CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Johnston Memorial Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$108
about 0.8× the $136 Medicare rate · typically $102–$121
modeled estimate · not a bill or quote
What this hospital charges insurers
$109
About the fair price
about $1 over the fair price · 0.8× Medicare
Medicare pays $136 Fair price $108 This hospital $109 Cash price $42 Hospital's list price $278

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

Highest price of the 9 VA hospitals we have prices for — worth calling around.

Cheapest $86 Priciest $109

Black dot = this hospital, among the 9 VA hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (30-39 min) is about $108 (about 0.8× the $136 Medicare rate). Johnston Memorial Hospital charges insurers about $109, or about $42 in cash — about the fair price. Located in Abingdon, VA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $86 - $109 63%
Blue Cross Blue Shieldmajor $56 - $133 41%
Aetnamajor $177 131%
Cignamajor $108 - $132 80%
Sentara $93 69%
+ 1 smaller / regional plan $278
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 16000 Johnston Memorial Drive, Abingdon, VA 24211
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals