Blood Clotting (PT/INR) Test at Sentara Martha Jefferson Hospital
500 Martha Jefferson Drive, Charlottesville, VA · Sentara · · NPI 1346248663
$25.50
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.
$51.00
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.
$4.38 with Sentara Health Plan vs $10.80 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 | $4.38 | ↓ -83% |
| Humana | Medicare Managed Care Plan | $4.42 | ↓ -83% |
| Bcbs | Anthem Medicare Managed Care Plan | $4.49 | ↓ -82% |
| Aetna | Medicare Managed Care Plan | $4.50 | ↓ -82% |
| Unitedhealthcare | All Commercial Plans | $6.59 | ↓ -74% |
| Bcbs | Anthem Exchange | $8.11 | ↓ -68% |
| Bcbs | Anthem Hmo | $8.71 | ↓ -66% |
| Bcbs | Anthem Ppo | $9.35 | ↓ -63% |
| Aetna | All Commercial Plans | $10.80 | ↓ -58% |
Visitor-reported prices
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Blood Clotting (PT/INR) Test at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $221.00 | $3.73 – $6.22 |
| Inova Alexandria Hospital | Alexandria | $45.00 | $4.29 – $56.62 |
| Inova Fairfax Hospital | Falls Church | $45.00 | $4.29 – $56.62 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $45.00 | $4.29 – $56.62 |
| Inova Loudoun Hospital | Leesburg | $45.00 | $4.29 – $56.62 |
| Inova Mount Vernon Hospital | Alexandria | $45.00 | $4.29 – $56.62 |
| Johnston Memorial Hospital | ABINGDON | $6.90 | $2.15 – $9.35 |
| Russell County Hospital | LEBANON | $6.90 | $4.29 – $9.35 |