I-123 iobenguane diag at Sentara Martha Jefferson Hospital
500 Martha Jefferson Drive, Charlottesville, VA · Sentara · · NPI 1346248663
$2,022.50
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.
$4,045.00
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.
$2,363.85 with Sentara Health Plan vs $4,523.09 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 | $2,363.85 | ↑ +17% |
| Humana | Medicare Managed Care Plan | $2,387.02 | ↑ +18% |
| Bcbs | Anthem Medicare Managed Care Plan | $2,427.58 | ↑ +20% |
| Aetna | Medicare Managed Care Plan | $2,433.38 | ↑ +20% |
| Bcbs | Anthem Exchange | $3,921.39 | ↑ +94% |
| Bcbs | Anthem Hmo | $4,211.86 | ↑ +108% |
| Bcbs | Anthem Ppo | $4,523.09 | ↑ +124% |
Visitor-reported prices
Comments
I-123 iobenguane diag at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Johnston Memorial Hospital | ABINGDON | $1,109.70 | $1,867.33 – $5,052.15 |
| Russell County Hospital | LEBANON | $1,109.70 | $1,867.33 – $5,052.15 |
| Sentara Northern Virginia Medical Center | Woodbridge | $2,164.00 | $2,363.85 – $2,433.38 |
| Lonesome Pine Hospital | BIG STONE GAP | $1,109.70 | $498.00 – $5,052.15 |
| CJW Medical Center-Chippenham Hospital Campus | CHESTERFIELD | $8,312.00 | $5,471.11 – $6,141.38 |
| Smyth County Community Hospital | MARION | $1,109.70 | $1,867.33 – $5,052.15 |
| Sentara Halifax Regional Hospital | South Boston | $2,173.50 | $2,363.85 – $2,433.38 |
| LEWISGALE MEDICAL CENTER | ROANOKE | $11,228.00 | $6,952.50 – $6,952.50 |