Special physics consult at Johnston Memorial Hospital
16000 JOHNSTON MEMORIAL DRIVE, ABINGDON, VA · Balladhealth · · NPI 1104812684
$175.05
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.
$1,167.00
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.
$96.80 with UNITED HEALTHCARE vs $1,167.00 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 |
|---|---|---|---|
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $96.80 | ↓ -45% |
| BLUE CROSS | TENNCARE BLUE SELECT | $114.69 | ↓ -34% |
| BLUE CROSS | TENNCARE BLUE CARE | $114.69 | ↓ -34% |
| AMERIGROUP | AMERIGROUP | $124.50 | ↓ -29% |
| AETNA | AETNA HEALTHCARE MEDICARE | $131.14 | ↓ -25% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $131.14 | ↓ -25% |
| HUMANA | HUMANA MEDICARE | $131.14 | ↓ -25% |
| BLUE CROSS | BLUE CROSS MEDICARE | $131.14 | ↓ -25% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $131.14 | ↓ -25% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $131.14 | ↓ -25% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $131.14 | ↓ -25% |
| SENTARA HEALTH | SENTARA MEDICARE | $131.14 | ↓ -25% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $131.14 | ↓ -25% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $135.07 | ↓ -23% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $135.07 | ↓ -23% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $136.39 | ↓ -22% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $136.39 | ↓ -22% |
| NHC ADVANTAGE | NHC ADVANTAGE | $137.70 | ↓ -21% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $137.70 | ↓ -21% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $137.70 | ↓ -21% |
| WELLCARE | WELLCARE MEDICARE | $139.01 | ↓ -21% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $151.97 | ↓ -13% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $151.97 | ↓ -13% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $156.53 | ↓ -11% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $158.05 | ↓ -10% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $159.57 | ↓ -9% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $227.72 | ↑ +30% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $229.38 | ↑ +31% |
| AMBETTER | AMBETTER | $285.89 | ↑ +63% |
| CIGNA HEALTHCARE | CIGNA PPO | $313.95 | ↑ +79% |
| CIGNA HEALTHCARE | CIGNA HMO | $313.95 | ↑ +79% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $313.95 | ↑ +79% |
| SENTARA HEALTH | SENTARA HEALTH | $391.53 | ↑ +124% |
| MEDCOST | MEDCOST VHN | $408.45 | ↑ +133% |
| BLUE CROSS | ANTHEM EXCHANGE | $440.22 | ↑ +151% |
| BLUE CROSS | ANTHEM HMO | $504.62 | ↑ +188% |
| BLUE CROSS | BLUE CROSS S NETWORK | $536.83 | ↑ +207% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $536.83 | ↑ +207% |
| BLUE CROSS | BLUE CROSS P NETWORK | $536.83 | ↑ +207% |
| AETNA | AETNA | $744.55 | ↑ +325% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $1,167.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $1,167.00 | ↑ +567% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $1,167.00 | ↑ +567% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $1,167.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $1,167.00 | ↑ +567% |
Visitor-reported prices
Comments
Special physics consult at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $600.00 | $132.77 – $790.80 |
| Inova Fairfax Hospital | Falls Church | $600.00 | $132.77 – $790.80 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $600.00 | $132.77 – $790.80 |
| Inova Loudoun Hospital | Leesburg | $600.00 | $132.77 – $790.80 |
| Inova Mount Vernon Hospital | Alexandria | $600.00 | $132.77 – $790.80 |
| Russell County Hospital | LEBANON | $175.05 | $96.80 – $285.89 |
| Sentara Martha Jefferson Hospital | Charlottesville | $673.50 | $133.76 – $137.70 |
| Sentara Northern Virginia Medical Center | Woodbridge | $575.50 | $133.76 – $496.61 |