Air conduction bilat at Sentara Martha Jefferson Hospital
500 Martha Jefferson Drive, Charlottesville, VA · Sentara · · NPI 1346248663
$55.50
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.
$111.00
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.
$132.41 with Sentara Health Plan vs $474.62 with Bcbs — 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 | $132.41 | ↑ +139% |
| Humana | Medicare Managed Care Plan | $133.71 | ↑ +141% |
| Bcbs | Anthem Medicare Managed Care Plan | $135.98 | ↑ +145% |
| Aetna | Medicare Managed Care Plan | $136.30 | ↑ +146% |
| Bcbs | Anthem Exchange | $410.49 | ↑ +640% |
| Bcbs | Anthem Hmo | $441.39 | ↑ +695% |
| Bcbs | Anthem Ppo | $474.62 | ↑ +755% |
Visitor-reported prices
Comments
Air conduction bilat at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $154.00 | $47.15 – $128.97 |
| Inova Fairfax Hospital | Falls Church | $154.00 | $47.15 – $128.97 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $154.00 | $47.15 – $128.97 |
| Inova Loudoun Hospital | Leesburg | $154.00 | $47.15 – $128.97 |
| Inova Mount Vernon Hospital | Alexandria | $154.00 | $47.15 – $128.97 |
| Sentara Northern Virginia Medical Center | Woodbridge | $138.00 | $132.41 – $136.30 |
| Lonesome Pine Hospital | BIG STONE GAP | $15.90 | $17.06 – $282.99 |
| Sentara Halifax Regional Hospital | South Boston | $104.50 | $133.46 – $137.38 |