Mitochondrial gene at Johnston Memorial Hospital
16000 JOHNSTON MEMORIAL DRIVE, ABINGDON, VA · Balladhealth · · NPI 1104812684
$4,265.70
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.
$28,438.00
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.
$1,662.00 with AMERIGROUP vs $28,438.00 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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $1,662.00 | ↓ -61% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $2,461.97 | ↓ -42% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,461.97 | ↓ -42% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,535.83 | ↓ -41% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,560.45 | ↓ -40% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,585.07 | ↓ -39% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $2,991.60 | ↓ -30% |
| BLUE CROSS | TENNCARE BLUE CARE | $3,132.65 | ↓ -27% |
| BLUE CROSS | TENNCARE BLUE SELECT | $3,132.65 | ↓ -27% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,324.00 | ↓ -22% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $3,324.00 | ↓ -22% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $3,324.00 | ↓ -22% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,324.00 | ↓ -22% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,324.00 | ↓ -22% |
| HUMANA | HUMANA MEDICARE | $3,324.00 | ↓ -22% |
| BLUE CROSS | ANTHEM EXCHANGE | $3,324.00 | ↓ -22% |
| BLUE CROSS | ANTHEM HMO | $3,324.00 | ↓ -22% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $3,324.00 | ↓ -22% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,324.00 | ↓ -22% |
| BLUE CROSS | BLUE CROSS P NETWORK | $3,324.00 | ↓ -22% |
| BLUE CROSS | BLUE CROSS S NETWORK | $3,324.00 | ↓ -22% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,324.00 | ↓ -22% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,324.00 | ↓ -22% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $3,324.00 | ↓ -22% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,324.00 | ↓ -22% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,324.00 | ↓ -22% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,423.72 | ↓ -20% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,423.72 | ↓ -20% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,456.96 | ↓ -19% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,456.96 | ↓ -19% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,490.20 | ↓ -18% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,490.20 | ↓ -18% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,490.20 | ↓ -18% |
| WELLCARE | WELLCARE MEDICARE | $3,523.44 | ↓ -17% |
| AMBETTER | AMBETTER | $7,246.32 | ↑ +70% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $7,326.78 | ↑ +72% |
| SENTARA HEALTH | SENTARA HEALTH | $9,540.95 | ↑ +124% |
| MEDCOST | MEDCOST VHN | $9,953.30 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA HMO | $11,033.94 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $11,033.94 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA PPO | $13,735.55 | ↑ +222% |
| AETNA | AETNA | $18,143.44 | ↑ +325% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $19,906.60 | ↑ +367% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $28,438.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $28,438.00 | ↑ +567% |
Visitor-reported prices
Comments
Mitochondrial gene at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Russell County Hospital | LEBANON | $4,265.70 | $2,462.00 – $7,246.32 |
| Lonesome Pine Hospital | BIG STONE GAP | $4,265.70 | $1,662.00 – $7,977.60 |
| Smyth County Community Hospital | MARION | $4,265.70 | $2,461.97 – $7,246.32 |
| Dickenson Community Hospital | CLINTWOOD | $4,186.00 | $2,991.60 – $7,326.78 |
| Lee County Community Hospital | PENNINGTON GAP | $4,186.00 | $2,991.60 – $7,326.78 |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $3,324.00 – $4,819.80 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $3,390.48 – $3,988.80 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $1,994.40 – $3,481.89 |