Sigmoidoscopy w/resection at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$1,159.80
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.
?
What you pay up front if you don't use insurance.
$7,732.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$697.00 with UNITED HEALTHCARE vs $7,732.00 with BLUE CROSS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $697.00 | ↓ -40% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,055.00 | ↓ -9% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,103.00 | ↓ -5% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +31% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,861.00 | ↑ +60% |
| SENTARA HEALTH | SENTARA HEALTH | $1,957.74 | ↑ +69% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2,708.17 | ↑ +134% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2,708.17 | ↑ +134% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2,708.17 | ↑ +134% |
| SENTARA HEALTH | SENTARA MEDICARE | $2,708.17 | ↑ +134% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2,708.17 | ↑ +134% |
| HUMANA | HUMANA MEDICARE | $2,708.17 | ↑ +134% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $2,708.17 | ↑ +134% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $2,708.17 | ↑ +134% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $2,733.00 | ↑ +136% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,765.21 | ↑ +138% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,765.21 | ↑ +138% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,767.89 | ↑ +139% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $2,789.41 | ↑ +141% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,789.41 | ↑ +141% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,792.06 | ↑ +141% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,816.50 | ↑ +143% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,818.90 | ↑ +143% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $2,843.58 | ↑ +145% |
| NHC ADVANTAGE | NHC ADVANTAGE | $2,843.58 | ↑ +145% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $2,843.58 | ↑ +145% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $2,843.58 | ↑ +145% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $2,843.58 | ↑ +145% |
| WELLCARE | WELLCARE MEDICARE | $2,870.66 | ↑ +148% |
| AETNA | AETNA | $3,301.56 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA PPO | $3,478.00 | ↑ +200% |
| CIGNA HEALTHCARE | CIGNA HMO | $3,617.00 | ↑ +212% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $3,617.00 | ↑ +212% |
| MEDCOST | MEDCOST VHN | $3,679.66 | ↑ +217% |
| AMBETTER | AMBETTER | $5,903.81 | ↑ +409% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $6,499.61 | ↑ +460% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $6,958.80 | ↑ +500% |
| BLUE CROSS | ANTHEM EXCHANGE | $7,732.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $7,732.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $7,732.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $7,732.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $7,732.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $7,732.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $7,732.00 | ↑ +567% |
Visitor-reported prices
Comments
Sigmoidoscopy w/resection at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $1,159.80 | $2,299.88 – $5,903.81 |
| Russell County Hospital | LEBANON | $1,159.80 | $2,684.70 – $5,903.81 |
| Smyth County Community Hospital | MARION | $1,159.80 | $2,684.67 – $5,903.81 |
| Dickenson Community Hospital | CLINTWOOD | $1,138.04 | $3,836.63 – $3,990.10 |
| Lee County Community Hospital | PENNINGTON GAP | $1,138.04 | $3,836.63 – $3,990.10 |
| St Mary's Hospital | Richmond | $4,084.21 | $2,784.74 – $2,840.43 |
| Inova Alexandria Hospital | Alexandria | not published | $1,509.00 – $3,529.00 |
| Inova Fairfax Hospital | Falls Church | not published | $1,509.00 – $3,529.00 |