Injection, inclisiran, 1 mg at Sentara Martha Jefferson Hospital
500 Martha Jefferson Drive, Charlottesville, VA · Sentara · · NPI 1346248663
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$12.39 with Sentara Health Plan vs $34.16 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | Exchange | $12.39 | — |
| Sentara Health Plan | Hmo/Pos | $12.39 | — |
| Sentara Health Plan | Ppo | $12.39 | — |
| Sentara Health Plan | Medicare Managed Care Plan | $12.56 | — |
| Humana | Medicare Managed Care Plan | $12.69 | — |
| Bcbs | Anthem Medicare Managed Care Plan | $12.90 | — |
| Aetna | Medicare Managed Care Plan | $12.93 | — |
| Bcbs | Anthem Exchange | $23.34 | — |
| Bcbs | Anthem Hmo | $25.07 | — |
| Bcbs | Anthem Ppo | $26.92 | — |
| Aetna | All Commercial Plans | $34.16 | — |
Visitor-reported prices
Comments
Injection, inclisiran, 1 mg at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Rappahannock General Hospital | Kilmarnock | $5,812.13 | not published |
| Southampton Medical Center | Franklin | $17,974.53 | not published |
| Maryview Hospital | Portsmouth | $13,453.99 | not published |
| Harbour View Medical Center | Suffolk | $13,453.99 | not published |
| Richmond Community Hospital | Richmond | $17,264.16 | not published |
| Southside Regional Medical Center | Petersburg | $16,252.42 | not published |
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | not published | $10.43 – $33.63 |
| Sentara Northern Virginia Medical Center | Woodbridge | not published | $12.56 – $16.69 |