Gamunex-c/gammaked at Johnston Memorial Hospital
16000 JOHNSTON MEMORIAL DRIVE, ABINGDON, VA · Balladhealth · · NPI 1104812684
$5,339.28
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.
$35,595.20
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.
$33.22 with UNITED HEALTHCARE vs $1,811.52 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 | $33.22 | ↓ -99% |
| AMERIGROUP | AMERIGROUP | $41.07 | ↓ -99% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $48.28 | ↓ -99% |
| AETNA | AETNA HEALTHCARE MEDICARE | $49.08 | ↓ -99% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $49.08 | ↓ -99% |
| HUMANA | HUMANA MEDICARE | $49.08 | ↓ -99% |
| BLUE CROSS | BLUE CROSS MEDICARE | $49.08 | ↓ -99% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $49.08 | ↓ -99% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $49.08 | ↓ -99% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $49.08 | ↓ -99% |
| SENTARA HEALTH | SENTARA MEDICARE | $49.08 | ↓ -99% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $49.08 | ↓ -99% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $49.58 | ↓ -99% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $49.58 | ↓ -99% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $49.58 | ↓ -99% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $50.55 | ↓ -99% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $50.55 | ↓ -99% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $51.04 | ↓ -99% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $51.04 | ↓ -99% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $51.53 | ↓ -99% |
| NHC ADVANTAGE | NHC ADVANTAGE | $51.53 | ↓ -99% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $51.53 | ↓ -99% |
| WELLCARE | WELLCARE MEDICARE | $52.02 | ↓ -99% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $86.17 | ↓ -98% |
| BLUE CROSS | TENNCARE BLUE CARE | $104.16 | ↓ -98% |
| BLUE CROSS | TENNCARE BLUE SELECT | $104.16 | ↓ -98% |
| AMBETTER | AMBETTER | $106.99 | ↓ -98% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $114.57 | ↓ -98% |
| CIGNA HEALTHCARE | CIGNA HMO | $114.57 | ↓ -98% |
| CIGNA HEALTHCARE | CIGNA PPO | $114.57 | ↓ -98% |
| BLUE CROSS | ANTHEM EXCHANGE | $171.36 | ↓ -97% |
| BLUE CROSS | ANTHEM HMO | $171.36 | ↓ -97% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $171.36 | ↓ -97% |
| BLUE CROSS | BLUE CROSS S NETWORK | $171.36 | ↓ -97% |
| BLUE CROSS | BLUE CROSS P NETWORK | $171.36 | ↓ -97% |
| SENTARA HEALTH | SENTARA HEALTH | $607.77 | ↓ -89% |
| MEDCOST | MEDCOST VHN | $634.03 | ↓ -88% |
| AETNA | AETNA | $1,155.75 | ↓ -78% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $1,581.92 | ↓ -70% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $1,581.92 | ↓ -70% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $1,629.38 | ↓ -69% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $1,645.20 | ↓ -69% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $1,661.02 | ↓ -69% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,811.52 | ↓ -66% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,811.52 | ↓ -66% |
Visitor-reported prices
Comments
Gamunex-c/gammaked at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $2,860.00 | $41.10 – $130.06 |
| Southern Virginia Medical Center | Emporia | $23,560.42 | not published |
| Rappahannock General Hospital | Kilmarnock | $9,638.35 | not published |
| Maryview Hospital | Portsmouth | $22,311.00 | not published |
| St Mary's Hospital | Richmond | $14,100.55 | not published |
| Mary Immaculate Hospital | Newport News | $13,832.82 | not published |
| Harbour View Medical Center | Suffolk | $22,311.00 | not published |
| Richmond Community Hospital | Richmond | $3,578.69 | not published |