Tc-99m sulfur colloid at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$45.75
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.
$305.00
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.
$20.63 with BLUE CROSS vs $276.00 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $20.63 | ↓ -55% |
| SENTARA HEALTH | SENTARA HEALTH | $69.88 | ↑ +53% |
| AETNA | AETNA | $117.85 | ↑ +158% |
| MEDCOST | MEDCOST VHN | $131.35 | ↑ +187% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $248.40 | ↑ +443% |
| BLUE CROSS | TENNCARE BLUE SELECT | $276.00 | ↑ +503% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $276.00 | ↑ +503% |
| BLUE CROSS | TENNCARE BLUE CARE | $276.00 | ↑ +503% |
Visitor-reported prices
Comments
Tc-99m sulfur colloid at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $45.75 | $20.63 – $276.00 |
| Russell County Hospital | LEBANON | $45.75 | $20.63 – $276.00 |
| Sentara Martha Jefferson Hospital | Charlottesville | $78.00 | not published |
| Sentara Northern Virginia Medical Center | Woodbridge | $99.00 | not published |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $1,231.00 | $286.35 – $1,991.21 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $1,050.00 | $1,991.21 – $1,991.21 |
| Smyth County Community Hospital | MARION | $45.75 | $20.63 – $276.00 |
| Sentara Halifax Regional Hospital | South Boston | $99.50 | not published |