Trauma partial team response w/critical care services level 4 at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$988.65
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.
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What you pay up front if you don't use insurance.
$6,591.00
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.
$402.77 with UNITED HEALTHCARE vs $6,277.00 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 | $402.77 | ↓ -59% |
| SENTARA HEALTH | SENTARA HEALTH | $1,589.34 | ↑ +61% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,927.04 | ↑ +95% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,027.47 | ↑ +105% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,027.47 | ↑ +105% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,617.51 | ↑ +165% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,617.51 | ↑ +165% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,617.51 | ↑ +165% |
| AETNA | AETNA | $2,680.28 | ↑ +171% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $2,912.53 | ↑ +195% |
| MEDCOST | MEDCOST VHN | $2,987.22 | ↑ +202% |
| BLUE CROSS | ANTHEM EXCHANGE | $4,287.27 | ↑ +334% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $4,393.90 | ↑ +344% |
| BLUE CROSS | ANTHEM HMO | $4,972.52 | ↑ +403% |
| BLUE CROSS | BLUE CROSS S NETWORK | $5,292.80 | ↑ +435% |
| BLUE CROSS | BLUE CROSS P NETWORK | $5,292.80 | ↑ +435% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $5,649.30 | ↑ +471% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $5,846.51 | ↑ +491% |
| BLUE CROSS | TENNCARE BLUE CARE | $6,277.00 | ↑ +535% |
| BLUE CROSS | TENNCARE BLUE SELECT | $6,277.00 | ↑ +535% |
Visitor-reported prices
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Trauma partial team response w/critical care services level 4 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $8,095.50 | $1,323.17 – $8,818.72 |
| Inova Fairfax Hospital | Falls Church | $10,542.00 | $1,323.17 – $11,483.59 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $8,095.50 | $1,323.17 – $8,818.72 |
| Inova Loudoun Hospital | Leesburg | $8,095.50 | $1,323.17 – $8,818.72 |
| Inova Mount Vernon Hospital | Alexandria | $8,095.50 | $1,323.17 – $8,818.72 |
| Johnston Memorial Hospital | ABINGDON | $988.65 | $724.99 – $4,365.48 |
| Russell County Hospital | LEBANON | $988.65 | $724.99 – $4,404.95 |
| Sentara Martha Jefferson Hospital | Charlottesville | $2,366.00 | not published |