Ultrasound breast unilateral limited (both sides) at Johnston Memorial Hospital
16000 JOHNSTON MEMORIAL DRIVE, ABINGDON, VA · Balladhealth · · NPI 1104812684
$96.45
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.
$643.00
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.
$46.47 with BLUE CROSS vs $612.00 with UNITED HEALTHCARE — 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 | $46.47 | ↓ -52% |
| BLUE CROSS | TENNCARE BLUE CARE | $46.47 | ↓ -52% |
| AMERIGROUP | AMERIGROUP | $61.70 | ↓ -36% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $82.49 | ↓ -14% |
| AETNA | AETNA HEALTHCARE MEDICARE | $84.91 | ↓ -12% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $84.91 | ↓ -12% |
| HUMANA | HUMANA MEDICARE | $84.91 | ↓ -12% |
| BLUE CROSS | BLUE CROSS MEDICARE | $84.91 | ↓ -12% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $84.91 | ↓ -12% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $84.91 | ↓ -12% |
| MOUNTAIN EMPIRE PACE | MOUNTAIN EMPIRE PACE | $84.91 | ↓ -12% |
| SENTARA HEALTH | SENTARA MEDICARE | $84.91 | ↓ -12% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $84.91 | ↓ -12% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $87.46 | ↓ -9% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $87.46 | ↓ -9% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $88.31 | ↓ -8% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $88.31 | ↓ -8% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $89.15 | ↓ -8% |
| NHC ADVANTAGE | NHC ADVANTAGE | $89.15 | ↓ -8% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $89.15 | ↓ -8% |
| WELLCARE | WELLCARE MEDICARE | $90.00 | ↓ -7% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $99.34 | ↑ +3% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $138.67 | ↑ +44% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | $138.67 | ↑ +44% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $142.83 | ↑ +48% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $144.22 | ↑ +50% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $145.60 | ↑ +51% |
| AMBETTER | AMBETTER | $185.10 | ↑ +92% |
| SENTARA HEALTH | SENTARA HEALTH | $205.33 | ↑ +113% |
| MEDCOST | MEDCOST VHN | $214.20 | ↑ +122% |
| BLUE CROSS | ANTHEM EXCHANGE | $285.02 | ↑ +196% |
| BLUE CROSS | ANTHEM HMO | $326.72 | ↑ +239% |
| BLUE CROSS | BLUE CROSS S NETWORK | $347.57 | ↑ +260% |
| BLUE CROSS | BLUE CROSS P NETWORK | $347.57 | ↑ +260% |
| BLUE CROSS | ANTHEM PPO, TRADITIONAL INDEMNITY | $347.57 | ↑ +260% |
| AETNA | AETNA | $390.46 | ↑ +305% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $428.40 | ↑ +344% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $469.00 | ↑ +386% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $535.00 | ↑ +455% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $612.00 | ↑ +535% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $612.00 | ↑ +535% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $612.00 | ↑ +535% |
Visitor-reported prices
Comments
Ultrasound breast unilateral limited (both sides) at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $992.00 | $88.05 – $653.73 |
| Inova Fairfax Hospital | Falls Church | $992.00 | $88.05 – $653.73 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $992.00 | $88.05 – $653.73 |
| Inova Loudoun Hospital | Leesburg | $992.00 | $88.05 – $653.73 |
| Inova Mount Vernon Hospital | Alexandria | $992.00 | $88.05 – $653.73 |
| Russell County Hospital | LEBANON | $96.45 | $82.49 – $185.10 |
| Sentara Martha Jefferson Hospital | Charlottesville | $351.50 | $86.61 – $89.15 |
| Sentara Northern Virginia Medical Center | Woodbridge | $548.00 | $86.61 – $240.93 |