Pulse ox single at Johnston Memorial Hospital
16000 JOHNSTON MEMORIAL DRIVE, ABINGDON, VA · Balladhealth · · NPI 1104812684
$21.00
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.
$140.00
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.
$9.08 with BLUE CROSS vs $140.00 with UNITED HEALTHCARE — 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 CARE | $9.08 | ↓ -57% |
| BLUE CROSS | TENNCARE BLUE SELECT | $9.08 | ↓ -57% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $10.50 | ↓ -50% |
| SENTARA HEALTH | SENTARA HEALTH | $46.97 | ↑ +124% |
| MEDCOST | MEDCOST VHN | $49.00 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $54.32 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $54.32 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $64.96 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $67.62 | ↑ +222% |
| AETNA | AETNA | $89.32 | ↑ +325% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $140.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $140.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $140.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $140.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $140.00 | ↑ +567% |
Visitor-reported prices
Comments
Pulse ox single at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $36.00 | $8.70 – $823.00 |
| Inova Fairfax Hospital | Falls Church | $36.00 | $8.70 – $616.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $36.00 | $8.70 – $823.00 |
| Inova Loudoun Hospital | Leesburg | $36.00 | $8.70 – $823.00 |
| Inova Mount Vernon Hospital | Alexandria | $36.00 | $8.70 – $823.00 |
| Russell County Hospital | LEBANON | $21.00 | $10.50 – $140.00 |
| Sentara Martha Jefferson Hospital | Charlottesville | $38.50 | not published |
| Sentara Northern Virginia Medical Center | Woodbridge | $89.50 | not published |