Ghs ot dds rom at Johnston Memorial Hospital
16000 JOHNSTON MEMORIAL DRIVE, ABINGDON, VA · Balladhealth · · NPI 1104812684
$16.80
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.
$112.00
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.
$19.36 with BLUE CROSS vs $112.00 with UNITED HEALTHCARE — 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 SELECT | $19.36 | ↑ +15% |
| BLUE CROSS | TENNCARE BLUE CARE | $19.36 | ↑ +15% |
| CIGNA HEALTHCARE | CIGNA PPO | $22.17 | ↑ +32% |
| CIGNA HEALTHCARE | CIGNA HMO | $22.17 | ↑ +32% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $22.17 | ↑ +32% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $25.61 | ↑ +52% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $25.61 | ↑ +52% |
| AETNA | AETNA HEALTHCARE MEDICARE | $25.61 | ↑ +52% |
| HUMANA | HUMANA MEDICARE | $25.61 | ↑ +52% |
| BLUE CROSS | ANTHEM EXCHANGE | $25.61 | ↑ +52% |
| BLUE CROSS | ANTHEM HMO | $25.61 | ↑ +52% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $25.61 | ↑ +52% |
| BLUE CROSS | BLUE CROSS MEDICARE | $25.61 | ↑ +52% |
| BLUE CROSS | BLUE CROSS P NETWORK | $25.61 | ↑ +52% |
| BLUE CROSS | BLUE CROSS S NETWORK | $25.61 | ↑ +52% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $25.61 | ↑ +52% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $25.61 | ↑ +52% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $25.61 | ↑ +52% |
| SENTARA HEALTH | SENTARA MEDICARE | $25.61 | ↑ +52% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $26.38 | ↑ +57% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $26.38 | ↑ +57% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $26.63 | ↑ +59% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $26.63 | ↑ +59% |
| AMERIGROUP | AMERIGROUP | $26.63 | ↑ +59% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $26.89 | ↑ +60% |
| NHC ADVANTAGE | NHC ADVANTAGE | $26.89 | ↑ +60% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $26.89 | ↑ +60% |
| WELLCARE | WELLCARE MEDICARE | $27.15 | ↑ +62% |
| SENTARA HEALTH | SENTARA HEALTH | $37.58 | ↑ +124% |
| MEDCOST | MEDCOST VHN | $39.20 | ↑ +133% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $46.00 | ↑ +174% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $51.97 | ↑ +209% |
| AMBETTER | AMBETTER | $55.83 | ↑ +232% |
| AETNA | AETNA | $71.46 | ↑ +325% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $112.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $112.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $112.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $112.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $112.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $112.00 | ↑ +567% |
Visitor-reported prices
Comments
Ghs ot dds rom at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Russell County Hospital | LEBANON | $16.80 | $22.17 – $55.83 |
| Lonesome Pine Hospital | BIG STONE GAP | $16.80 | $23.82 – $61.46 |
| Smyth County Community Hospital | MARION | $16.80 | $22.17 – $55.83 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $19.76 – $27.40 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $6.69 – $6.89 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $6.69 – $6.89 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | not published | $19.76 – $35.90 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | not published | $19.76 – $28.45 |