Vaccine pneumococcal conjugate 13 valent (pcv13) im at Lonesome Pine Hospital

1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$326.57

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$2,177.13

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$64.64 with UNITED HEALTHCARE vs $2,177.13 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 →

Payer
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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
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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 $64.64 ↓ -80%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $130.35 ↓ -60%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $161.07 ↓ -51%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $161.07 ↓ -51%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $161.23 ↓ -51%
AETNA AETNA BETTER HEALTH OF VIRGINIA $162.63 ↓ -50%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $164.20 ↓ -50%
UNITED HEALTHCARE UHC HERITAGE SELECT $314.75 ↓ -4%
UNITED HEALTHCARE UNITED HEALTHCARE $314.75 ↓ -4%
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $325.07 ↓ -0%
AMERIGROUP AMERIGROUP $384.70 ↑ +18%
ALLCARE MEDICARE ALLCARE MEDICARE $413.65 ↑ +27%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $413.65 ↑ +27%
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $413.65 ↑ +27%
SENTARA HEALTH SENTARA MEDICARE $413.65 ↑ +27%
AETNA AETNA HEALTHCARE MEDICARE $413.65 ↑ +27%
HUMANA HUMANA MEDICARE $413.65 ↑ +27%
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $413.65 ↑ +27%
MANAGED MEDICAIRE MANAGED MEDICAIRE $413.65 ↑ +27%
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $426.06 ↑ +30%
BLUE CROSS ANTHEM MEDICARE VIRGINIA $426.06 ↑ +30%
BLUE CROSS BLUE CROSS MEDICARE $430.20 ↑ +32%
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $434.34 ↑ +33%
NHC ADVANTAGE NHC ADVANTAGE $434.34 ↑ +33%
CIGNA HEALTHCARE CIGNA MEDICARE $434.34 ↑ +33%
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $434.34 ↑ +33%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $434.34 ↑ +33%
WELLCARE WELLCARE MEDICARE $438.47 ↑ +34%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $446.34 ↑ +37%
SENTARA HEALTH SENTARA HEALTH $551.25 ↑ +69%
BLUE CROSS BLUE CROSS P NETWORK $683.67 ↑ +109%
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $683.67 ↑ +109%
BLUE CROSS ANTHEM HMO $683.67 ↑ +109%
BLUE CROSS ANTHEM EXCHANGE $683.67 ↑ +109%
BLUE CROSS BLUE CROSS S NETWORK $683.67 ↑ +109%
AMBETTER AMBETTER $901.77 ↑ +176%
CIGNA HEALTHCARE CIGNA HMO $907.86 ↑ +178%
CIGNA HEALTHCARE CIGNA PPO $907.86 ↑ +178%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $907.86 ↑ +178%
AETNA AETNA $929.63 ↑ +185%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $992.77 ↑ +204%
MEDCOST MEDCOST VHN $1,036.10 ↑ +217%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $1,959.42 ↑ +500%
BLUE CROSS TENNCARE BLUE SELECT $2,177.13 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $2,177.13 ↑ +567%

Visitor-reported prices

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Vaccine pneumococcal conjugate 13 valent (pcv13) im at other Virginia hospitals

Hospital City Cash price Negotiated range
Johnston Memorial Hospital ABINGDON $326.57 $116.35 – $446.34
Russell County Hospital LEBANON $326.57 $116.35 – $949.23
Smyth County Community Hospital MARION $326.57 $116.35 – $446.34
Dickenson Community Hospital CLINTWOOD $516.40 $116.35 – $446.34
Lee County Community Hospital PENNINGTON GAP $500.74 $116.35 – $446.34
Maryview Hospital Portsmouth $222.60 not published
St Francis Medical Center Midlothian $276.00 not published
LEWISGALE HOSPITAL-ALLEGHANY LOW MOOR not published $219.29 – $683.30

All Virginia hospitals for this procedure →