How many shoppable procedure prices are published for Johnston Memorial Hospital?

Johnston Memorial Hospital in Abingdon, VA currently has 103 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Johnston Memorial Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Johnston Memorial Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Johnston Memorial Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Johnston Memorial Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 100 Beds · urban Updated: 2026-03-23

Johnston Memorial Hospital

16000 Johnston Memorial Drive, Abingdon, VA 24211 · 103 Priced Procedures · 64% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

0.97×vs. Fair Market Price

Typical commercial prices here are 3% below the fair benchmark (0.97×) after accounting for local nurse/doctor wages and patient complexity.

85/100 · Verified

85/100Self-Pay Cash Beats Insurance 65% of the Time

File Completeness66

Price Logic98

Peer Alignment79

Clean Billing83

Real Cash Discount100

Premium Quality Tier

3-Star CMS clinical quality rating paired with 0.97× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Johnston Memorial Hospital prices shoppable and inpatient services (1.1× to 1.0× Medicare, divergence 0.91×) in alignment with regional hospital peers (0.97× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#13 of 75 in VA · 16th State Percentile#1,138 of 3,385 in U.S. · 33rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 3% below peer Fair BaseRate (0.97×)
Self-pay cash beats commercial insurance on 65% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (65/100 safety score) with 64% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (17.1% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.97× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 0.93× Fair BaseRate (1.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.4× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 5,439) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.91× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+5% Upper Tail

Q25 0.89× · Q50 0.93× · Q75 0.98×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.9× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.4× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

65% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 65/100Fair

Procedure Prices at Johnston Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 103 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Trauma team activation HCPCS Code: `G0390`	$989	$2,577	$1,453	1.8×
Colonoscopy with biopsy CPT Code: `45380`	$484	$1,226	$1,256	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$385	$920	$987	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	$418	$873	$855	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$549	$884	$1,021	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$448	$554	$583	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$669	$513	$511	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$610	$514	$369	unverified
Psychological testing by technician CPT Code: `96138`	$164	$420	$395	1.1×
Blood transfusion CPT Code: `36430`	$119	$443	$498	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$560	$408	$448	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$588	$301	$258	1.2×
Rabies immune globulin HCPCS Code: `90375`	$2,232	$294	$322	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$605	$305	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$605	$305	$343	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$560	$270	$242	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$532	$247	$303	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$79	$219	$201	1.1×
Neurobehavioral status check CPT Code: `96116`	$128	$220	$231	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$344	$240	$272	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$45	$182	$166	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$532	$173	$160	1.1×
Family therapy session CPT Code: `90847`	$81	$180	$173	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$50	$182	$181	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$575	$145	$151	1.0×
CT scan, pelvis CPT Code: `72192`	$588	$139	$163	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$36	$93	$87	1.1×
Group therapy session CPT Code: `90853`	$50	$103	$100	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$39	$102	$110	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$42	$109	$123	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$102	$114	$134	0.9×
CT scan, sinuses CPT Code: `70486`	$532	$139	$166	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$532	$139	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$532	$139	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$532	$139	$169	0.8×
X-ray, shoulder CPT Code: `73030`	$75	$86	$92	0.9×
X-ray, foot CPT Code: `73630`	$75	$86	$92	0.9×
X-ray, hand CPT Code: `73130`	$78	$86	$93	0.9×
X-ray, ankle CPT Code: `73610`	$75	$86	$93	0.9×
X-ray, chest (single view) CPT Code: `71045`	$66	$85	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	$69	$85	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$69	$85	$93	0.9×
X-ray, hip CPT Code: `73502`	$69	$85	$93	0.9×
X-ray, lower back CPT Code: `72110`	$69	$102	$112	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$96	$108	$126	0.9×
Ultrasound, pelvis CPT Code: `76856`	$102	$108	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$102	$108	$132	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$72	$90	$123	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$86	$108	$148	0.7×
X-ray, pelvis CPT Code: `72170`	$66	$102	$110	unverified
Typhoid vaccine HCPCS Code: `90675`	$566	$329	$347	0.9×
Drug screening test HCPCS Code: `G0480`	$77	$114	$116	1.0×
Blood antibody screen CPT Code: `86850`	$20	$51	$46	1.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$80	$57	$56	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$77	$78	$86	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$11	$74	$86	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$15	$48	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$13	$48	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$13	$48	$49	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$32	$19	$20	0.9×
Prosthetic fitting and training CPT Code: `97761`	$32	$42	$45	0.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$18	$11	$11	1.0×
Blood test, vitamin D CPT Code: `82306`	$52	$30	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$6	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$9	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$9	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$24	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$7	$4	$4	1.0×
Blood test, lipase CPT Code: `83690`	$12	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$12	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$8	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$32	$18	$19	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$26	$15	$16	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$23	$13	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	$23	$25	$27	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$57	$36	$39	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$32	$35	$38	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$71	$58	$64	0.9×
Orthotic fitting and training CPT Code: `97760`	$37	$46	$51	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$34	$36	$40	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$155	$50	$111	0.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$7	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$14	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$11	$6	$6	1.0×
Culture, blood CPT Code: `87040`	$18	$11	$11	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$29	$17	$18	0.9×
Hepatitis C antibody test CPT Code: `86803`	$25	$14	$15	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$16	$13	$14	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$32	$34	$38	0.9×
Blood test, liver function panel CPT Code: `80076`	$14	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$11	$6	$7	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$31	$30	$35	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$29	$29	$34	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$56	$31	$37	0.8×
Blood test, basic metabolic panel CPT Code: `80048`	$14	$9	$9	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$17	$10	$10	unverified
Physical therapy (gait training) CPT Code: `97116`	$27	$30	$33	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$34	$33	$38	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$7	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$4	$2	$3	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$74	$13	$35	0.4×
Blood test, sodium CPT Code: `84295`	$9	$5	$5	unverified
Culture, bacterial CPT Code: `87070`	$15	$9	$9	unverified

Showing top 25 high-impact procedures of 103 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 17.1%

Audit a Bill or Quote at Johnston Memorial Hospital (Zero PHI Required)

CMS CCN: 490053

CPT G0390

Select Procedure to Audit:

Fair BaseRate™ $1,453

Medicare Rate $1,362

Self-Pay Cash $989

Insurer Median $2,577

1. Amount on Your Bill or Quote ($) Pre-filled with Johnston Memorial Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $1,126 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $1,126

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (17.1% of gross = $1,126).

Step 2 · Cash vs. Insurance Arbitrage Save $5,602 Paying Cash

Self-Pay Cash Rate ($989) Beats Your Bill

Johnston Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $989 (vs. $2,577 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$5,138 Above Fair BaseRate

Negotiate Toward $1,453 Fair BaseRate ($1,362 Medicare)

Your bill ($6,591) is $5,138 above the denoised Fair BaseRate ($1,453) and 4.8× the $1,362 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (17.1% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite65/100

Would Recommend64%

Rated 9 or 10 (HCAHPS)68%

Median ER Wait186 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (754 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Johnston Memorial Hospital.

Price Index: 1.06× regional baseline

Quality: 60/100 CMS composite

Median Household Income$62,774U.S. Census ACS

Local Uninsured Share7.2%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 85/100 · Verified CMS CCN 490053

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 490053) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-23

Validated Rate Rows4,504 (CMS v3.0.0)

File Integrity DigestVerified · CCN 490053

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy