App high cost ss t/a/l >100sq cm 1st 100sq cm at Johnston Memorial Hospital
16000 JOHNSTON MEMORIAL DRIVE, ABINGDON, VA · Balladhealth · · NPI 1104812684
$860.70
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.
$5,738.00
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.
$1,557.76 with AMERIGROUP vs $5,738.00 with FIRST HEALTH COVENTRY — 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $1,557.76 | ↑ +81% |
| SENTARA HEALTH | SENTARA HEALTH | $1,925.10 | ↑ +124% |
| MEDCOST | MEDCOST VHN | $2,008.30 | ↑ +133% |
| AETNA | AETNA HEALTHCARE MEDICARE | $2,013.11 | ↑ +134% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $2,013.11 | ↑ +134% |
| HUMANA | HUMANA MEDICARE | $2,013.11 | ↑ +134% |
| BLUE CROSS | BLUE CROSS MEDICARE | $2,013.11 | ↑ +134% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $2,013.11 | ↑ +134% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $2,013.11 | ↑ +134% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $2,013.11 | ↑ +134% |
| SENTARA HEALTH | SENTARA MEDICARE | $2,013.11 | ↑ +134% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $2,013.11 | ↑ +134% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $2,071.39 | ↑ +141% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $2,073.50 | ↑ +141% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $2,073.50 | ↑ +141% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $2,093.64 | ↑ +143% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $2,093.64 | ↑ +143% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $2,113.77 | ↑ +146% |
| NHC ADVANTAGE | NHC ADVANTAGE | $2,113.77 | ↑ +146% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $2,113.77 | ↑ +146% |
| WELLCARE | WELLCARE MEDICARE | $2,133.90 | ↑ +148% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,134.54 | ↑ +148% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,226.34 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,226.34 | ↑ +159% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $2,243.56 | ↑ +161% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $2,243.56 | ↑ +161% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,464.52 | ↑ +186% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,464.52 | ↑ +186% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,538.46 | ↑ +195% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,563.10 | ↑ +198% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,587.75 | ↑ +201% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $2,662.43 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,731.29 | ↑ +217% |
| AETNA | AETNA | $3,660.84 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $4,016.60 | ↑ +367% |
| AMBETTER | AMBETTER | $4,388.58 | ↑ +410% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $5,738.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $5,738.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $5,738.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $5,738.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $5,738.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $5,738.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $5,738.00 | ↑ +567% |
Visitor-reported prices
Comments
App high cost ss t/a/l >100sq cm 1st 100sq cm at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $7,657.00 | $2,067.00 – $5,515.00 |
| Inova Fairfax Hospital | Falls Church | $7,657.00 | $2,067.00 – $5,515.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $7,657.00 | $2,067.00 – $5,515.00 |
| Inova Loudoun Hospital | Leesburg | $7,657.00 | $2,067.00 – $5,515.00 |
| Inova Mount Vernon Hospital | Alexandria | $7,657.00 | $2,067.00 – $5,515.00 |
| Russell County Hospital | LEBANON | $860.70 | $2,013.11 – $4,388.58 |
| Sentara Martha Jefferson Hospital | Charlottesville | $5,539.50 | $1,010.00 – $8,246.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $5,351.50 | $2,053.37 – $4,039.00 |