Application of forearm cast 29075 at Sentara Martha Jefferson Hospital
500 Martha Jefferson Drive, Charlottesville, VA · Sentara · · NPI 1346248663
$351.50
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.
$703.00
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.
$278.35 with Sentara Health Plan vs $2,845.00 with Cigna — 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 | $278.35 | ↓ -21% |
| Humana | Medicare Managed Care Plan | $281.08 | ↓ -20% |
| Bcbs | Anthem Medicare Managed Care Plan | $285.85 | ↓ -19% |
| Aetna | Medicare Managed Care Plan | $286.54 | ↓ -18% |
| Unitedhealthcare | All Commercial Plans | $511.00 | ↑ +45% |
| Bcbs | Anthem Exchange | $862.92 | ↑ +145% |
| Bcbs | Anthem Hmo | $927.88 | ↑ +164% |
| Bcbs | Anthem Ppo | $997.74 | ↑ +184% |
| Cigna | Ppo/Pos | $2,845.00 | ↑ +709% |
Visitor-reported prices
Comments
Application of forearm cast 29075 at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $546.00 | $249.52 – $1,043.00 |
| Inova Fairfax Hospital | Falls Church | $546.00 | $249.52 – $1,043.00 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $546.00 | $249.52 – $1,043.00 |
| Inova Loudoun Hospital | Leesburg | $546.00 | $249.52 – $1,043.00 |
| Inova Mount Vernon Hospital | Alexandria | $546.00 | $249.52 – $1,043.00 |
| Johnston Memorial Hospital | ABINGDON | $130.20 | $26.68 – $594.90 |
| Russell County Hospital | LEBANON | $130.20 | $64.86 – $594.90 |
| Sentara Northern Virginia Medical Center | Woodbridge | $299.50 | $278.35 – $3,988.00 |