Intracran angioplsty w/stent at Johnston Memorial Hospital
16000 JOHNSTON MEMORIAL DRIVE, ABINGDON, VA · Balladhealth · · NPI 1104812684
$2,838.75
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.
$18,925.00
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.
$1,107.00 with UNITED HEALTHCARE vs $18,925.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,107.00 | ↓ -61% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↓ -46% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,621.00 | ↓ -43% |
| BLUE CROSS | TENNCARE BLUE SELECT | $1,733.00 | ↓ -39% |
| BLUE CROSS | TENNCARE BLUE CARE | $1,733.00 | ↓ -39% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,850.00 | ↓ -35% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,943.00 | ↓ -32% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,943.00 | ↓ -32% |
| CIGNA HEALTHCARE | CIGNA PPO | $2,160.00 | ↓ -24% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $2,246.00 | ↓ -21% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $2,397.00 | ↓ -16% |
| SENTARA HEALTH | SENTARA HEALTH | $6,349.34 | ↑ +124% |
| MEDCOST | MEDCOST VHN | $6,623.75 | ↑ +133% |
| AETNA | AETNA | $12,074.15 | ↑ +325% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $17,653.24 | ↑ +522% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $17,653.24 | ↑ +522% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $18,182.84 | ↑ +541% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $18,359.37 | ↑ +547% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $18,535.90 | ↑ +553% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $18,925.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $18,925.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $18,925.00 | ↑ +567% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $18,925.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $18,925.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $18,925.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $18,925.00 | ↑ +567% |
Visitor-reported prices
Comments
Intracran angioplsty w/stent at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $2,907.00 | $3,197.70 – $20,775.33 |
| Inova Fairfax Hospital | Falls Church | $2,907.00 | $3,197.70 – $20,775.33 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $2,907.00 | $3,197.70 – $20,775.33 |
| Inova Loudoun Hospital | Leesburg | $2,907.00 | $3,197.70 – $20,775.33 |
| Inova Mount Vernon Hospital | Alexandria | $2,907.00 | $3,197.70 – $20,775.33 |
| Russell County Hospital | LEBANON | $2,838.75 | $17,653.44 – $18,536.11 |
| Sentara Martha Jefferson Hospital | Charlottesville | $8,431.50 | $1,547.00 – $3,895.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $8,145.50 | $1,972.00 – $3,988.00 |