Ins/rpl ldless pm right vent w img & eval at Johnston Memorial Hospital
16000 JOHNSTON MEMORIAL DRIVE, ABINGDON, VA · Balladhealth · · NPI 1104812684
$6,987.45
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.
?
What you pay up front if you don't use insurance.
$46,583.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$890.00 with BLUE CROSS vs $46,583.00 with FIRST HEALTH COVENTRY — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $890.00 | ↓ -87% |
| BLUE CROSS | TENNCARE BLUE CARE | $890.00 | ↓ -87% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↓ -78% |
| CIGNA HEALTHCARE | CIGNA HMO | $2,774.00 | ↓ -60% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $2,774.00 | ↓ -60% |
| CIGNA HEALTHCARE | CIGNA PPO | $3,083.00 | ↓ -56% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $3,204.00 | ↓ -54% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $10,066.73 | ↑ +44% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $10,066.73 | ↑ +44% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $10,368.73 | ↑ +48% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $10,469.40 | ↑ +50% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $10,570.07 | ↑ +51% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $14,200.00 | ↑ +103% |
| SENTARA HEALTH | SENTARA HEALTH | $15,628.60 | ↑ +124% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $16,209.00 | ↑ +132% |
| MEDCOST | MEDCOST VHN | $16,304.05 | ↑ +133% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $16,419.00 | ↑ +135% |
| AMERIGROUP | AMERIGROUP | $17,465.96 | ↑ +150% |
| AETNA | AETNA HEALTHCARE MEDICARE | $18,793.34 | ↑ +169% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $18,793.34 | ↑ +169% |
| HUMANA | HUMANA MEDICARE | $18,793.34 | ↑ +169% |
| BLUE CROSS | BLUE CROSS MEDICARE | $18,793.34 | ↑ +169% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $18,793.34 | ↑ +169% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $18,793.34 | ↑ +169% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $18,793.34 | ↑ +169% |
| SENTARA HEALTH | SENTARA MEDICARE | $18,793.34 | ↑ +169% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $18,793.34 | ↑ +169% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $19,357.14 | ↑ +177% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $19,357.14 | ↑ +177% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $19,545.07 | ↑ +180% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $19,545.07 | ↑ +180% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $19,733.01 | ↑ +182% |
| NHC ADVANTAGE | NHC ADVANTAGE | $19,733.01 | ↑ +182% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $19,733.01 | ↑ +182% |
| WELLCARE | WELLCARE MEDICARE | $19,920.94 | ↑ +185% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $21,005.00 | ↑ +201% |
| AETNA | AETNA | $29,719.95 | ↑ +325% |
| AMBETTER | AMBETTER | $40,969.48 | ↑ +486% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $46,583.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $46,583.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $46,583.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $46,583.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $46,583.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $46,583.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $46,583.00 | ↑ +567% |
Visitor-reported prices
Comments
Ins/rpl ldless pm right vent w img & eval at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $26,483.50 | $3,689.00 – $19,834.01 |
| Inova Fairfax Hospital | Falls Church | $26,483.50 | $3,689.00 – $19,834.01 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $26,483.50 | $3,689.00 – $19,834.01 |
| Inova Loudoun Hospital | Leesburg | $26,483.50 | $3,689.00 – $19,834.01 |
| Inova Mount Vernon Hospital | Alexandria | $26,483.50 | $3,689.00 – $19,834.01 |
| Russell County Hospital | LEBANON | $6,987.45 | $10,066.84 – $40,969.48 |
| Sentara Martha Jefferson Hospital | Charlottesville | $21,890.00 | $3,338.00 – $62,241.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $24,531.00 | $3,988.00 – $19,733.01 |