Rmv&rplcmt phrnc nrv stim ld at Johnston Memorial Hospital
16000 JOHNSTON MEMORIAL DRIVE, ABINGDON, VA · Balladhealth · · NPI 1104812684
$5,332.95
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.
$35,553.00
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.
$948.00 with UNITED HEALTHCARE vs $35,553.00 with BLUE CROSS — 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 | UHC HERITAGE SELECT | $948.00 | ↓ -82% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $7,181.00 | ↑ +35% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $7,930.65 | ↑ +49% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $7,930.65 | ↑ +49% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $8,168.57 | ↑ +53% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $8,247.88 | ↑ +55% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $8,327.18 | ↑ +56% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $10,806.00 | ↑ +103% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $10,871.76 | ↑ +104% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $10,871.76 | ↑ +104% |
| AETNA | AETNA HEALTHCARE MEDICARE | $10,871.76 | ↑ +104% |
| HUMANA | HUMANA MEDICARE | $10,871.76 | ↑ +104% |
| BLUE CROSS | BLUE CROSS MEDICARE | $10,871.76 | ↑ +104% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $10,871.76 | ↑ +104% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $10,871.76 | ↑ +104% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $10,871.76 | ↑ +104% |
| SENTARA HEALTH | SENTARA MEDICARE | $10,871.76 | ↑ +104% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $11,197.91 | ↑ +110% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $11,197.91 | ↑ +110% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $11,306.63 | ↑ +112% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $11,306.63 | ↑ +112% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $11,415.35 | ↑ +114% |
| NHC ADVANTAGE | NHC ADVANTAGE | $11,415.35 | ↑ +114% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $11,415.35 | ↑ +114% |
| WELLCARE | WELLCARE MEDICARE | $11,524.06 | ↑ +116% |
| SENTARA HEALTH | SENTARA HEALTH | $11,928.03 | ↑ +124% |
| MEDCOST | MEDCOST VHN | $12,443.55 | ↑ +133% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $13,794.56 | ↑ +159% |
| CIGNA HEALTHCARE | CIGNA HMO | $13,794.56 | ↑ +159% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $14,004.00 | ↑ +163% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $16,496.59 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA PPO | $17,172.10 | ↑ +222% |
| AMERIGROUP | AMERIGROUP | $18,243.98 | ↑ +242% |
| AETNA | AETNA | $22,682.81 | ↑ +325% |
| AMBETTER | AMBETTER | $23,700.43 | ↑ +344% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $24,887.10 | ↑ +367% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $35,553.00 | ↑ +567% |
| BLUE CROSS | ANTHEM HMO | $35,553.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $35,553.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS S NETWORK | $35,553.00 | ↑ +567% |
| BLUE CROSS | BLUE CROSS P NETWORK | $35,553.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $35,553.00 | ↑ +567% |
| BLUE CROSS | ANTHEM EXCHANGE | $35,553.00 | ↑ +567% |
Visitor-reported prices
Comments
Rmv&rplcmt phrnc nrv stim ld at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Russell County Hospital | LEBANON | $5,332.95 | $7,930.74 – $23,700.43 |
| Lonesome Pine Hospital | BIG STONE GAP | $5,332.95 | $8,168.56 – $26,092.22 |
| Smyth County Community Hospital | MARION | $5,332.95 | $7,930.65 – $23,700.43 |
| Dickenson Community Hospital | CLINTWOOD | $5,233.65 | $11,333.58 – $11,786.93 |
| Lee County Community Hospital | PENNINGTON GAP | $5,233.65 | $11,333.58 – $11,786.93 |
| Sentara Martha Jefferson Hospital | Charlottesville | not published | $2,670.00 – $29,725.00 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $11,089.19 – $11,415.35 |
| Sentara Leigh Hospital | Norfolk | not published | $11,089.19 – $11,415.35 |