 | ↓ -6% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $8,785.94 | ↑ +20% |
| BLUE CROSS | TENNCARE BLUE CARE | $9,762.16 | ↑ +34% |
| BLUE CROSS | TENNCARE BLUE SELECT | $9,762.16 | ↑ +34% |
Visitor-reported prices
Comments
Rituximab 10 mg/ml concentrate,intravenous at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Russell County Hospital | LEBANON | $7,301.56 | $74.77 – $5,469.82 |
| Smyth County Community Hospital | MARION | $7,301.56 | $74.77 – $5,469.75 |
| TRICITIES HOSPITAL | HOPEWELL | $41,634.00 | $64.97 – $198.14 |
| Southern Virginia Medical Center | Emporia | $21,139.20 | not published |
| Rappahannock General Hospital | Kilmarnock | $8,455.68 | not published |
| Maryview Hospital | Portsmouth | $18,461.57 | not published |
| St Mary's Hospital | Richmond | $23,112.19 | not published |
| Mary Immaculate Hospital | Newport News | $19,448.06 | not published |