Removal cerumen impacted (both sides) at Johnston Memorial Hospital
16000 JOHNSTON MEMORIAL DRIVE, ABINGDON, VA · Balladhealth · · NPI 1104812684
$46.65
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.
$311.00
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.
$15.69 with BLUE CROSS vs $207.00 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 |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE SELECT | $15.69 | ↓ -66% |
| BLUE CROSS | TENNCARE BLUE CARE | $15.69 | ↓ -66% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $39.52 | ↓ -15% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $57.56 | ↑ +23% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $57.56 | ↑ +23% |
| AETNA | AETNA HEALTHCARE MEDICARE | $57.56 | ↑ +23% |
| HUMANA | HUMANA MEDICARE | $57.56 | ↑ +23% |
| BLUE CROSS | BLUE CROSS MEDICARE | $57.56 | ↑ +23% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $57.56 | ↑ +23% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $57.56 | ↑ +23% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $57.56 | ↑ +23% |
| SENTARA HEALTH | SENTARA MEDICARE | $57.56 | ↑ +23% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $59.28 | ↑ +27% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $59.28 | ↑ +27% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $59.86 | ↑ +28% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $59.86 | ↑ +28% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $60.44 | ↑ +30% |
| NHC ADVANTAGE | NHC ADVANTAGE | $60.44 | ↑ +30% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $60.44 | ↑ +30% |
| WELLCARE | WELLCARE MEDICARE | $61.01 | ↑ +31% |
| SENTARA HEALTH | SENTARA HEALTH | $69.45 | ↑ +49% |
| MEDCOST | MEDCOST VHN | $72.45 | ↑ +55% |
| AMBETTER | AMBETTER | $125.48 | ↑ +169% |
| AETNA | AETNA | $132.07 | ↑ +183% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $171.00 | ↑ +267% |
| BLUE CROSS | ANTHEM EXCHANGE | $193.21 | ↑ +314% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $207.00 | ↑ +344% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $207.00 | ↑ +344% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $207.00 | ↑ +344% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $207.00 | ↑ +344% |
| BLUE CROSS | ANTHEM HMO | $207.00 | ↑ +344% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $207.00 | ↑ +344% |
| BLUE CROSS | BLUE CROSS S NETWORK | $207.00 | ↑ +344% |
| BLUE CROSS | BLUE CROSS P NETWORK | $207.00 | ↑ +344% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $207.00 | ↑ +344% |
Visitor-reported prices
Comments
Removal cerumen impacted (both sides) at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $263.50 | $59.40 – $1,509.00 |
| Inova Fairfax Hospital | Falls Church | $263.50 | $59.40 – $1,509.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $263.50 | $59.40 – $1,509.00 |
| Inova Loudoun Hospital | Leesburg | $263.50 | $59.40 – $1,509.00 |
| Inova Mount Vernon Hospital | Alexandria | $263.50 | $59.40 – $1,509.00 |
| Russell County Hospital | LEBANON | $46.65 | $39.52 – $125.48 |
| Sentara Martha Jefferson Hospital | Charlottesville | $209.00 | $58.71 – $2,845.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | $186.50 | $58.71 – $3,988.00 |