Ins lv lead exist pm/icd at Johnston Memorial Hospital
16000 JOHNSTON MEMORIAL DRIVE, ABINGDON, VA · Balladhealth · · NPI 1104812684
$2,714.40
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.
$18,096.00
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.
$502.02 with BLUE CROSS vs $22,231.32 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 | BLUE CROSS BALLAD HEALTH EMPLOYEE | $502.02 | ↓ -82% |
| SENTARA HEALTH | SENTARA HEALTH | $6,071.21 | ↑ +124% |
| MEDCOST | MEDCOST VHN | $6,333.60 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA HMO | $7,021.25 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $7,021.25 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $8,396.54 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $8,740.37 | ↑ +222% |
| AMERIGROUP | AMERIGROUP | $9,681.70 | ↑ +257% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $9,883.00 | ↑ +264% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $10,066.73 | ↑ +271% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $10,066.73 | ↑ +271% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $10,197.85 | ↑ +276% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $10,197.85 | ↑ +276% |
| AETNA | AETNA HEALTHCARE MEDICARE | $10,197.85 | ↑ +276% |
| HUMANA | HUMANA MEDICARE | $10,197.85 | ↑ +276% |
| BLUE CROSS | BLUE CROSS MEDICARE | $10,197.85 | ↑ +276% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $10,197.85 | ↑ +276% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $10,197.85 | ↑ +276% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $10,197.85 | ↑ +276% |
| SENTARA HEALTH | SENTARA MEDICARE | $10,197.85 | ↑ +276% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $10,368.73 | ↑ +282% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $10,469.40 | ↑ +286% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $10,503.79 | ↑ +287% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $10,503.79 | ↑ +287% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $10,570.07 | ↑ +289% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $10,605.77 | ↑ +291% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $10,605.77 | ↑ +291% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $10,707.75 | ↑ +294% |
| NHC ADVANTAGE | NHC ADVANTAGE | $10,707.75 | ↑ +294% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $10,707.75 | ↑ +294% |
| WELLCARE | WELLCARE MEDICARE | $10,809.72 | ↑ +298% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $11,360.00 | ↑ +319% |
| AETNA | AETNA | $11,545.25 | ↑ +325% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $12,967.00 | ↑ +378% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $16,803.00 | ↑ +519% |
| BLUE CROSS | BLUE CROSS P NETWORK | $18,096.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $18,096.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $18,096.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $18,096.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $18,096.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $18,096.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $18,096.00 | ↑ +567% |
| AMBETTER | AMBETTER | $22,231.32 | ↑ +719% |
Visitor-reported prices
Comments
Ins lv lead exist pm/icd at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $4,736.50 | $7,388.94 – $12,868.00 |
| Inova Fairfax Hospital | Falls Church | $4,736.50 | $7,388.94 – $12,868.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $4,736.50 | $7,388.94 – $12,868.00 |
| Inova Loudoun Hospital | Leesburg | $4,736.50 | $7,388.94 – $12,868.00 |
| Inova Mount Vernon Hospital | Alexandria | $4,736.50 | $7,388.94 – $12,868.00 |
| Russell County Hospital | LEBANON | $2,714.40 | $502.02 – $22,231.32 |
| Sentara Martha Jefferson Hospital | Charlottesville | $5,255.50 | $3,304.00 – $10,682.25 |
| Sentara Northern Virginia Medical Center | Woodbridge | $8,029.50 | $3,988.00 – $10,707.75 |