Mapping functional cort/subcort ea add'l hr at Johnston Memorial Hospital
16000 JOHNSTON MEMORIAL DRIVE, ABINGDON, VA · Balladhealth · · NPI 1104812684
$236.10
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.
$1,574.00
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.
$45.82 with BLUE CROSS vs $1,574.00 with SEVEN CORNERS, INC. — 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 | $45.82 | ↓ -81% |
| BLUE CROSS | TENNCARE BLUE CARE | $45.82 | ↓ -81% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $52.04 | ↓ -78% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $166.60 | ↓ -29% |
| CIGNA HEALTHCARE | CIGNA PPO | $207.12 | ↓ -12% |
| CIGNA HEALTHCARE | CIGNA HMO | $207.12 | ↓ -12% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $207.12 | ↓ -12% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $473.77 | ↑ +101% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $473.77 | ↑ +101% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $487.98 | ↑ +107% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $492.72 | ↑ +109% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $497.46 | ↑ +111% |
| SENTARA HEALTH | SENTARA HEALTH | $528.08 | ↑ +124% |
| MEDCOST | MEDCOST VHN | $550.90 | ↑ +133% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $665.00 | ↑ +182% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $730.34 | ↑ +209% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $760.00 | ↑ +222% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $986.00 | ↑ +318% |
| AETNA | AETNA | $1,004.21 | ↑ +325% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,574.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,574.00 | ↑ +567% |
Visitor-reported prices
Comments
Mapping functional cort/subcort ea add'l hr at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $2,133.50 | $497.00 – $2,684.37 |
| Inova Fairfax Hospital | Falls Church | $2,133.50 | $536.11 – $2,684.37 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $2,133.50 | $497.00 – $2,684.37 |
| Inova Loudoun Hospital | Leesburg | $2,133.50 | $497.00 – $2,684.37 |
| Inova Mount Vernon Hospital | Alexandria | $2,133.50 | $497.00 – $2,684.37 |
| Russell County Hospital | LEBANON | $236.10 | $52.04 – $497.46 |
| Sentara Martha Jefferson Hospital | Charlottesville | $246.00 | not published |
| Sentara Northern Virginia Medical Center | Woodbridge | $671.50 | not published |