Rmvl icd pulse gen only at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$1,435.50
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.
$9,570.00
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.
$215.37 with BLUE CROSS vs $9,628.65 with MOLINA 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $215.37 | ↓ -85% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,505.00 | ↑ +5% |
| SENTARA HEALTH | SENTARA HEALTH | $2,423.12 | ↑ +69% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $3,336.00 | ↑ +132% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $3,488.00 | ↑ +143% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,646.09 | ↑ +154% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,646.09 | ↑ +154% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,646.09 | ↑ +154% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,646.09 | ↑ +154% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,646.09 | ↑ +154% |
| HUMANA | HUMANA MEDICARE | $3,646.09 | ↑ +154% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,646.09 | ↑ +154% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,646.09 | ↑ +154% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,755.48 | ↑ +162% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,755.48 | ↑ +162% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,791.94 | ↑ +164% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3,828.40 | ↑ +167% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,828.40 | ↑ +167% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,828.40 | ↑ +167% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,828.40 | ↑ +167% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,828.40 | ↑ +167% |
| WELLCARE | WELLCARE MEDICARE | $3,864.86 | ↑ +169% |
| CIGNA HEALTHCARE | CIGNA HMO | $3,990.69 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $3,990.69 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $3,990.69 | ↑ +178% |
| AETNA | AETNA | $4,086.39 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $4,440.48 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $4,554.36 | ↑ +217% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $5,883.00 | ↑ +310% |
| AMBETTER | AMBETTER | $7,948.49 | ↑ +454% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $8,613.00 | ↑ +500% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $8,750.63 | ↑ +510% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $9,445.24 | ↑ +558% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $9,445.24 | ↑ +558% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $9,454.41 | ↑ +559% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $9,536.94 | ↑ +564% |
| BLUE CROSS | ANTHEM EXCHANGE | $9,570.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $9,570.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $9,570.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $9,570.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $9,570.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $9,570.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $9,570.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $9,628.65 | ↑ +571% |
Visitor-reported prices
Comments
Rmvl icd pulse gen only at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $2,325.00 | $3,627.00 – $12,868.00 |
| Inova Fairfax Hospital | Falls Church | $2,325.00 | $3,627.00 – $12,868.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $2,325.00 | $3,627.00 – $12,868.00 |
| Inova Loudoun Hospital | Leesburg | $2,325.00 | $3,627.00 – $12,868.00 |
| Inova Mount Vernon Hospital | Alexandria | $2,325.00 | $3,627.00 – $12,868.00 |
| Johnston Memorial Hospital | ABINGDON | $1,435.50 | $215.37 – $9,170.14 |
| Russell County Hospital | LEBANON | $1,435.50 | $215.37 – $9,170.24 |
| Sentara Martha Jefferson Hospital | Charlottesville | $2,463.00 | $3,338.00 – $8,246.00 |