Screening Mammogram at Johnston Memorial Hospital
16000 JOHNSTON MEMORIAL DRIVE, ABINGDON, VA · Balladhealth · · NPI 1104812684
$74.10
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.
$494.00
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.
$29.80 with OPTIMA HEALTH vs $469.00 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 |
|---|---|---|---|
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $29.80 | ↓ -60% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $29.80 | ↓ -60% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $30.69 | ↓ -59% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $30.99 | ↓ -58% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $31.29 | ↓ -58% |
| BLUE CROSS | TENNCARE BLUE SELECT | $85.10 | ↑ +15% |
| BLUE CROSS | TENNCARE BLUE CARE | $85.10 | ↑ +15% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $89.54 | ↑ +21% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $89.54 | ↑ +21% |
| AETNA | AETNA HEALTHCARE MEDICARE | $89.54 | ↑ +21% |
| HUMANA | HUMANA MEDICARE | $89.54 | ↑ +21% |
| BLUE CROSS | ANTHEM EXCHANGE | $89.54 | ↑ +21% |
| BLUE CROSS | ANTHEM HMO | $89.54 | ↑ +21% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $89.54 | ↑ +21% |
| BLUE CROSS | BLUE CROSS MEDICARE | $89.54 | ↑ +21% |
| BLUE CROSS | BLUE CROSS P NETWORK | $89.54 | ↑ +21% |
| BLUE CROSS | BLUE CROSS S NETWORK | $89.54 | ↑ +21% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $89.54 | ↑ +21% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $89.54 | ↑ +21% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $89.54 | ↑ +21% |
| SENTARA HEALTH | SENTARA MEDICARE | $89.54 | ↑ +21% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $91.37 | ↑ +23% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $92.23 | ↑ +24% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $92.23 | ↑ +24% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $93.12 | ↑ +26% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $93.12 | ↑ +26% |
| AMERIGROUP | AMERIGROUP | $93.12 | ↑ +26% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $94.02 | ↑ +27% |
| NHC ADVANTAGE | NHC ADVANTAGE | $94.02 | ↑ +27% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $94.02 | ↑ +27% |
| WELLCARE | WELLCARE MEDICARE | $94.91 | ↑ +28% |
| SENTARA HEALTH | SENTARA HEALTH | $157.35 | ↑ +112% |
| MEDCOST | MEDCOST VHN | $164.15 | ↑ +122% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $173.25 | ↑ +134% |
| AMBETTER | AMBETTER | $195.20 | ↑ +163% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $255.00 | ↑ +244% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $290.00 | ↑ +291% |
| AETNA | AETNA | $299.22 | ↑ +304% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $328.30 | ↑ +343% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $377.00 | ↑ +409% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $469.00 | ↑ +533% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $469.00 | ↑ +533% |
Visitor-reported prices
Comments
Screening Mammogram at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $345.50 | $67.44 – $455.37 |
| Inova Fairfax Hospital | Falls Church | $345.50 | $67.44 – $455.37 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $345.50 | $67.44 – $455.37 |
| Inova Loudoun Hospital | Leesburg | $345.50 | $67.44 – $455.37 |
| Inova Mount Vernon Hospital | Alexandria | $345.50 | $67.44 – $455.37 |
| Russell County Hospital | LEBANON | $74.10 | $29.80 – $195.20 |
| Sentara Martha Jefferson Hospital | Charlottesville | $307.50 | $91.33 – $94.02 |
| Sentara Northern Virginia Medical Center | Woodbridge | $415.00 | $91.33 – $281.93 |