Yttrium y-90 ibritumomab ther at Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
$14,164.50
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.
$94,430.00
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.
$17,845.05 with UNITED HEALTHCARE vs $123,877.52 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $17,845.05 | ↑ +26% |
| SENTARA HEALTH | SENTARA HEALTH | $23,909.68 | ↑ +69% |
| CIGNA HEALTHCARE | CIGNA HMO | $39,377.31 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $39,377.31 | ↑ +178% |
| CIGNA HEALTHCARE | CIGNA PPO | $39,377.31 | ↑ +178% |
| AETNA | AETNA | $40,321.61 | ↑ +185% |
| MEDCOST | MEDCOST VHN | $44,939.24 | ↑ +217% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $47,333.76 | ↑ +234% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $47,333.76 | ↑ +234% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $47,379.72 | ↑ +234% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $47,793.31 | ↑ +237% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $48,252.87 | ↑ +241% |
| SENTARA HEALTH | SENTARA MEDICARE | $56,824.55 | ↑ +301% |
| HUMANA | HUMANA MEDICARE | $56,824.55 | ↑ +301% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $56,824.55 | ↑ +301% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $56,824.55 | ↑ +301% |
| AETNA | AETNA HEALTHCARE MEDICARE | $56,824.55 | ↑ +301% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $56,824.55 | ↑ +301% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $56,824.55 | ↑ +301% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $56,824.55 | ↑ +301% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $58,529.29 | ↑ +313% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $58,529.29 | ↑ +313% |
| BLUE CROSS | BLUE CROSS MEDICARE | $59,097.53 | ↑ +317% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $59,665.78 | ↑ +321% |
| NHC ADVANTAGE | NHC ADVANTAGE | $59,665.78 | ↑ +321% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $59,665.78 | ↑ +321% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $59,665.78 | ↑ +321% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $59,665.78 | ↑ +321% |
| WELLCARE | WELLCARE MEDICARE | $60,234.02 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $66,101.00 | ↑ +367% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $69,325.95 | ↑ +389% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $79,881.43 | ↑ +464% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $82,500.49 | ↑ +482% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $84,987.00 | ↑ +500% |
| BLUE CROSS | BLUE CROSS S NETWORK | $94,430.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $94,430.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $94,430.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $94,430.00 | ↑ +567% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $94,430.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE CARE | $94,430.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $94,430.00 | ↑ +567% |
| BLUE CROSS | TENNCARE BLUE SELECT | $94,430.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $94,430.00 | ↑ +567% |
| AMBETTER | AMBETTER | $123,877.52 | ↑ +775% |
Visitor-reported prices
Comments
Yttrium y-90 ibritumomab ther at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE MEDICAL CENTER | ROANOKE | $215,923.00 | $170,473.65 – $170,473.65 |
| Southern Virginia Medical Center | Emporia | $142,394.09 | not published |
| St Mary's Hospital | Richmond | $142,394.09 | not published |
| Harbour View Medical Center | Suffolk | $162,736.10 | not published |
| Southside Regional Medical Center | Petersburg | $142,394.09 | not published |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $150,585.06 – $150,585.06 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $57,961.04 – $59,665.78 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $57,961.04 – $59,665.78 |