Initiation & management bipap/cpap initial day at Johnston Memorial Hospital
16000 JOHNSTON MEMORIAL DRIVE, ABINGDON, VA · Balladhealth · · NPI 1104812684
$234.75
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.
$1,565.00
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.
$56.16 with BLUE CROSS vs $1,565.00 with FIRST HEALTH COVENTRY — 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 | $56.16 | ↓ -76% |
| BLUE CROSS | TENNCARE BLUE CARE | $56.16 | ↓ -76% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $59.17 | ↓ -75% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $88.92 | ↓ -62% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $109.48 | ↓ -53% |
| CIGNA HEALTHCARE | CIGNA PPO | $109.48 | ↓ -53% |
| CIGNA HEALTHCARE | CIGNA HMO | $109.48 | ↓ -53% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $180.88 | ↓ -23% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $180.88 | ↓ -23% |
| AMERIGROUP | AMERIGROUP | $185.10 | ↓ -21% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $186.31 | ↓ -21% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $188.12 | ↓ -20% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $189.92 | ↓ -19% |
| AETNA | AETNA HEALTHCARE MEDICARE | $213.65 | ↓ -9% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $213.65 | ↓ -9% |
| HUMANA | HUMANA MEDICARE | $213.65 | ↓ -9% |
| BLUE CROSS | BLUE CROSS MEDICARE | $213.65 | ↓ -9% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $213.65 | ↓ -9% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $213.65 | ↓ -9% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $213.65 | ↓ -9% |
| SENTARA HEALTH | SENTARA MEDICARE | $213.65 | ↓ -9% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $213.65 | ↓ -9% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $219.00 | ↓ -7% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $220.06 | ↓ -6% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $220.06 | ↓ -6% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $222.20 | ↓ -5% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $222.20 | ↓ -5% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $224.34 | ↓ -4% |
| NHC ADVANTAGE | NHC ADVANTAGE | $224.34 | ↓ -4% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $224.34 | ↓ -4% |
| WELLCARE | WELLCARE MEDICARE | $226.47 | ↓ -4% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $244.00 | ↑ +4% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $363.00 | ↑ +55% |
| AMBETTER | AMBETTER | $465.76 | ↑ +98% |
| SENTARA HEALTH | SENTARA HEALTH | $525.06 | ↑ +124% |
| MEDCOST | MEDCOST VHN | $547.75 | ↑ +133% |
| BLUE CROSS | ANTHEM EXCHANGE | $717.18 | ↑ +206% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $726.16 | ↑ +209% |
| BLUE CROSS | ANTHEM HMO | $822.10 | ↑ +250% |
| BLUE CROSS | BLUE CROSS P NETWORK | $874.57 | ↑ +273% |
| BLUE CROSS | BLUE CROSS S NETWORK | $874.57 | ↑ +273% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $874.57 | ↑ +273% |
| AETNA | AETNA | $998.47 | ↑ +325% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,565.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,565.00 | ↑ +567% |
Visitor-reported prices
Comments
Initiation & management bipap/cpap initial day at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $584.50 | $203.39 – $735.42 |
| Inova Fairfax Hospital | Falls Church | $584.50 | $203.39 – $735.42 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $584.50 | $203.39 – $735.42 |
| Inova Loudoun Hospital | Leesburg | $584.50 | $203.39 – $735.42 |
| Inova Mount Vernon Hospital | Alexandria | $584.50 | $203.39 – $735.42 |
| Russell County Hospital | LEBANON | $234.75 | $59.17 – $465.76 |
| Sentara Martha Jefferson Hospital | Charlottesville | $251.50 | $217.93 – $224.34 |
| Sentara Northern Virginia Medical Center | Woodbridge | $507.50 | $217.93 – $224.34 |