Acetazolamide 500 mg solution for injection at STONESPRINGS HOSPITAL CENTER
24440 Stone Springs Boulevard, Dulles, VA · HCA Virginia · · NPI 1972904738
$456.75
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.
$456.75
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.
$14.29 with Humana Military vs $388.24 with Three Rivers Provider Network — 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 |
|---|---|---|---|
| Humana Military | TRCR | $14.29 | ↓ -97% |
| Cigna | IFP | $17.34 | ↓ -96% |
| Johns Hopkins | UniformedServicesFamilyHealthPlan | $19.06 | ↓ -96% |
| CareFirst | RPN | $26.81 | ↓ -94% |
| CareFirst | HMO | $26.81 | ↓ -94% |
| Cigna | PPO | $27.83 | ↓ -94% |
| Cigna | HMO | $27.83 | ↓ -94% |
| United | AllPayerAppendix | $67.81 | ↓ -85% |
| Aetna | MGMCR | $68.51 | ↓ -85% |
| United | OptionsPPO | $142.51 | ↓ -69% |
| United | GlobalBenefitPlan | $205.54 | ↓ -55% |
| Greenvbrier Sporting Club | COMM | $274.05 | ↓ -40% |
| Virginia Health Network | ULTRA | $324.29 | ↓ -29% |
| Virginia Health Network | WC | $324.29 | ↓ -29% |
| Virginia Health Network | COMM | $324.29 | ↓ -29% |
| CorVel | WorkersComp | $328.86 | ↓ -28% |
| Three Rivers Provider Network | COMM | $388.24 | ↓ -15% |
| Three Rivers Provider Network | WC | $388.24 | ↓ -15% |
Visitor-reported prices
Comments
Acetazolamide 500 mg solution for injection at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| LEWISGALE HOSPITAL-ALLEGHANY | LOW MOOR | $1,007.00 | $16.20 – $67.81 |
| Inova Alexandria Hospital | Alexandria | $53.24 | $26.81 – $72.31 |
| Inova Fairfax Hospital | Falls Church | $53.24 | $26.81 – $72.31 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $53.24 | $26.81 – $72.31 |
| Inova Loudoun Hospital | Leesburg | $53.24 | $26.81 – $72.31 |
| Inova Mount Vernon Hospital | Alexandria | $53.24 | $26.81 – $72.31 |
| LEWISGALE HOSPITAL-MONTGOMERY | CHRISTIANSBURG | $609.00 | $16.20 – $67.81 |
| LEWISGALE HOSPITAL-PULASKI | PULASKI | $260.00 | $14.29 – $67.81 |