Wedging of cast at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$41.70
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.
$278.00
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.
$55.95 with BLUE CROSS vs $594.90 with AMBETTER — 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 |
|---|---|---|---|
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $55.95 | ↑ +34% |
| SENTARA HEALTH | SENTARA HEALTH | $70.39 | ↑ +69% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $106.00 | ↑ +154% |
| AETNA | AETNA | $118.71 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $132.30 | ↑ +217% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $250.20 | ↑ +500% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $259.16 | ↑ +521% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $259.16 | ↑ +521% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $259.41 | ↑ +522% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $261.67 | ↑ +528% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $264.19 | ↑ +534% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $272.89 | ↑ +554% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $272.89 | ↑ +554% |
| SENTARA HEALTH | SENTARA MEDICARE | $272.89 | ↑ +554% |
| HUMANA | HUMANA MEDICARE | $272.89 | ↑ +554% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $272.89 | ↑ +554% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $272.89 | ↑ +554% |
| AETNA | AETNA HEALTHCARE MEDICARE | $272.89 | ↑ +554% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $272.89 | ↑ +554% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $278.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $278.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $278.00 | ↑ +567% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $278.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $278.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $278.00 | ↑ +567% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $278.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $278.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $278.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $278.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $278.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $278.00 | ↑ +567% |
| NHC ADVANTAGE | NHC ADVANTAGE | $278.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $278.00 | ↑ +567% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $278.00 | ↑ +567% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $278.00 | ↑ +567% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $278.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $278.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS MEDICARE | $283.81 | ↑ +581% |
| WELLCARE | WELLCARE MEDICARE | $289.26 | ↑ +594% |
| AMBETTER | AMBETTER | $594.90 | ↑ +1327% |
Visitor-reported prices
Comments
Wedging of cast at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St Mary's Hospital | Richmond | $237.00 | not published |
| Richmond Community Hospital | Richmond | $237.00 | not published |
| St Francis Medical Center | Midlothian | $237.00 | not published |
| Memorial Regional Hospital | Mechanicsville | $237.00 | not published |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $278.35 – $2,845.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $278.35 – $3,988.00 |
| Sentara Leigh Hospital | Norfolk | not published | $278.35 – $5,220.00 |
| Sentara RMH Medical Center | Harrisonburg | not published | $278.35 – $286.54 |