Boot j walker l at Johnston Memorial Hospital
16000 JOHNSTON MEMORIAL DRIVE, ABINGDON, VA · Balladhealth · · NPI 1104812684
$86.25
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.
$575.00
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.
$92.00 with UNITED HEALTHCARE vs $582.34 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 | UHC HERITAGE SELECT | $92.00 | ↑ +7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $100.05 | ↑ +16% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $104.65 | ↑ +21% |
| BLUE CROSS | BLUE CROSS P NETWORK | $190.16 | ↑ +120% |
| BLUE CROSS | ANTHEM EXCHANGE | $190.16 | ↑ +120% |
| BLUE CROSS | ANTHEM HMO | $190.16 | ↑ +120% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $190.16 | ↑ +120% |
| BLUE CROSS | BLUE CROSS S NETWORK | $190.16 | ↑ +120% |
| SENTARA HEALTH | SENTARA HEALTH | $192.91 | ↑ +124% |
| MEDCOST | MEDCOST VHN | $201.25 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA HMO | $201.83 | ↑ +134% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $201.83 | ↑ +134% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $230.00 | ↑ +167% |
| CIGNA HEALTHCARE | CIGNA PPO | $258.18 | ↑ +199% |
| AETNA | AETNA HEALTHCARE MEDICARE | $267.13 | ↑ +210% |
| HUMANA | HUMANA MEDICARE | $267.13 | ↑ +210% |
| SENTARA HEALTH | SENTARA MEDICARE | $267.13 | ↑ +210% |
| BLUE CROSS | BLUE CROSS MEDICARE | $267.13 | ↑ +210% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $267.13 | ↑ +210% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $267.13 | ↑ +210% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $267.13 | ↑ +210% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $267.13 | ↑ +210% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $267.13 | ↑ +210% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $275.14 | ↑ +219% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $275.14 | ↑ +219% |
| AMERIGROUP | AMERIGROUP | $277.81 | ↑ +222% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $277.81 | ↑ +222% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $277.81 | ↑ +222% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $280.48 | ↑ +225% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $280.48 | ↑ +225% |
| NHC ADVANTAGE | NHC ADVANTAGE | $280.48 | ↑ +225% |
| WELLCARE | WELLCARE MEDICARE | $283.16 | ↑ +228% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $287.50 | ↑ +233% |
| AETNA | AETNA | $366.85 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $575.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $575.00 | ↑ +567% |
| AMBETTER | AMBETTER | $582.34 | ↑ +575% |
Visitor-reported prices
Comments
Boot j walker l at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Russell County Hospital | LEBANON | $86.25 | $190.16 – $582.34 |
| Sentara Martha Jefferson Hospital | Charlottesville | $123.68 | not published |
| Sentara Northern Virginia Medical Center | Woodbridge | $128.86 | not published |
| Lonesome Pine Hospital | BIG STONE GAP | $86.25 | $190.16 – $582.34 |
| Smyth County Community Hospital | MARION | $86.25 | $190.16 – $582.34 |
| Sentara Halifax Regional Hospital | South Boston | $128.86 | not published |
| Sentara Leigh Hospital | Norfolk | $128.86 | $193.96 – $199.67 |
| Sentara RMH Medical Center | Harrisonburg | $123.68 | $193.96 – $199.67 |