Tissue culture tumor at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$121.50
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.
$810.00
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.
$73.76 with AMERIGROUP vs $810.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $73.76 | ↓ -39% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $104.48 | ↓ -14% |
| AETNA | AETNA HEALTHCARE MEDICARE | $147.52 | ↑ +21% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $147.52 | ↑ +21% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $147.52 | ↑ +21% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $147.52 | ↑ +21% |
| HUMANA | HUMANA MEDICARE | $147.52 | ↑ +21% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $147.52 | ↑ +21% |
| BLUE CROSS | ANTHEM EXCHANGE | $147.52 | ↑ +21% |
| BLUE CROSS | ANTHEM HMO | $147.52 | ↑ +21% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $147.52 | ↑ +21% |
| BLUE CROSS | BLUE CROSS P NETWORK | $147.52 | ↑ +21% |
| BLUE CROSS | BLUE CROSS S NETWORK | $147.52 | ↑ +21% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $147.52 | ↑ +21% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $147.52 | ↑ +21% |
| SENTARA HEALTH | SENTARA MEDICARE | $147.52 | ↑ +21% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $147.52 | ↑ +21% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $151.95 | ↑ +25% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $151.95 | ↑ +25% |
| BLUE CROSS | BLUE CROSS MEDICARE | $153.42 | ↑ +26% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $153.42 | ↑ +26% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $154.90 | ↑ +27% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $154.90 | ↑ +27% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $154.90 | ↑ +27% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $154.90 | ↑ +27% |
| NHC ADVANTAGE | NHC ADVANTAGE | $154.90 | ↑ +27% |
| WELLCARE | WELLCARE MEDICARE | $156.37 | ↑ +29% |
| SENTARA HEALTH | SENTARA HEALTH | $205.09 | ↑ +69% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $218.15 | ↑ +80% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $218.15 | ↑ +80% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $218.37 | ↑ +80% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $220.27 | ↑ +81% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $222.39 | ↑ +83% |
| AMBETTER | AMBETTER | $321.59 | ↑ +165% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $325.52 | ↑ +168% |
| AETNA | AETNA | $345.87 | ↑ +185% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $354.05 | ↑ +191% |
| MEDCOST | MEDCOST VHN | $385.48 | ↑ +217% |
| CIGNA HEALTHCARE | CIGNA PPO | $593.53 | ↑ +389% |
| CIGNA HEALTHCARE | CIGNA HMO | $593.53 | ↑ +389% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $593.53 | ↑ +389% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $625.59 | ↑ +415% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $729.00 | ↑ +500% |
| BLUE CROSS | TENNCARE BLUE CARE | $810.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $810.00 | ↑ +567% |
Visitor-reported prices
Comments
Tissue culture tumor at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $950.50 | $147.52 – $1,195.92 |
| Inova Fairfax Hospital | Falls Church | $950.50 | $147.52 – $1,195.92 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $950.50 | $147.52 – $1,195.92 |
| Inova Loudoun Hospital | Leesburg | $950.50 | $147.52 – $1,195.92 |
| Inova Mount Vernon Hospital | Alexandria | $950.50 | $147.52 – $1,195.92 |
| Sentara Martha Jefferson Hospital | Charlottesville | $788.00 | $150.47 – $247.34 |
| Sentara Northern Virginia Medical Center | Woodbridge | $830.00 | $129.23 – $779.27 |
| Sentara Halifax Regional Hospital | South Boston | $949.00 | $128.34 – $154.90 |