Surgical pathology level 2 gross & microscopic examination at Johnston Memorial Hospital
16000 JOHNSTON MEMORIAL DRIVE, ABINGDON, VA · Balladhealth · · NPI 1104812684
$39.60
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.
?
What you pay up front if you don't use insurance.
$264.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$15.18 with AMERIGROUP vs $264.00 with FIRST HEALTH COVENTRY — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| AMERIGROUP | AMERIGROUP | $15.18 | ↓ -62% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $15.37 | ↓ -61% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $21.81 | ↓ -45% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $22.99 | ↓ -42% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $22.99 | ↓ -42% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $22.99 | ↓ -42% |
| AETNA | AETNA HEALTHCARE MEDICARE | $36.44 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $36.44 | ↓ -8% |
| HUMANA | HUMANA MEDICARE | $36.44 | ↓ -8% |
| BLUE CROSS | BLUE CROSS MEDICARE | $36.44 | ↓ -8% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $36.44 | ↓ -8% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $36.44 | ↓ -8% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $36.44 | ↓ -8% |
| SENTARA HEALTH | SENTARA MEDICARE | $36.44 | ↓ -8% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $36.44 | ↓ -8% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $37.54 | ↓ -5% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $37.54 | ↓ -5% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $37.90 | ↓ -4% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $37.90 | ↓ -4% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $38.26 | ↓ -3% |
| NHC ADVANTAGE | NHC ADVANTAGE | $38.26 | ↓ -3% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $38.26 | ↓ -3% |
| WELLCARE | WELLCARE MEDICARE | $38.63 | ↓ -2% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $41.43 | ↑ +5% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $41.43 | ↑ +5% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $42.67 | ↑ +8% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $43.09 | ↑ +9% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $43.50 | ↑ +10% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $57.46 | ↑ +45% |
| AMBETTER | AMBETTER | $79.45 | ↑ +101% |
| SENTARA HEALTH | SENTARA HEALTH | $88.57 | ↑ +124% |
| MEDCOST | MEDCOST VHN | $92.40 | ↑ +133% |
| BLUE CROSS | ANTHEM EXCHANGE | $122.32 | ↑ +209% |
| CIGNA HEALTHCARE | CIGNA HMO | $137.00 | ↑ +246% |
| CIGNA HEALTHCARE | CIGNA PPO | $137.00 | ↑ +246% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $137.00 | ↑ +246% |
| BLUE CROSS | ANTHEM HMO | $140.21 | ↑ +254% |
| BLUE CROSS | BLUE CROSS S NETWORK | $149.16 | ↑ +277% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $149.16 | ↑ +277% |
| BLUE CROSS | BLUE CROSS P NETWORK | $149.16 | ↑ +277% |
| AETNA | AETNA | $168.43 | ↑ +325% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $264.00 | ↑ +567% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $264.00 | ↑ +567% |
Visitor-reported prices
Comments
Surgical pathology level 2 gross & microscopic examination at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $103.00 | $24.67 – $139.26 |
| Inova Alexandria Hospital | Alexandria | $115.00 | $25.23 – $144.69 |
| Inova Fairfax Hospital | Falls Church | $115.00 | $25.23 – $144.69 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $115.00 | $25.23 – $144.69 |
| Inova Loudoun Hospital | Leesburg | $115.00 | $25.23 – $144.69 |
| Inova Mount Vernon Hospital | Alexandria | $115.00 | $25.23 – $144.69 |
| Russell County Hospital | LEBANON | $39.60 | $15.37 – $79.45 |
| Sentara Martha Jefferson Hospital | Charlottesville | $116.00 | $14.14 – $38.26 |