Telehealth original site facility fee at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$22.95
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.
$153.00
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.
$13.36 with UNITED HEALTHCARE vs $153.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $13.36 | ↓ -42% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $15.45 | ↓ -33% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $15.45 | ↓ -33% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $15.47 | ↓ -33% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $15.60 | ↓ -32% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $15.75 | ↓ -31% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $22.94 | ↓ -0% |
| AMERIGROUP | AMERIGROUP | $29.62 | ↑ +29% |
| AETNA | AETNA HEALTHCARE MEDICARE | $31.85 | ↑ +39% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $31.85 | ↑ +39% |
| HUMANA | HUMANA MEDICARE | $31.85 | ↑ +39% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $31.85 | ↑ +39% |
| BLUE CROSS | ANTHEM EXCHANGE | $31.85 | ↑ +39% |
| BLUE CROSS | ANTHEM HMO | $31.85 | ↑ +39% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $31.85 | ↑ +39% |
| BLUE CROSS | BLUE CROSS P NETWORK | $31.85 | ↑ +39% |
| BLUE CROSS | BLUE CROSS S NETWORK | $31.85 | ↑ +39% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $31.85 | ↑ +39% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $31.85 | ↑ +39% |
| SENTARA HEALTH | SENTARA MEDICARE | $31.85 | ↑ +39% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $31.85 | ↑ +39% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $32.81 | ↑ +43% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $32.81 | ↑ +43% |
| BLUE CROSS | BLUE CROSS MEDICARE | $33.12 | ↑ +44% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $33.44 | ↑ +46% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $33.44 | ↑ +46% |
| NHC ADVANTAGE | NHC ADVANTAGE | $33.44 | ↑ +46% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $33.44 | ↑ +46% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $33.44 | ↑ +46% |
| WELLCARE | WELLCARE MEDICARE | $33.76 | ↑ +47% |
| SENTARA HEALTH | SENTARA HEALTH | $38.74 | ↑ +69% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $46.97 | ↑ +105% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $49.42 | ↑ +115% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $49.42 | ↑ +115% |
| CIGNA HEALTHCARE | CIGNA PPO | $63.80 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $63.80 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA HMO | $63.80 | ↑ +178% |
| AETNA | AETNA | $65.33 | ↑ +185% |
| AMBETTER | AMBETTER | $69.43 | ↑ +203% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $70.99 | ↑ +209% |
| MEDCOST | MEDCOST VHN | $72.81 | ↑ +217% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $76.44 | ↑ +233% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $137.70 | ↑ +500% |
| BLUE CROSS | TENNCARE BLUE SELECT | $153.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $153.00 | ↑ +567% |
Visitor-reported prices
Comments
Telehealth original site facility fee at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $22.95 | $15.00 – $69.43 |
| Russell County Hospital | LEBANON | $22.95 | $15.00 – $69.43 |
| Smyth County Community Hospital | MARION | $22.95 | $15.00 – $69.43 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | $68.00 | $23.26 – $27.91 |
| LEWISGALE MEDICAL CENTER | ROANOKE | $68.00 | $26.36 – $30.08 |
| Dickenson Community Hospital | CLINTWOOD | $22.54 | $21.43 – $22.29 |
| Lee County Community Hospital | PENNINGTON GAP | $22.54 | $21.43 – $22.29 |
| Rappahannock General Hospital | Kilmarnock | $121.20 | not published |