Lonesome Pine Hospital

Big Stone Gap, VA · Ballad Health · Nonprofit

Lonesome Pine Hospital is a 2-star nonprofit hospital in Big Stone Gap, VA, part of the Ballad Health health system. It publishes prices for 67 common procedures, with cash prices ranging from $6 to $3,340. 75.0% of patients rated this hospital 9 or 10 out of 10.

Quality ★★☆☆☆ CMS 2-star rating
Patient experience 75.0% rated 9 or 10 out of 10
Safety No penalties Medicare safety check passed
Medicare cost 0% above national avg

Safety at this hospital, versus the national average

Mixed results. Safer on 1, worse on 1. Read the breakdown below before you decide.

C. diff 100% fewer infections than the national rate
Mortality About the same as the national rate
Readmissions About the same as the national rate
Medicare quality 24 / 100 · below the national median of 38

Source: CMS Hospital Compare — Healthcare-Associated Infections, Mortality & Readmissions, Value-Based Purchasing (FY 2026). Bars show how this hospital compares to the national rate for each metric.

Address: 1990 Holton Avenue East, Big Stone Gap, VA 24219

Phone: 888-288-5174

Type: Hospital · 52 beds · Emergency services

What they charge

Every price below is published by Lonesome Pine Hospital in their federally mandated machine-readable file. Click any procedure to compare with nearby hospitals. Prices as of Mar 2026.

Procedure Cash price Gross charge Markup
Chemotherapy Infusion First Hour Cancer Tell us what you paid → $260 $1,736 6.67x
Carotid Duplex Scan Cardiac Tell us what you paid → $230 $1,530 6.67x
Coronary Stent Placement Cardiac Tell us what you paid → $3,340 $22,265 6.67x
Echocardiogram Complete Cardiac Tell us what you paid → $448 $2,989 6.67x
Left Heart Catheterization Cardiac Tell us what you paid → $2,405 $16,036 6.67x
Stress Echocardiogram Cardiac Tell us what you paid → $448 $2,989 6.67x
Skin Biopsy Punch Dermatology Tell us what you paid → $75 $503 6.67x
Skin Biopsy Tangential Dermatology Tell us what you paid → $39 $261 6.67x
Emergency Room Visit — Critical (Level 5) Emergency Tell us what you paid → $456 $3,041 6.67x
Emergency Room Visit — High Acuity (Level 4) Emergency Tell us what you paid → $300 $2,002 6.67x
Emergency Room Visit — Moderate (Level 3) Emergency Tell us what you paid → $205 $1,365 6.67x
HPV High-Risk Test Gynecologic Tell us what you paid → $31 $205 6.67x
Pap Smear Liquid-Based Cytology Gynecologic Tell us what you paid → $35 $236 6.67x
CT Abdomen and Pelvis with Contrast Imaging Tell us what you paid → $560 $3,731 6.67x
CT Abdomen and Pelvis without Contrast Imaging Tell us what you paid → $532 $3,545 6.67x
CT Angiography Chest Imaging Tell us what you paid → $588 $3,918 6.67x
CT Chest with Contrast Imaging Tell us what you paid → $560 $3,731 6.67x
CT Chest without Contrast Imaging Tell us what you paid → $532 $3,545 6.67x
CT Head without Contrast Imaging Tell us what you paid → $532 $3,545 6.67x
Chest X-Ray 2 Views Imaging Tell us what you paid → $69 $462 6.67x
DEXA Scan (Bone Density) Imaging Tell us what you paid → $79 $525 6.67x
Heart Calcium Score (Cardiac CT) Imaging Tell us what you paid → $7 $49 6.67x
MRI Brain with Contrast Imaging Tell us what you paid → $637 $4,245 6.67x
MRI Brain with and without Contrast Imaging Tell us what you paid → $669 $4,457 6.67x
MRI Brain without Contrast Imaging Tell us what you paid → $605 $4,033 6.67x
MRI Cervical Spine without Contrast Imaging Tell us what you paid → $605 $4,033 6.67x
MRI Knee with and without Contrast Imaging Tell us what you paid → $647 $4,316 6.67x
MRI Knee without Contrast Imaging Tell us what you paid → $605 $4,033 6.67x
MRI Lumbar Spine with and without Contrast Imaging Tell us what you paid → $669 $4,457 6.67x
MRI Lumbar Spine without Contrast Imaging Tell us what you paid → $605 $4,033 6.67x
MRI Shoulder without Contrast Imaging Tell us what you paid → $605 $4,033 6.67x
PET Scan Whole Body Imaging Tell us what you paid → $1,614 $10,760 6.67x
Screening Mammography Imaging Tell us what you paid → $70 $469 6.67x
Shoulder X-Ray Imaging Tell us what you paid → $73 $485 6.67x
Ultrasound Abdomen Complete Imaging Tell us what you paid → $102 $677 6.67x
Ultrasound Pregnancy Imaging Tell us what you paid → $102 $677 6.67x
Ultrasound Transvaginal Imaging Tell us what you paid → $102 $677 6.67x
Blood Draw / Venipuncture Lab Tell us what you paid → $7 $46 6.67x
CBC Complete Blood Count Lab Tell us what you paid → $14 $90 6.67x
Comprehensive Metabolic Panel Lab Tell us what you paid → $18 $118 6.67x
Ferritin Level Lab Tell us what you paid → $24 $159 6.67x
Hemoglobin A1C Lab Tell us what you paid → $17 $113 6.67x
Lipid Panel Lab Tell us what you paid → $23 $156 6.67x
PSA Prostate Screening Lab Tell us what you paid → $32 $215 6.67x
TSH Thyroid Test Lab Tell us what you paid → $29 $196 6.67x
Urinalysis with Microscopy Lab Tell us what you paid → $6 $38 6.67x
Vitamin D Level Lab Tell us what you paid → $52 $347 6.67x
Hospital Outpatient Clinic Visit Office Tell us what you paid → $39 $261 6.67x
Office Visit Established Patient Level 3 Office Tell us what you paid → $36 $242 6.67x
Office Visit Established Patient Level 4 Office Tell us what you paid → $42 $278 6.67x
Epidural Steroid Injection Pain Tell us what you paid → $448 $2,986 6.67x
Facet Joint Injection Pain Tell us what you paid → $117 $779 6.67x
Joint Injection Pain Tell us what you paid → $57 $379 6.67x
Transforaminal Epidural Injection Pain Tell us what you paid → $179 $1,196 6.67x
Neuromuscular Re-education Rehab Tell us what you paid → $32 $215 6.67x
Physical Therapy Manual Therapy Rehab Tell us what you paid → $29 $193 6.67x
Physical Therapy Therapeutic Exercise Rehab Tell us what you paid → $31 $206 6.67x
Therapeutic Activities Rehab Tell us what you paid → $34 $224 6.67x
Colonoscopy with Biopsy Screening Tell us what you paid → $484 $3,227 6.67x
Diagnostic Mammography Bilateral Screening Tell us what you paid → $86 $570 6.67x
Diagnostic Mammography Unilateral Screening Tell us what you paid → $74 $494 6.67x
Sleep Study Screening Tell us what you paid → $549 $3,659 6.67x
Spirometry Pulmonary Function Test Screening Tell us what you paid → $86 $576 6.67x
Laparoscopic Appendectomy Surgery Tell us what you paid → $2,402 $16,011 6.67x
Upper GI Endoscopy with Biopsy Surgery Tell us what you paid → $385 $2,564 6.67x
Cystoscopy Urologic Tell us what you paid → $271 $1,809 6.67x
Prostate Biopsy Urologic Tell us what you paid → $390 $2,602 6.67x

What this price typically doesn't include

Procedure codes generally cover the procedure itself. Other services that often appear on the same bill are listed under separate codes — for example:

  • Anesthesia (CPT 00xxx)
  • Pathology, if a sample is taken (CPT 88xxx)
  • Drugs administered during the visit (J-codes)
  • Facility vs. professional split — one charge from the hospital, another from the doctor
  • Room and board, if the procedure is inpatient

Asking what other codes might appear on the bill is a useful follow-up so the total is not a surprise. Once you receive the bill, asking for an itemized statement listing each service code separately makes it easier to match against the disclosed prices above.

Observations about billing-code conventions. Not medical advice. Not legal advice.

Citing this price when you call

A way some patients have asked Lonesome Pine Hospital to apply the disclosed cash price to a self-pay visit.

  1. Call billing. 888-288-5174
  2. Cite the disclosed cash price. Reference the specific procedure from the table above. Each cash price was published by Lonesome Pine Hospital in its federally-mandated machine-readable file under 45 CFR 180.50.
  3. Ask whether the disclosed price can be applied to your visit as a self-pay patient. Outcomes vary by hospital and by procedure.

The cash prices above are published by Lonesome Pine Hospital as part of federal price-transparency rules. Patients have asked billing departments to apply them; results differ. If a different price ends up on your bill, the disclosed amount stays on this page for your reference. You can share what happened on /report-price — it helps the next person.

Not medical advice. Not legal advice. The cash prices shown are published by the hospital under 45 CFR 180; HospitalCost displays them as published.

What your insurance pays here

Average negotiated rates by insurance plan. If the cash price above is lower and you haven't met your deductible, ask billing about paying cash.

Insurance plan Procedures covered Avg negotiated rate Rate range
Aetna
AETNA		 67 $1,081 $16 — $9,507
Blue Cross Blue Shield
BLUE CROSS BALLAD HEALTH EMPLOYEE		 67 $650 $5 — $15,586
Blue Cross Blue Shield
TENNCARE BLUE CARE		 67 $2,530 $38 — $22,265
Blue Cross Blue Shield
TENNCARE BLUE SELECT		 67 $2,530 $38 — $22,265
FIRST HEALTH COVENTRY
FIRST HEALTH COVENTRY		 67 $2,277 $34 — $20,038
MedCost
MEDCOST VHN		 67 $1,204 $18 — $10,596
SENTARA HEALTH
SENTARA HEALTH		 67 $641 $10 — $5,638
UnitedHealthcare
TENNCARE UNITED HEALTHCARE		 67 $239 $2 — $2,786
Blue Cross Blue Shield
ANTHEM EXCHANGE		 66 $1,427 $3 — $22,265
Blue Cross Blue Shield
ANTHEM HMO		 66 $1,532 $3 — $22,265

The financial picture

What this hospital earns, spends on charity care, and pays its executives.

Patient revenue $854.0M CMS cost report
Charity care $1.4M 0.16% of revenue
Charge-to-payment 2.01x charges vs Medicare payment
Net income $49.0M CMS cost report
Beds 52 licensed beds

Compare these procedures nearby

See how Lonesome Pine Hospital's prices compare to other hospitals for the same procedure.

Chemotherapy Infusion First Hour Lonesome Pine Hospital: $260 See price range → Carotid Duplex Scan Lonesome Pine Hospital: $230 See price range → Coronary Stent Placement Lonesome Pine Hospital: $3,340 See price range → Echocardiogram Complete Lonesome Pine Hospital: $448 See price range → Left Heart Catheterization Lonesome Pine Hospital: $2,405 See price range → Stress Echocardiogram Lonesome Pine Hospital: $448 See price range → Skin Biopsy Punch Lonesome Pine Hospital: $75 See price range → Skin Biopsy Tangential Lonesome Pine Hospital: $39 See price range →

Other Ballad Health hospitals

Other hospitals in the Ballad Health health system that publish prices.

Johnston Memorial Hospital Abingdon, VA
3★ CMS
View profile → Russell County Hospital Lebanon, VA
3★ CMS
View profile → Smyth County Community Hospital Marion, VA
3★ CMS
View profile →

Other hospitals to compare in VA

Before you schedule, see how Lonesome Pine Hospital stacks up against these nearby options by price and quality.

Dominion Hospital Falls Church, VA
$248 avg price
View profile → Russell County Hospital Lebanon, VA
3★ CMS 72% satisfaction $380 avg price
View profile → Smyth County Community Hospital Marion, VA
3★ CMS 73% satisfaction $380 avg price
View profile → Johnston Memorial Hospital Abingdon, VA
3★ CMS 66% satisfaction $386 avg price
View profile → Buchanan General Hospital Grundy, VA
2★ CMS 80% satisfaction $744 avg price
View profile → Carilion Franklin Memorial Hospital Rocky Mount, VA
4★ CMS $852 avg price
View profile →

Help us ground-truth published prices

Did you have a procedure at Lonesome Pine Hospital? Tell us what you actually paid — anonymously. We use patient-reported prices alongside published rates so the next reader gets a clearer picture.

Tell us what you paid →

Prices from Lonesome Pine Hospital's published machine-readable file, dated Mar 2026. Quality and financial data from CMS Hospital Compare, Cost Reports, and IRS Form 990 via ProPublica, compiled August 2026. Full methodology →