Speech audiometry complete at Lonesome Pine Hospital

1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$9.45

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$63.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$15.95 with SENTARA HEALTH vs $125.48 with AMBETTER — 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 →

Payer
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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
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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
SENTARA HEALTH SENTARA HEALTH $15.95 ↑ +69%
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $17.18 ↑ +82%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $22.10 ↑ +134%
CIGNA HEALTHCARE CIGNA HMO $26.27 ↑ +178%
CIGNA HEALTHCARE CIGNA PPO $26.27 ↑ +178%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $26.27 ↑ +178%
AETNA AETNA $26.90 ↑ +185%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $29.23 ↑ +209%
MEDCOST MEDCOST VHN $29.98 ↑ +217%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $42.91 ↑ +354%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $42.91 ↑ +354%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $42.95 ↑ +354%
AETNA AETNA BETTER HEALTH OF VIRGINIA $43.33 ↑ +359%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $43.74 ↑ +363%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $56.70 ↑ +500%
AETNA AETNA HEALTHCARE MEDICARE $57.56 ↑ +509%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $57.56 ↑ +509%
HUMANA HUMANA MEDICARE $57.56 ↑ +509%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $57.56 ↑ +509%
ALLCARE MEDICARE ALLCARE MEDICARE $57.56 ↑ +509%
MANAGED MEDICAIRE MANAGED MEDICAIRE $57.56 ↑ +509%
SENTARA HEALTH SENTARA MEDICARE $57.56 ↑ +509%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $57.56 ↑ +509%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $59.28 ↑ +527%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $59.28 ↑ +527%
BLUE CROSS BLUE CROSS MEDICARE $59.86 ↑ +533%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $60.44 ↑ +540%
CIGNA HEALTHCARE CIGNA MEDICARE $60.44 ↑ +540%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $60.44 ↑ +540%
NHC ADVANTAGE NHC ADVANTAGE $60.44 ↑ +540%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $60.44 ↑ +540%
WELLCARE WELLCARE MEDICARE $61.01 ↑ +546%
BLUE CROSS BLUE CROSS S NETWORK $63.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $63.00 ↑ +567%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $63.00 ↑ +567%
BLUE CROSS ANTHEM HMO $63.00 ↑ +567%
BLUE CROSS ANTHEM EXCHANGE $63.00 ↑ +567%
UNITED HEALTHCARE UNITED HEALTHCARE $63.00 ↑ +567%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $63.00 ↑ +567%
UNITED HEALTHCARE UHC HERITAGE SELECT $63.00 ↑ +567%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $63.00 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $63.00 ↑ +567%
BLUE CROSS BLUE CROSS P NETWORK $63.00 ↑ +567%
AMBETTER AMBETTER $125.48 ↑ +1228%

Visitor-reported prices

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Speech audiometry complete at other Virginia hospitals

Hospital City Cash price Negotiated range
Inova Alexandria Hospital Alexandria $133.00 $47.15 – $167.34
Inova Fairfax Hospital Falls Church $133.00 $47.15 – $167.34
Inova Fair Oaks Hospital VA 22033-1709 $133.00 $47.15 – $167.34
Inova Loudoun Hospital Leesburg $133.00 $47.15 – $167.34
Inova Mount Vernon Hospital Alexandria $133.00 $47.15 – $167.34
Sentara Martha Jefferson Hospital Charlottesville not published $58.71 – $60.44
Sentara Northern Virginia Medical Center Woodbridge not published $58.71 – $60.44
Sentara Halifax Regional Hospital South Boston not published $59.17 – $60.91

All Virginia hospitals for this procedure →