Echo exam of fetal heart at Johnston Memorial Hospital
16000 JOHNSTON MEMORIAL DRIVE, ABINGDON, VA · Balladhealth · · NPI 1104812684
$144.00
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.
$960.00
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.
$64.60 with BLUE CROSS vs $1,162.22 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE CARE | $64.60 | ↓ -55% |
| BLUE CROSS | TENNCARE BLUE SELECT | $64.60 | ↓ -55% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $127.16 | ↓ -12% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $127.16 | ↓ -12% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $130.97 | ↓ -9% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $132.25 | ↓ -8% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $133.52 | ↓ -7% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $141.98 | ↓ -1% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $199.05 | ↑ +38% |
| SENTARA HEALTH | SENTARA HEALTH | $322.08 | ↑ +124% |
| MEDCOST | MEDCOST VHN | $336.00 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $344.37 | ↑ +139% |
| CIGNA HEALTHCARE | CIGNA HMO | $395.68 | ↑ +175% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $395.68 | ↑ +175% |
| CIGNA HEALTHCARE | CIGNA PPO | $395.68 | ↑ +175% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $469.00 | ↑ +226% |
| AMERIGROUP | AMERIGROUP | $483.38 | ↑ +236% |
| AETNA | AETNA HEALTHCARE MEDICARE | $533.13 | ↑ +270% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $533.13 | ↑ +270% |
| HUMANA | HUMANA MEDICARE | $533.13 | ↑ +270% |
| BLUE CROSS | BLUE CROSS MEDICARE | $533.13 | ↑ +270% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $533.13 | ↑ +270% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $533.13 | ↑ +270% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $533.13 | ↑ +270% |
| SENTARA HEALTH | SENTARA MEDICARE | $533.13 | ↑ +270% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $533.13 | ↑ +270% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $535.00 | ↑ +272% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $549.12 | ↑ +281% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $549.12 | ↑ +281% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $554.45 | ↑ +285% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $554.45 | ↑ +285% |
| NHC ADVANTAGE | NHC ADVANTAGE | $559.79 | ↑ +289% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $559.79 | ↑ +289% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $559.79 | ↑ +289% |
| WELLCARE | WELLCARE MEDICARE | $565.12 | ↑ +292% |
| AETNA | AETNA | $612.48 | ↑ +325% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $692.00 | ↑ +381% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $960.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $960.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $960.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $960.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $960.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $960.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $960.00 | ↑ +567% |
| AMBETTER | AMBETTER | $1,162.22 | ↑ +707% |
Visitor-reported prices
Comments
Echo exam of fetal heart at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $594.00 | $143.89 – $782.89 |
| Inova Fairfax Hospital | Falls Church | $594.00 | $143.89 – $782.89 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $594.00 | $143.89 – $782.89 |
| Inova Loudoun Hospital | Leesburg | $594.00 | $143.89 – $782.89 |
| Inova Mount Vernon Hospital | Alexandria | $594.00 | $143.89 – $782.89 |
| Russell County Hospital | LEBANON | $144.00 | $127.16 – $1,162.22 |
| Sentara Martha Jefferson Hospital | Charlottesville | $1,114.50 | $543.79 – $559.79 |
| Sentara Northern Virginia Medical Center | Woodbridge | $1,142.50 | $543.79 – $569.18 |