After cataract laser surgery at Sentara Martha Jefferson Hospital
500 Martha Jefferson Drive, Charlottesville, VA · Sentara · · NPI 1346248663
$897.00
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.
$1,794.00
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.
$547.36 with Sentara Health Plan vs $2,670.00 with Aetna — 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 |
|---|---|---|---|
| Sentara Health Plan | Medicare Managed Care Plan | $547.36 | ↓ -39% |
| Humana | Medicare Managed Care Plan | $552.72 | ↓ -38% |
| Bcbs | Anthem Medicare Managed Care Plan | $562.11 | ↓ -37% |
| Aetna | Medicare Managed Care Plan | $563.46 | ↓ -37% |
| Unitedhealthcare | All Commercial Plans | $1,547.00 | ↑ +72% |
| Cigna | Ppo/Pos | $1,571.00 | ↑ +75% |
| Bcbs | Anthem Exchange | $1,696.89 | ↑ +89% |
| Bcbs | Anthem Hmo | $1,824.62 | ↑ +103% |
| Bcbs | Anthem Ppo | $1,962.00 | ↑ +119% |
| Aetna | All Commercial Plans | $2,670.00 | ↑ +198% |
Visitor-reported prices
Comments
After cataract laser surgery at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $251.55 | $484.66 – $1,169.84 |
| Russell County Hospital | LEBANON | $251.55 | $536.62 – $1,169.84 |
| Sentara Northern Virginia Medical Center | Woodbridge | $1,077.50 | $547.36 – $3,486.00 |
| Lonesome Pine Hospital | BIG STONE GAP | $251.55 | $536.62 – $1,287.90 |
| Smyth County Community Hospital | MARION | $251.55 | $536.62 – $1,169.84 |
| Sentara Halifax Regional Hospital | South Boston | $937.00 | not published |
| Sentara Leigh Hospital | Norfolk | $1,077.50 | $547.36 – $4,564.00 |
| Sentara RMH Medical Center | Harrisonburg | $897.00 | not published |