Aep thrshld est mlt freq i&r at Johnston Memorial Hospital
16000 JOHNSTON MEMORIAL DRIVE, ABINGDON, VA · Balladhealth · · NPI 1104812684
$125.55
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.
$837.00
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.
$101.49 with UNITED HEALTHCARE vs $837.00 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 | UNITED HEALTHCARE MEDICAID VIRGINIA | $101.49 | ↓ -19% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $101.49 | ↓ -19% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $104.53 | ↓ -17% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $105.55 | ↓ -16% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $106.56 | ↓ -15% |
| BLUE CROSS | TENNCARE BLUE SELECT | $112.33 | ↓ -11% |
| BLUE CROSS | TENNCARE BLUE CARE | $112.33 | ↓ -11% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $188.00 | ↑ +50% |
| AETNA | AETNA HEALTHCARE MEDICARE | $210.67 | ↑ +68% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $210.67 | ↑ +68% |
| HUMANA | HUMANA MEDICARE | $210.67 | ↑ +68% |
| BLUE CROSS | BLUE CROSS MEDICARE | $210.67 | ↑ +68% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $210.67 | ↑ +68% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $210.67 | ↑ +68% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $210.67 | ↑ +68% |
| SENTARA HEALTH | SENTARA MEDICARE | $210.67 | ↑ +68% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $210.67 | ↑ +68% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $215.00 | ↑ +71% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $216.99 | ↑ +73% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $216.99 | ↑ +73% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $219.10 | ↑ +75% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $219.10 | ↑ +75% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $221.21 | ↑ +76% |
| NHC ADVANTAGE | NHC ADVANTAGE | $221.21 | ↑ +76% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $221.21 | ↑ +76% |
| WELLCARE | WELLCARE MEDICARE | $223.31 | ↑ +78% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $238.01 | ↑ +90% |
| AMERIGROUP | AMERIGROUP | $247.14 | ↑ +97% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $279.00 | ↑ +122% |
| SENTARA HEALTH | SENTARA HEALTH | $280.81 | ↑ +124% |
| MEDCOST | MEDCOST VHN | $292.95 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $324.76 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $324.76 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $388.37 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $404.27 | ↑ +222% |
| AMBETTER | AMBETTER | $459.27 | ↑ +266% |
| AETNA | AETNA | $534.01 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $585.90 | ↑ +367% |
| BLUE CROSS | ANTHEM EXCHANGE | $707.19 | ↑ +463% |
| BLUE CROSS | ANTHEM HMO | $810.64 | ↑ +546% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $837.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $837.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $837.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $837.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $837.00 | ↑ +567% |
Visitor-reported prices
Comments
Aep thrshld est mlt freq i&r at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $509.00 | $114.85 – $640.42 |
| Inova Fairfax Hospital | Falls Church | $509.00 | $114.85 – $640.42 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $509.00 | $114.85 – $640.42 |
| Inova Loudoun Hospital | Leesburg | $509.00 | $114.85 – $640.42 |
| Inova Mount Vernon Hospital | Alexandria | $509.00 | $114.85 – $640.42 |
| Russell County Hospital | LEBANON | $125.55 | $101.49 – $459.27 |
| Sentara Martha Jefferson Hospital | Charlottesville | $746.50 | $214.89 – $221.21 |
| Sentara Northern Virginia Medical Center | Woodbridge | $916.50 | $214.89 – $221.21 |