Complex repair trunk 2.6-7.5cm 13101 at Johnston Memorial Hospital
16000 JOHNSTON MEMORIAL DRIVE, ABINGDON, VA · Balladhealth · · NPI 1104812684
$424.65
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.
$2,831.00
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.
$171.00 with UNITED HEALTHCARE vs $2,831.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $171.00 | ↓ -60% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $238.49 | ↓ -44% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $398.00 | ↓ -6% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $455.00 | ↑ +7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $548.90 | ↑ +29% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $548.90 | ↑ +29% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $565.37 | ↑ +33% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $570.86 | ↑ +34% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $576.35 | ↑ +36% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $589.00 | ↑ +39% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $721.10 | ↑ +70% |
| HUMANA | HUMANA MEDICARE | $721.10 | ↑ +70% |
| BLUE CROSS | BLUE CROSS MEDICARE | $721.10 | ↑ +70% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $721.10 | ↑ +70% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $721.10 | ↑ +70% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $721.10 | ↑ +70% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $721.10 | ↑ +70% |
| SENTARA HEALTH | SENTARA MEDICARE | $721.10 | ↑ +70% |
| AETNA | AETNA HEALTHCARE MEDICARE | $721.10 | ↑ +70% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $742.73 | ↑ +75% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $742.73 | ↑ +75% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $749.95 | ↑ +77% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $749.95 | ↑ +77% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $757.16 | ↑ +78% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $757.16 | ↑ +78% |
| NHC ADVANTAGE | NHC ADVANTAGE | $757.16 | ↑ +78% |
| WELLCARE | WELLCARE MEDICARE | $764.37 | ↑ +80% |
| SENTARA HEALTH | SENTARA HEALTH | $949.80 | ↑ +124% |
| MEDCOST | MEDCOST VHN | $990.85 | ↑ +133% |
| AMBETTER | AMBETTER | $1,572.00 | ↑ +270% |
| AETNA | AETNA | $1,806.18 | ↑ +325% |
| BLUE CROSS | ANTHEM EXCHANGE | $2,420.56 | ↑ +470% |
| BLUE CROSS | ANTHEM HMO | $2,774.67 | ↑ +553% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $2,831.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $2,831.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $2,831.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $2,831.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $2,831.00 | ↑ +567% |
Visitor-reported prices
Comments
Complex repair trunk 2.6-7.5cm 13101 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $1,844.50 | $612.13 – $3,508.00 |
| Inova Fairfax Hospital | Falls Church | $1,844.50 | $612.13 – $3,508.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $1,844.50 | $612.13 – $3,508.00 |
| Inova Loudoun Hospital | Leesburg | $1,844.50 | $612.13 – $3,508.00 |
| Inova Mount Vernon Hospital | Alexandria | $1,844.50 | $612.13 – $3,508.00 |
| Russell County Hospital | LEBANON | $424.65 | $238.49 – $1,572.00 |
| Sentara Martha Jefferson Hospital | Charlottesville | $848.00 | $511.00 – $3,895.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $1,039.50 | $484.00 – $3,988.00 |