X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at STONESPRINGS HOSPITAL CENTER
24440 Stone Springs Boulevard, Dulles, VA · HCA Virginia · · NPI 1972904738
$3,088.49
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.
$3,088.49
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.
$95.46 with Anthem vs $2,625.22 with Three Rivers Provider Network — 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 |
|---|---|---|---|
| Anthem | HIX | $95.46 | ↓ -97% |
| Anthem | HPN | $96.39 | ↓ -97% |
| Anthem | HMO | $103.40 | ↓ -97% |
| Anthem | PPO | $103.40 | ↓ -97% |
| Cigna | HMO | $310.32 | ↓ -90% |
| Cigna | PPO | $310.32 | ↓ -90% |
| Cigna | IFP | $325.70 | ↓ -89% |
| CareFirst | HMO | $558.18 | ↓ -82% |
| CareFirst | RPN | $558.18 | ↓ -82% |
| Lifeworks | MCR | $586.81 | ↓ -81% |
| United | AllPayerAppendix | $828.27 | ↓ -73% |
| United | OptionsPPO | $963.61 | ↓ -69% |
| United | GlobalBenefitPlan | $1,389.82 | ↓ -55% |
| Greenvbrier Sporting Club | COMM | $1,853.09 | ↓ -40% |
| Virginia Health Network | COMM | $2,192.83 | ↓ -29% |
| Virginia Health Network | WC | $2,192.83 | ↓ -29% |
| Virginia Health Network | ULTRA | $2,192.83 | ↓ -29% |
| CorVel | WorkersComp | $2,223.71 | ↓ -28% |
| Three Rivers Provider Network | COMM | $2,625.22 | ↓ -15% |
| Three Rivers Provider Network | WC | $2,625.22 | ↓ -15% |
| Optima Health | PPO.POS | not published by hospital | — |
| Optima Health | HMO | not published by hospital | — |
| Aetna | Broad | not published by hospital | — |
Visitor-reported prices
Comments
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at other Virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Inova Alexandria Hospital | Alexandria | $754.50 | $167.33 – $994.43 |
| Inova Fairfax Hospital | Falls Church | $754.50 | $167.33 – $994.43 |
| Inova Fair Oaks Hospital | VA 22033-1709 | $754.50 | $167.33 – $994.43 |
| Inova Loudoun Hospital | Leesburg | $754.50 | $167.33 – $994.43 |
| Inova Mount Vernon Hospital | Alexandria | $754.50 | $167.33 – $994.43 |
| Johnston Memorial Hospital | ABINGDON | $119.55 | $86.29 – $742.05 |
| Russell County Hospital | LEBANON | $119.55 | $98.68 – $742.05 |
| Sentara Martha Jefferson Hospital | Charlottesville | $517.00 | $347.20 – $357.41 |