Thromboendarterectomy common femoral at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$1,069.65
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.
$7,131.00
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.
$557.00 with UNITED HEALTHCARE vs $7,131.00 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 | $557.00 | ↓ -48% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,055.00 | ↓ -1% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,103.00 | ↑ +3% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,336.00 | ↑ +25% |
| SENTARA HEALTH | SENTARA HEALTH | $1,805.57 | ↑ +69% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,861.00 | ↑ +74% |
| BLUE CROSS | ANTHEM EXCHANGE | $1,995.49 | ↑ +87% |
| BLUE CROSS | ANTHEM HMO | $2,314.44 | ↑ +116% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,463.51 | ↑ +130% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,463.51 | ↑ +130% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $2,721.23 | ↑ +154% |
| AETNA | AETNA | $3,044.94 | ↑ +185% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,204.00 | ↑ +200% |
| MEDCOST | MEDCOST VHN | $3,393.64 | ↑ +217% |
| CIGNA HEALTHCARE | CIGNA PPO | $4,076.00 | ↑ +281% |
| CIGNA HEALTHCARE | CIGNA HMO | $4,239.00 | ↑ +296% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $4,239.00 | ↑ +296% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $5,313.07 | ↑ +397% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $5,313.07 | ↑ +397% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $5,318.23 | ↑ +397% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $5,364.65 | ↑ +402% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $5,416.24 | ↑ +406% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $6,417.90 | ↑ +500% |
| BLUE CROSS | TENNCARE BLUE SELECT | $7,131.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $7,131.00 | ↑ +567% |
Visitor-reported prices
Comments
Thromboendarterectomy common femoral at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $3,456.00 | $1,579.39 – $6,070.59 |
| Inova Fairfax Hospital | Falls Church | $3,456.00 | $1,579.39 – $6,070.59 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $3,456.00 | $1,579.39 – $6,070.59 |
| Inova Loudoun Hospital | Leesburg | $3,456.00 | $1,579.39 – $6,070.59 |
| Inova Mount Vernon Hospital | Alexandria | $3,456.00 | $1,579.39 – $6,070.59 |
| Johnston Memorial Hospital | ABINGDON | $1,069.65 | $2,031.89 – $5,416.24 |
| Russell County Hospital | LEBANON | $1,069.65 | $2,050.27 – $5,416.30 |
| Smyth County Community Hospital | MARION | $1,069.65 | $1,798.65 – $5,364.65 |