Biopsy of prostate at Johnston Memorial Hospital
16000 JOHNSTON MEMORIAL DRIVE, ABINGDON, VA · Balladhealth · · NPI 1104812684
$390.30
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.
$2,602.00
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.
$96.26 with BLUE CROSS vs $2,602.00 with SEVEN CORNERS, INC. — 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 | $96.26 | ↓ -75% |
| SENTARA HEALTH | SENTARA HEALTH | $872.97 | ↑ +124% |
| MEDCOST | MEDCOST VHN | $910.70 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,009.58 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,009.58 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,207.33 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,238.55 | ↑ +217% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,316.07 | ↑ +237% |
| AETNA | AETNA | $1,660.08 | ↑ +325% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,182.77 | ↑ +459% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,182.77 | ↑ +459% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,248.25 | ↑ +476% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,270.08 | ↑ +482% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,291.91 | ↑ +487% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,602.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,602.00 | ↑ +567% |
Visitor-reported prices
Comments
Biopsy of prostate at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Russell County Hospital | LEBANON | $390.30 | $96.26 – $2,291.93 |
| Sentara Martha Jefferson Hospital | Charlottesville | $1,301.50 | $1,571.00 – $3,276.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $2,419.00 | $2,464.00 – $3,486.00 |
| Lonesome Pine Hospital | BIG STONE GAP | $390.30 | $96.26 – $2,291.91 |
| Smyth County Community Hospital | MARION | $390.30 | $96.26 – $2,270.08 |
| Sentara Halifax Regional Hospital | South Boston | $1,568.50 | not published |
| Sentara Leigh Hospital | Norfolk | $2,419.00 | $4,564.00 – $5,169.00 |
| Sentara RMH Medical Center | Harrisonburg | $1,301.50 | not published |